BSA Troop 111 Event Bulletin
Event/Destination
Leader in Charge/Phone
Date(s) of Event
Last Day to Sign-up/Pay
Cost
Location to Meet
Show Time
Go Time
Approximate Return Time
Uniform of the Day
Special Items to Bring
(Cut here: keep upper part for your information; return lower part to troop)
BSA TROOP 111 Authorization Slip
Event/Destination
I can drive (Please Circle) 
 

Both Ways   Out   Back
Number of Scouts I can take
Scout's Name
Parent/Guardian Name
Parent/Guardian Phone
Emergency Contact
Emergency Phone
Scout Medication/Instructions
(If none state NONE)
All medications must be given to Event Leader prior to leaving meeting location
Date of Last Tetanus Shot
Scout's Insurance Plan
Policy Number
I authorize my son/ward to attend the above event. In the event Scout leaders are unable to contact anyone listed above, I authorize any Scout leader to arrange medical treatment for him. I understand that every effort will be made to reach me or the Emergency contact as soon as possible.
Print Name
__________________ 		Signature/Date
____________________