has my permission to go to the E-4 Service Unit �Buddy� Bowling afternoon at Trindle Bowling Alley on November 08, 2008 from 12:30 � 3PM. A "Buddy is any adult male (Dad Grandpa, Uncle, etc.) Registration is at 12:30, bowling starts at 1:00. Lanes will be assigned prior to the event. Please know your troop number and how many games you are bowling and your shoe size.
She is in good physical condition and has had no serious illness or operation since her last health examination. During the activity I may be reached at:
Address: _______________________________________________
Phone: _____________________________
If I cannot be reached in case of an emergency, the following person is authorized to act in my behalf:
Name and Address: _______________________________________
________________________________________
Relationship to participant: ______________________
Phone number: ____________________
Physician�s name and number: __________________________
___________________________
Parent�s Signature: ____________________________________
Date: ___________________
My daughter ______ will _____ will not attend
Adult�s Name______________________________________
Girl�s Name: _______________________________________________
Number of games adult will bowl _______
Number of games girl will bowl ________
Total games _________ x 4.00 = ____________
# Patches needed _____ x 1.00 = ____________
total money due ____________