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    Cedarwin Scout Camp-Kingsville
30-31October 2010

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

To attend the cadet activity described below.
Activity: Star Level Training Testing/Fieldcraft         Location: Cedarwin Scout Camp
Depart: RCL Br. # 261 -  Tecumseh                       Time:0800hrs       Date: 30 Oct 2010
Return: RCL Br. # 261-  Tecumseh                        Time:1500hrs       Date: 31 Mar 2010
Cadets will be participating in a refresher/introduction weekend that will consist of competitions at the Star Level. Rations for the weekend are MRE’s (Meals Ready to Eat). If you child is allergic to any food please not it on the form below.
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:________
List Allergies_______________________________  Medication  _______________________________________________________________________________________

PJ Ryan
Captain ,
Commanding Officer