TROOP 21  **ACTIVITY NOTICE**
www.bsatroop21.net
Please return the permission slip below and pay any costs on of before:    
TROOP ACTIVITY AND LOCATION DEPARTURE INFORMATION
         
          Day & Date:      
          Time:      
          Location:      
TROOP ACTIVITY COSTS RETURN INFORMATION
Trip Fees: $    
Transportation Fees: $     Day & Date:      
Other Fees: $     Time:      
Total Troop Cost: $     Location:      
Drivers Name:      
Make check payable to: BSA Troop 21
APPROXIMATE PATROL COSTS ADULT LEADERS ATTENDING:
Food for  (    ) Meals: $     Name: Phone:
Other: $    
Total Patrol Costs: $          
Please submit Patrol costs in cash      
and give to your Patrol Leader.
     
PERSONAL EQUIPMENT
     
(   ) Camping: Chapter 2, Scout Handbook
(   ) Backpacking: Chapter 9, Scout Handbook      
(   ) Other Items:
               
         
               
         
Please fill out this section, sign, detach and RETURN to the SCOUT MASTER OR ADULT LEADER
in charge of the activity.
Cut & Return form below - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Cut & Return form below
BOY SCOUTS OF AMERICA, TROOP 21, TURLOCK, CALIFORNIA
My son,       , is in good physical condition at the present time and has had
no serious illness or operation recently. I shall make sure that he does not attend if he is not feeling well
My son has permission to attend this activity. During the activity I may be reached at:
Location:             Phone#    
Activity:           Date:    
Location:          
Parent or Guardian Signature:         Date: