The document provides information about a trip to visit the USS Salem heavy cruiser in Boston, Massachusetts on May 21-22, 2011 for scouts from Troop 409 in Dix Hills, New York. Scouts will meet at 5:45am on May 21st in Melville, NY to depart by 6am. They will return on May 22nd via established carpools. The $100 fee covers registration, meals, and activities. Permission slips and deposits are due by April 11th. The form also requests emergency contact and medical information as well as details about transportation.
The document provides information about a trip to visit the USS Salem heavy cruiser in Boston, Massachusetts on May 21-22, 2011 for scouts from Troop 409 in Dix Hills, New York. Scouts will meet at 5:45am on May 21st in Melville, NY to depart by 6am. They will return on May 22nd via established carpools. The $100 fee covers registration, meals, and activities. Permission slips and deposits are due by April 11th. The form also requests emergency contact and medical information as well as details about transportation.
The document provides information about a trip to visit the USS Salem heavy cruiser in Boston, Massachusetts on May 21-22, 2011 for scouts from Troop 409 in Dix Hills, New York. Scouts will meet at 5:45am on May 21st in Melville, NY to depart by 6am. They will return on May 22nd via established carpools. The $100 fee covers registration, meals, and activities. Permission slips and deposits are due by April 11th. The form also requests emergency contact and medical information as well as details about transportation.
The document provides information about a trip to visit the USS Salem heavy cruiser in Boston, Massachusetts on May 21-22, 2011 for scouts from Troop 409 in Dix Hills, New York. Scouts will meet at 5:45am on May 21st in Melville, NY to depart by 6am. They will return on May 22nd via established carpools. The $100 fee covers registration, meals, and activities. Permission slips and deposits are due by April 11th. The form also requests emergency contact and medical information as well as details about transportation.
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Boston, MA - USS Salem CA-139 Heavy Cruiser
WHERE: Boston, MA.
WHEN: Saturday May 21st to Sunday May 22rd MEET: Meet at 5:45 am at the Westbound Exit 49 Car Pool (Park & Ride) area off the LIE, North Service Rd, Melville (Just East of Rte 110). We will leave at 6:00am. RETURN: Your son will be brought home on Sunday (We will establish car pools. See Below) COST: $100 per scout, covers registration, dinner Saturday and breakfast Sunday. Bring money for additional activities and lunch on the way home. Each scout is to bring a (NON PERISHABLE) bag lunch for Saturday and limited snacks.
$20 Deposit Fee & Permission Slip Due April 11th.
BRING A WATER BOTTLE. WE WILL NOT HAVE EXTRAS. All medication, both prescription and over the counter, with written instructions, need to be given to the adult leader in charge at the drop off point.
TROOP 409 DIX HILLS, NY
PARENT CONSENT AND EMERGENCY FORM
TRIP NAME: Boston Massachusetts DATE: May 21 – May 22, 2011
Scout Name: ____________________________________
In consideration of the benefits to be derived, and in view of the fact that the Boy Scouts of America is an educational organization, membership in which is voluntary, and having full confidence that every precaution will be taken to ensure the safety and well-being of my son during this activity or trip, I hereby agree to his participation and waive all claims against the leaders of this activity or trip and officers, agents and representatives of the Boy Scouts of America. IN CASE OF EMERGENCY, I hereby give permission to the Physician selected by the unit leader or his designee, to hospitalize, secure proper treatment for, and order injections, medications, anesthesia or surgery for my son as named above.
(Parent or Guardian Signature) Emergency Contact 1: _____________________________________ Phone # ____________________ Contact 2 other than Parent: ________________________________ Phone # ____________________ Physicians Name: _________________________________________ Phone # ____________________
Is Parent/Guardian Camping Overnight? ( Yes / No ) Name: ________________________________
Can Parent or Guardian Drive? ( Yes / No ) How many additional seats besides the Driver? ________ If Driving in Car Pool, Make & Model of Vehicle: _____________________________________ Is Vehicle, Insurance and Driver registered with Transportation Chairman ( Yes / No )
* Reason Scout Not Attending: __________________________________________________________