Super Duper Divisional Weekend

Completed BSA Health Forms (Parts A and B) must be on file with Troop 2220 for each person attending this campout.

Super Duper Divisional Weekend at Ingram Barn

Event Details:

Event Date: Saturday, January 18- Monday, January 20
Event: Super Duper Divisional Weekend at Ingram Barn
Location:Ingram Barn, Westmoreland County
Permission Slip Due: Tuesday, January 7, 2025 at 7:00 pm
Money Due: Tuesday, January 7, 2025 at 7:00 pm
Cost:$50.00
Description: Pioneering and Conservation merit badge worktime, cook off contests, and more
Bring:Tent, Sleeping Bag or Blankets, Change of clothes, Daypack, Water Bottle, Troop Activity Shirt, Scout Book, and Hold Harmless Agreement
Meeting Time:Meet at ACUMC on Saturday , January 18th at 7:30 AM with an 8:00 departure for the barn.

Other:Completed BSA Health Forms (Parts A and B) must be on file with Troop 2220 for each person attending this campout.

By completing this form you are granting permission for this child listed below to participate in the Super Duper Divisional Weekend at Ingram Barn with Troop 2220 during Saturday, January 18- Monday, January 20.

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 Emergency Contact Name

Primary Phone

If I can not be reached: Alternate Contact

Alternate Emergency Contact Name

Alternate Phone

Additional Information

Parent or Guardian is going

Yes No

Additional Notes for Leadership:

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.

Super Duper Divisional Weekend

Super Duper Divisional Weekend at Ingram Barn

Event Details:

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