1. Healthcare

Boy Scout Troop 101
2015 Skiing Permission Slip
WHAT
WHERE
The focus of February 2015’s outing will be winter sports.
WHEN
ACTIVITIES
DROP-OFF &
PICK-UP
Thursday, February 26th through Sunday, March 1st, 2015
Skiing and snowboarding.
Thursday: Scouts will be meeting at 6:00 pm at Community
Christian Church. Be sure to eat before arriving (will have late
snack).
Sunday: Approx. return at 2:00 pm; scouts call when ½ hour away.
Scouts: $230.00 (Lift Ticket-$95, Ski/Snowboard Rental-$60,
Helmet Rental-$20, Lessons-$20); Adults: $36 plus activity costs
(see above) --- subtract rental fees if bringing your own equipment.
Forms & fees are due no later than the February 9th meeting!
Please make checks payable to: BSA Troop 101.
We will be staying in cabins…sleeping bag/pad only equipment
required. Winter sports…please dress appropriately.
Vicki Wilson 630-961-2386 or [email protected]
Troop staying at Camp Del O’Claire in Schofield, WI and skiing at
Granite Peak in Wausau, WI
FEE
SIGN-UP
DEADLINE
EQUIPMENT
QUESTIONS?
Notes:



Please be prompt for both drop off and pick up of your scout
Class 1 uniforms are to be worn to and from this event
Emergency contact person is Vicki Wilson 630-961-2386
CUT & RETURN BOTTOM PORTION WITH PAYMENT
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Scout (name) _______________________________in patrol_____________ has my permission to
attend the 2015 Skiing/Snowboarding outing. In consideration of the benefits to be derived, and
having full confidence that every precaution will be taken to insure the safety and well-being of the
scout during this outing, I hereby waive all claims against the Troop and Local Councils or their
representatives, on account of any accident, injury, illness or other damage that may occur in
connection with this trip. The scout is in good physical and mental health to participate in this event,
unless noted in the space below. In case of emergency and I cannot be contacted, permission is
hereby given to an attending physician to hospitalize, administer medicine, secure proper treatment
or whatever else appears medically necessary for my son.
Parent or Guardian’s Signature ______________________________________Date__________
Phone________________________
Emergency Phone___________________________
Will your scout be taking prescription medication during this trip?
Yes_______ No_______
If yes, name of medication_______________________________________________
(Epi Pens & Inhalers as listed on Class 1 form are to be on the scout’s person at all times)
Name of Parent Attending: ____________________
TO
FROM
Driving with Troop (circle)
Yes
Yes
Number Seats in Car
_____
_____
Room for Extra Gear (add’l scouts gear)
_____
_____
Pulling Trailer
Yes
PAYMENT TYPE:
Check
Please indicate activity choice:
Cash
Scout Account
Skiing _____
Yes
Total Paid $_______
Snowboarding _____