U.S.S. Hornet Sign Up
4:30 PM, Saturday, February 11, 2017 – 10:00 AM, Sunday, February 12, 2017
U.S.S. Hornet, 707 W Hornet Ave, Pier 3, Alameda, CA 94501
Email address *
Permission Outing *
I hereby give permission for my son to attend this trip with Cub Scout Pack 1776. I understand that participation in Scouting activities involves a certain degree of risk and can be physically, mentally, and emotionally demanding. I have carefully considered the risk involved and have given consent for myself or my child to participate in this activity. I also understand that participation in this activity is entirely voluntary and requires participants to abide by applicable rules and standards of conduct. I release the Boy scouts of America, the local council, the activity coordinators, and all employees, volunteers, participants, related parties, or other organizations associated with the activity from any and all claims or liability arising out of this participation.
Permission Medicine *
I hereby give permission for the adult leaders to give over-the-counter (OTC) medicines as needed (e.g. Aleve for headache, fever, inflammation, pain; Benadryl for allergic reactions, nasal allergies, hives and itching; Lomotil for diarrhea; etc.) In case of emergency involving my child, I understand every effort will be made to contact me. In the event I cannot be reached, I hereby give my permission to the medical provider selected by the adult leader in charge to secure proper treatment, including hospitalization, anesthesia, surgery, or injections of medication for my child. Medical providers are authorized to disclose to the adult in charge 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. (All reasonable measures will be taken to safeguard the health and safety of the Pack's members.)
Allergies or pertinent medical information (including Rx & OTC medications). Enter "None" if not applicable. *
Your answer
Current Den *
Scout's First Name *
Your answer
Scout's Last Name *
Your answer
Adult Chaperone First and Last Name *
Your answer
Adult Chaperone Email Address *
Your answer
Adult Chaperone Cell Phone Number *
Your answer
# of Adult (s) *
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# of Scout (s) *
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# of Non-Pack 1776 Sibling(s) *
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