Troop 146 Activity Permission Slip
Please return this part of the permission slip to the SPL.
Name of Parent: _____________________
I give permission for my son, __________________, to participate in the activities checked
off below.
Campout__ Specify__________________________
Other__ Specify__________________________
Number of parents attending activity:___
Check here if you have already filled out the information below and the information below has not changed.
Emergency numbers:(___)___________________
During these activities I can be reached at:
Address:_____________________________________________________________________________
Phone number:(___)________________
Physician: Name:________________ Phone:(___)_____________
Parent Signature:___________________________
Date:______________
----------------------------------Cut on this line----------------------------------
Keep this part of the Permission Slip
Campout:___________________________
Meet at Bryant Elementary at _____:_____
Remember:
