Return to: ______________________________ by _____________________________

Activity: ________________________________________________________________

Dates: From ______________________________ to ___________________________

Fee: ______________________________ >>> Non-Refundable <<<

Depart from Church parking lot at: _______________________________________
Please arrive at least 15 minutes ahead of this time.
Uniform of the Day: Work _________ Civies _________ Dress whites _________

Equipment: Sleeping bag __________Rain gear __________ Back pack __________
Change of clothes ____________ Swim suit/trunks _______________________
Pocket change _______________ Pencil & paper __________________________
Fanny pack __________________ Sea Scout Manual _______________________
Special items: ____________________________________________________________
______________________________________________________________________
______________________________________________________________________
Bring a bag lunch: _______
Approximate arrival time home: ________________________________
Driven home: _______ Pick up at Church ____________________
For each trip, parents and Sea Scouts must agree to these minimum standards by signing below:
Girls are not allowed in boy's area at all
Boys are not allowed in girl's area at all
Boundaries are to be designated at the time of the trip.
Agreeable social area to be designated.
1st infringement: Immediate Quarterdeck meeting to decide punishment
2nd infringement: Will result in removal from trip by parent

My son/daughter ____________________ has permission to participate in the _______________________ with Sea Scout Ship 361 of the 1st Presbyterian Church of Howard County on __________ to __________ . I hereby give my 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/daughter in case of accident, if unable to contact me.

Parent ______________________________ Scout ___________________________________
Telephone numbers:____________________________________________________________
We will be able to drive: To __________ From __________ # of Scouts ______________