Boy Scout Troop 39 Matthews United Methodist Church 801 South Trade Street Matthews, NC 28105

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1 Boy Scout Troop 39 Matthews United Methodist Church 801 South Trade Street Matthews, NC Troop 39 Outing Information January 2017 Winterplace [WV] Snow Tubing & Ski Trip Departure Dismissal Date/Time: Saturday Jan. 14, :30am Date/Time: Sunday Jan. 15, :00pm Troop Leaders Leader 1: Tom Dundorf Phone: (704) Leader 2: Brett Christoffersen Phone: (704) Cost: $70.00 Signup Deadline: Monday January 9, 2017 Description: [First Night Back from break] This is a great trip! If you do not know how to ski, lessons are included in this package! It is a huge bargain considering rented skis and lift tickets alone cost more than this. The Troop is picking up more than half the cost. This is why we sell BBQ! Basic Itinerary: MONDAY, JANUARY 9, 2017: MANDATORY PLANNING SESSION: PARENTS AND SCOUT MUST 6:00 PM. SATURDAY, JANUARY 14, 2017: Leave church at 11:30 AM, sharp. Eat lunch BEFORE you get on the bus. Travel to Winterplace Ski Resort in West Virginia. Snow tube (large inner tubes sliding down a couple hundred feet of mountainside) from 5:00 PM to 10:00 PM with a dinner break around 7:00 PM. Dinner is provided by the Troop. After tubing, spend the night in the Mountain Lodge at Winterplace. Air mattresses will be provided. You will need a sleeping bag! SUNDAY, JANUARY 15, 2017: Eat breakfast Sunday morning early (provided by Winterplace) and go downhill skiing basically all day! You will get a lunch ticket and the Troop will have an afternoon snack. Leave Winterplace around 6:00 PM. We will stop for dinner (Scout should bring cash) and return home around 11:00 PM. You will need: Snow pants or ski bibs (recommended), good gloves, warm socks, sunglasses or goggles (recommended), and a good coat. A warm hat and scarf / neck warmer are also a good idea. Ski rentals (helmet, boots, poles, skis) and lift tickets are included. Other items: Sleeping bag, towel, sleep clothes, second pair of socks, hiking boots, other layers (long underwear, etc.), sunscreen, and lip balm. Money is needed for Sunday evening return meal. Scoutmaster Ed Joyner scoutmastert39@gmail.com Charter Organization Rep David Wheeler dwheeler27@me.com Committee Chair Joe Culpepper jculpepper@carolina.rr.com

2 Troop 39 Jan 2017 Outing Permission Slip Release and Medical Power of Attorney To whom it may concern: I, the undersigned, give my son (or myself),, permission to attend the January 2017 Snow Tubing and Ski Trip to Winterplace Ski Resort in Flat Top, WV with Boy Scout Troop 39 per the Outing Information Sheet. I understand that participation in the outing involves a certain degree of risk. I have carefully considered the risk involved and have given consent for my child or agree myself to participate in the outing. I understand that participation in this outing is entirely voluntary and requires participants to abide by applicable risk and standards of conduct. I release the Boy Scouts of America, the local council, Matthews United Methodist Church, Troop 39, its Scoutmaster and Adult Leaders from any and all claims or liability arising from participation in this outing. The duration of the release will be from the time I leave my son with the Scoutmaster and/or his staff until the time I pick him up. I relieve all drivers of liability on the trip to or from the outing. I also grant permission for Adult Leaders of Boy Scout Troop 39 to render First Aid and for qualified medical personnel to render emergency medical treatment. In case of an emergency involving my child or myself, I understand every reasonable effort will be made to contact me. In the event I cannot be reached, I hereby give my permission to medical provider selected by the Adult Leader to secure proper treatment, including hospitalization, anesthesia, surgery, or injections of medication for my child or myself. Medical providers are authorized to disclose to the Adult Leader examination findings, test results, and treatment provided for purposes of medical evaluation of the participant, follow up and communication with the participant s parents or guardian, and/or determination of the participant s ability to continue in the program activities. My son has/i have a unique medical problem of:. I will ensure that the proper medication for the duration of the outing will be provided to the designated Adult Leader. My son takes (or I take) the following Medications: NOTE: Please fill out and include a medication card for each medication. Symptoms to watch for are: Allergies: Bee Stings Benadryl Imodium Ibuprofen Food (list below) Other (list below) Tylenol Insurance Information Company Policy # Group # Phone All medical history is up to date on my son s/my current medical forms on file with Troop 39 pursuant to BSA policy. Participant Signature Parent/Guardian Signature Date Date Parent Guardian Print Name Home Phone Cell Phone Work Phone Cost: $70.00 Paid with: Scout Bucks Check Cash Troop Payment If someone other than a scout s parent or guardian will be picking them up from the event, please provide their name. Name: Emergency Contact: Phone: Please use the back of this form to list anything else we may need to know about you or your son during this outing.

3 Troop 39, Snow Ski Outing, 2017 Permission Slip -- GEAR Name: Place an "X" in all blanks that apply to you. Snow tubing: Yes. Sign me up! No thanks. Skis & Poles: Rent please Bringing my own Not skiing Snowboard: Rent please Bringing my own Not boarding ($10 extra) Helmet*: Rent please Bringing my own Ski lessons: Yes. I need them. No. I'm good. REQUIRED Using the colorful guide attached, please print the front and back of the black and white, 2-page Winterplace Rental Agreement Form. Fill in all of the areas indicated on the guide. * = A helmet is required to be worn by Troop 39.

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