Troop
89 Summer Camp 2009 Activity Slip
NoBeBosco
Boy Scout Resident
Leaders: Suse Bell (201-847-9507 [H], 201-819-6314 [M]) and others
Week #1 July 5-11 Fees: Troop Camping $290 per week prior to April 30th; $320 per week after May 1st
---------------------------Please
tear off and return with your check--------------------------
Permission is granted for Scout(s) ___________________________to attend Summer Camp. Make all checks payable to “Troop 89, BSA.”
Is parent/guardian available to participate? ______________ Single days/nights an option. The number of leaders will be determined at a later date and depends on the total number of Scouts attending.
All
forms should be returned to Ronni Douma, Troop 89 Summer Camp Coordinator, 280
Monroe Ave., Wyckoff, NJ 07481 201-848-0562
Due to demand for summer camp we have limits on the number of Scouts: 22 Scouts maximum. First come, first served.
_________Week #1 July 5-11 NOBE Fees: Troop Camping $290 per week; $320 per week after May 1st
________ Total ALL
Permission is granted to the troop leaders to secure medical treatment for the Scout listed above if it should become necessary. _________________yes __________________no
Special medical
needs, allergies or other important information:
_______________________________________________________________________
Parent/guardian Name: ____________________________________________________
Signature: _____________________________________ Date:____________________
Phone Number: _______________________
Emergency Name and
Contact should we not be able to reach you:
________________________________________________________________________
COMPLETED BSA MEDICAL FORM NEEDED TO ATTEND CAMP. Remember that as of 2009 the new BSA form must be used.