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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:
Phone number:(___)________________
Physician: Name:________________ Phone:(___)_____________

Parent Signature:___________________________

Cut on this line----------------------------------
Keep this part of the Permission Slip

Meet at Bryant Elementary at _____:_____

We Travel in Class A Uniforms