Girl
Scouts of
Troop _1097 Date Saturday February
11, 2010___ Destination Cold Stone Creamery 789 N US 31,
Arrangements for transportation
Time and place of departure Leave Pleasant
Grove parking lot 3:45
Time and place of pickup: Cold Stone
Creamery at 5:30 pm
Type of transportation __Car, van______________________________________
Leaders accompanying the girls
Name Patricia Johnson_____ Cell#_496-3096_
Troop pays: $3 Girl pays
:O Optional spending money _________________
Money
due to troop leader by (date)
___________________________________________________________
Each girl will get to get a tour of
the store, how their ice cream is made, and sample the
ice cream after.
In case of an emergency
Leader
will notify the troop emergency contact person who will immediately notify the
parents.
Emergency contact person _Jeff Johnson_____
Phone __889-9275_______
Leader’s
signature Patricia Johnson________________________
Tear off bottom half and return
to troop leader by (date) _______
---------------------------------------------------------------------------------------------------------------------
My
daughter ______________________ has permission to attend the Girl Scout trip to
Cold Stone Creamery
Participate
in the described activity, I may be reached at (phone)
(________) _______________________________________
If
I cannot be reached in the event of an emergency the following person is
authorized to act on my
behalf:
Name _________________________________ Phone (___) ____________
Relation
to participant ______________________________________________________________________Address
_____________________________________________City __________________ZIP
_____________Additional remarks: Please note if your child has any specific
limitations and/or special needs, including medications. Use additional sheet
if necessary
Parent’s Signature
_________________________________Date_________