Permission Form

When: Sunday, 8/10 - 2:00 PM
Where: The Ballpark at Harbor Yard
Ticket Pickup: Stacie will be near the ticket booths until 1:30 - Will Call window after 1:30 PM
Directions: Follow Route 25 toward Bridgeport to Exit 1. At the bottom of the ramp continue straight through two lights. Go under I-95, and make a left on South Frontage Street. Continue straight to Broad Street. Turn right on Broad Street, go past ballpark and turn right on Allen Street. Entrances to parking are on Allen Street. Note: The entrances to the stadium are on Broad Street. (map and directions)
Event leader: Stacie Doyle - 426-8012 - 16 Clapboard Ridge Rd, Sandy Hook, 06482
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Registration Form - Please complete the online form to reserve your tickets, and then return this form with your payment to Stacie by 7/14. Please make checks out to Pack 170, and mail to 16 Clapboard Ridge Rd, Sandy Hook, 06482.
Scout's Name: __________________________ Den: ______
Parent's Name: __________________________
Number of tickets: ______ x $5.50 = $ ________ Total
Emergency medical contact: _________________________ Phone: ___________
By signing below I state that my son has permission to attend.
Signature: __________________________________ Date: _______________
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