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        Cedarwin Scout Camp-Kingsville

20-22 Nov 2009

I grant permission to my son/daughter/ward:____________________________________
Address:_______________________________   Phone:___________________________ 
Doctor’s Name __________________________  Address _________________________
Dr. Phone No. __________________________   OHIP No. _______________________

To attend the cadet activity described below.
Activity: Star Level Training                                    Location: Cedarwin Scout Camp
Depart: RCL Br. # 261 -  Tecumseh                       Time:1900hrs       Date: 20 Nov 2009
Return: RCL Br. # 261-  Tecumseh                        Time:1500hrs       Date: 22 Nov 2009
I understand that the Cadet will be under instruction and/or supervision by members of your Staff and all training will be conducted in accordance with the Department of National Defence regulations for Army Cadets.  I also Understand, Officers and Civilian Instructors of 1112 R.C.(Army) C.C. accept no responsibility of injury, accident or property loss unless caused by proven negligence.
Cadets must carry a valid medical card with them and all medication must be turned in to the Adm. Officer, properly labeled, prior to departure.
An equipment list for this Camp has been given to each Cadet and is also available on our web site. This is a minimum list and can be added to.

Date:_____________  Parents Signature:______________________________________
In case of Emergency Phone:____________    or______________  Relationship:________

PJ Ryan
Captain ,
Commanding Officer