Troop 583 Permission Slip 

As parent or legal guardian of ______________________, I hereby give my 
permission for him to participate in the Troop 583 outing listed below. 
I give the leaders of the above described activity to render First Aid 
should the need arise.  In the event of an emergency, I also give 
permission to the Physician selected by the adult leader in charge to 
hospitalize, secure proper anesthesia, order injection, or secure other 
medical treatment as needed.  I further agree to hold the above named 
unit and the adult leaders blameless for any accidents that might occur 
during this outing except for clear acts of negligence or non-adherence 
to BSA policies and guidelines.
In case of emergency, I can be reached by phone at ________________ or 

____________________.   

If I cannot be reached at these numbers, 

please contact _________________________ at phone #_______________________ 

Signed:__________________________________ Date:_______________________
               Parent or Guardian

Medical Insurance: Company___________________Policy #__________________

Event __ Council Camporee 2010 _  
           at Camp Perry, Texas 

date Friday - January 29, 2010 - Sunday January 31 2010  
>>>>> Please bring this half and <<<<<<
>>>>>  turn it in at troop departure gathering on  Friday  <<<<<<
>>     <<<<

>> ** >> Each Scout needs a Class 1 Medical form << ** <<

>> Each Scout participating in activities   <<<<
>> needs to have a Tote-n-Chip  << 

------------ Parents retain this part (below)----------------------

            Troop 583  -  Permission Slip
 Event: __ Council Camporee 2010 __
   _ Camp Perry, Texas __

date Friday - January 29, 2010 - Sunday January 31 2010 
  Arrive at departure site  at  6:15 PM 

Departure: Friday - January 29, 2010 -  6:30 PM  
 from Holy Spirit Church west Parking Lot 
Return:  __ Sunday January 31 2010   - about Noon 
      will phone when we arrive in town.  
    Garza Elementary School - West parking area 
    Lark Ave. & 29rd Street  - McAllen  
 Emergency Contact # for the weekend:    

                 Gerard Mittelstaedt 956 739-8776  
                 Mona Mittelstaedt   956 739-7917         
                 Debbie Jackson      956 739-3941