Ockanickon Summercamp Sign-up
Cost: $400, must commit NLT 28 Feb, full payment preferred but we can work something out

Depart: Sunday 24 Jun, about 9 am from EVFD

Return: Saturday 30 Jun about 11 am at EVFD

Location: Ockanickon Summercamp, 5787 State Park Road Pipersville, PA 18947

Camping: Tent camping

Scout's First Name and Last initial (Jordan B) *
Your answer
Adult's Name, if attending (i.e. Bob D)
Your answer
I am over 21 and willing to transport Scouts in my vehicle for this event. I can transport this many Scouts:
Activity Consent Form and Approval by Parents or Legal Guardian
Hold Harmless Agreement 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, related parties, or other organizations associated with the activity from any and all claims or liability arising out of this participation. 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.
By my signature below, I agree to the BSA Activity Consent Form without restriction: *
Your answer
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