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| Forms and Program Information 2008 Many of these documents
require an application program called Adobe Acrobat Reader. Scout Hike or Activity Permission Slip. pdf or Click here for a printable version Camping Duty Roster for Short Term Camping or Click here for a printable version Alter Kahker Patrol Camping Duty Roster printable version Fort Leavenworth Camping and Heritage Trail information Booklet .pdf H. Roe Bartle Summer Camp Program Guide for Scouts and Parents .pdf H. Roe Bartle Summer Camp Program Guide for Leaders .pdf Map of Bartle with campsite key. pdf Map and Directions to Bartle .pdf Mic-O- Say Calendar for Ceremonies. pdf Bartle Visitor Guideline Booklet. pdf Pre-Camp Order form for T-shirts and Merit Badge pamphlets. pdf Request for Letter of Thanks to your employer .pdf Scoutmaster's special rules for summer camp
Troop 61
Scout Permission Slip Activity Name _____________________________________________________ For activity dating from _____________________ to _____________________ Scout's Name
______________________________________ Address ______________________________________ City _____________________________ State _____ Zip ____________ Health/Accident
Insurance Co. _________________________ Policy Number __________________________ Dr’s. Name / Phone Number _____________________ (____) ____________ Have or subject to (check if yes): __Asthma __Fainting Spells __Convulsions __Allergy to any medication, food __Any condition that may require special care, medication__ Diabetes __Heart Trouble __Bleeding Disorders __plant, animal, or insect toxin Explain: ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ Check here if none of the above applies ______ Any condition now requiring regular medication? ________________ Name of Medication (s) ________________________________________________________________________ Any restriction of
activity for medical reasons? Parent Authorization This health history is correct so far as I know, and the person herein described has permission to engage in all prescribed activities, except as noted by me. In the event I cannot be reached in an emergency, I hereby give permission to the physician, selected by the adult leader in charge, to hospitalize, secure proper anesthesia, or to order injection for my son. Signature _______________________________ Date ___________________ Home
Telephone Number
(_____) _____________________ I authorize ONLY the following people to remove my son from the activity site: Name Relationship ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________
Duty Roster Short-term Camp __________ Patrol
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