2019-09-28 Fairhaven Service SIGN UP and Permission Form
What: Annual Fairhaven Clean Up Service Project and Annual Bacon Tasting Breakfast
Who: All 291 Scouts, 239 Scouts, Crew 2828 Members, FUMC Members, Affiliated MCPS Students wanting SSL Hours - Required Attendance for 291 Scouts - qualifies for MCPS SSL Hours!
When: Saturday September 28th, 2019 - 8:30 Bacon for Early Arrivers - 9 am to 3 pm - Lunch included
Where: Fairhaven United Methodist Church - 12801 Darnestown Rd, Gaithersburg, MD 20878
Fee: FREE + Bacon Rebate
Organizer: Don Seibert <
Douglas Clark <
Nikki Valentine <
Don Seibert <
You must go through this sign up form for each *ADULT*, *Participant*, *CREW Member*, and, *SCOUT* attending the trip. You must be the legal guardian of the "Participant", "CREW Member* or *SCOUT* for the signup process as you are granting permission and acknowledging your consent for that scout for this event.
Legal guardian's or adult participant's email. By entering my email address in this form, I understand and agree to grant my permission as the parent or legal guardian for my participant listed below to participate in the above event.
Participant's first name - Scout, Webelo, Family Member or Adult, no nicknames or abbreviations.
Participant's middle INITIAL.
Participant's last name.
Please indicated if you are attending from 9am-3pm, partial day, or not attending. If you are not attending, please indicate your reason for missing the event in the next comment section.
8:30 am Bacon and beyond!
9 am - 3 pm
Questions or Comments?
Scouts may arrive late or depart early with prior approval and notice to
, please CC the trip organizers. *ALL PLEASE NOTE* Allergy or health issue reminder. Notes for non standard arrival/departure/attendance to trip and scout leaders.
NOT SCOUT's CELL PHONE. Guardian's or adult participant's cell phone is for contact purposes. You may supply an alternate number if you do not have a cell phone.
Clean Up Equipment
(Check all that apply - able and will bring the following: Pickup, Wheel Barrow, Ax, Limb Saw, Shovel, Gloves, Chain Saw, etc)
Power Tool to be named later
(Participants organization - Adult Participants should select the *SAME* UNIT ORGANIZATION OF YOUR YOUTH, or select "Other".)
Participants age. Select Adult or a scout's age.
Page 1 of 3
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service