Camp:____________________________________
Depart:__________________
Return:__________________
Depart and return at St. Ignatius Gym 

Please turn over all prescription medications to the Scoutmaster(s) .  
Medications need to be in their original packaging with the instructions for 
dispensing clearly written on the container.  

I hereby acknowledge that I have read this permission slip and the explanation 
of the campout and that the Scout has proper equipment and clothing to 
participate in this campout.  

In case of emergency, I understand that every effort will be made to contact me
but in the event that I cannot be reached, I hereby give my permission to the
physician selected by the adult leader in charge to secure proper treatment,
including hospitalization, anesthesia, surgery, or injections of medications
for my son.  

Scout name: ___________________________________________________ (print)

Parent or guardian: ____________________________________________(signature)

Phone where you can be reached: _______________________	Date:__________

To the parents:  We need parent participation for transportation and supervision
at the campout.  Please indicate if you are willing to drive and/or would like
to stay over and enjoy the campout with the Scouts. You need to provide a
sleeping bag, pad, your own food, and personal items.

Name:_________________________________ (print)  Phone:__________________
I would be willing to drive: (to)_______   (from)________.  
I have ______ seat belts available for Scouts or other passengers.
My car is a __________________________________________(year-type) and my drivers
license number is :________________________.

I would also like to stay over and enjoy the 
campout with the Scouts. Yes( )  No( )

Please note.  Boy Scout regulations do not allow siblings to stay overnight
 with the Scouts.