THE QUEEN’S ROYAL COLLEGE SCOUT GROUP

ACTIVITY DETAILS AND PERMISSION SLIP

The Queen’s Royal College Scouts has planned a ___________________________________________________________

To ________________________________________________________________________________________________

Date of Departure __________________ Time of Departure __________ Place of departure ___________________

Date of Return _____________________ Time of Return _____________ Place of Return _____________________

Adult Leader(s) __________________________________

________________________________________________

Cost per scout $ ____________________________ to cover

___________________________________________________________________________________________________

___________________________________________________________________________________________________

Please return the portion below the DOTTED line to

indicating if scout will be attending or not.

-----------------------------------------------------
my scout, _____________________________________

WILL [ ] WILL NOT [ ]

be participating in this activity to _______________________________________________________________

Please find enclosed activity fee in the sum of $ _____________

If my scout is ill on the day of the activity and I not permit him/her to attend, I understand that if money was required in
advance to make reservation or purchase food, this amount will not be refundable once they have been spent. If for any
reason my scout will not be attending this event after he/she has turned in this permission slip, I will contact one of the
leaders in charge listed above to inform them before the designated departure time.

In the event that medical attention is required, I am aware that every effort will be made to contact the parents through the
home and emergency phone numbers listed on the emergency medical form and that instructions contained therein followed
as closely as possible. Please indicate on the reverse if any additional medical / emergency information is required for this
activity.

Signed _____________________________________________ Date: ___________________________________