Snow Sports- Ski Liberty Feb 2025 Order Number Event Details: Event Date: Saturday, February 8th, 2025 Event: Snow Sports Trip Location:Liberty Ski Resort 78 Country Club Trail, Fairfield, PA 17320 Permission Slip Due: Tuesday, Jan. 28, 2025 Money Due: Tuesday, Jan. 28, 2025 Cost: Will vary by needs of Scout Description: Spend the day on the slopes with your Scout troop Bring: Money for food, snacks and/or lunch; Appropriate snow gear; Change of clothes for trip back home Meeting Time: Saturday, Feb. 8th, 2025 at ACUMC at 6 AM Other:Completed BSA Health Forms (Parts A and B) must be on file with Troop 2220 for each person attending this event. Family members are invited to join the trip, but all must be accompanied by a legal guardian. By completing this form you are granting permission for this child listed below to participate in the Snow Sports Trip with Troop 2220 during Saturday, February 8th, 2025. Please provide all of the required information for the Scout attending this event. You will need to complete this form for each Scout, for which you are responsible. Scout's First Name * Child’s Date of Birth * Scout's Last Name * Home Phone Number Name of Parent(s) * Please provide the name of the parent or guardian of the Scout listed on this form. Parent(s) Email Address * Please provide a primary email for parent or guardian of the Scout listed on this form. In case of emergency: Primary Contact Primary Contact Primary Emergency Contact Name Primary Contact Phone Primary Phone If I can not be reached: Alternate Contact Alternate Contact Alternate Emergency Contact Name Alternate Contact Phone Alternate Phone Do you need lift tickets, rentals, and/or lessons? Do you plan to ski or snowboard? Parent or Guardian is going Yes No By submitting this form you give permission to the leaders of the above unit to render First Aid, should the need arise. In the event of an emergency, I also give permission to the physician, selected by the adult leader in charge, to hospitalize, secure proper anesthesia, order injection, or secure other medical treatment, as needed. You further agree to hold the above named unit and its leaders blameless for any accidents that might occur during this outing except for clear acts of negligence or non-adherence to BSA policies and guidelines.