TROOP 781 ACTIVITYPARTICIPATIONAUTHORIZATION

EMERGENCY INFORMATION
(for parents to keep)

Call Camp Greilick at 231 946-4263. Troop 781 is in the winter cabins.
Call Crystal Mountain 800.968.7686 during the day.
Activity: Winter Sports Trip
Leader in Charge. Jeff Sisolak - Cell 313-212-9733
Departure. Friday, Jan 76,2009,5:i 5 PM, OLGC School Parking Lot
Activity Location. Camp Greilick, Traverse City" MI and Crystal Mountain Ski Area
Return: Sunday. Jan 18. 2004 approx 8:00 to 9:00 PM. to their home
Special Instructions:
. Come prepared with layers of clothing for winter weather.
. Helmet is required for snowboarders and new skiers
. Bring spending cash for 3 dinners, and 2lunches on the slope

Fees: Cabin & Breakfasts $30, Lift Ticket Adult $80 Jr $70, Rental Adult $60 Jr. $50,

i:::::-11-':Ti::ll-1 __(cu, here)

TROOP 781 ACTIVITYPARTICIPATION AUTHORIZATION

In consideration of the benefits to be derived and in view of the fact that the Boy Scouts
of America is an educational organizatron, membership in which is voluntary, and having
full confidence that every precaution will be taken to insure safety and well being of all
participants during the activity noted below, I hereby acknowledge my awareness and
grant my permission for my son, daughter, or ward to participate in the activity.
I further state that my son or daughter is in good physical health so far as I know, and that
he/she has permission to engage in all prescribed activities, except as noted by me. In the
event that 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 or surgery for my son or daughter.

Participant's Name

Activity. Winter Sports Trip

Leader in Charge. Jeff Sisolak

Departure: Friday, Jan 16, 2004,5:15 PM, OLGC School Parking Lot
Activity Location: Camp Greilick, Traverse City, MI and Crystal Mountain Ski Area
Return: Sunday, Jan 18, 2004 approx 8:00 to 9:00 PM, to their home

Signature Parent/Guardian