Path of Scouting
Troop 28 Activity: Path of Scouting
Location: Indian Camp Creek
Date: 03/16/2018 to 03/18/2018
Cost: Scouts $20.00 Adults $10.00

Leaving from Lifespring Community Church on March 16 @ 6:00pm
Returning to Lifespring Community Church on March 18 @ 10:30a.m.

Parents please complete the bottom portion and return with camping fee by: 2/25/2018

Email address *
Scout Name *
Your answer
Scout DOB *
MM
/
DD
/
YYYY
Scout Phone *
Your answer
Scout Address *
Your answer
Scout City *
Your answer
Scout Zip *
MO
Your answer
Does your Scout require prescription medication? *
PARENT OR GUARDIAN CONSENT AND APPROVAL FOR BOY SCOUT ACTIVITY *
My son and I understand the Scout Oath and Law are the basis for appropriate and safe behavior at any Troop outing or function. If at any time, my Scout is found to be violating BSA Guidelines, I understand I will be contacted and requested to pick up my Scout. I have read and understand this policy and my Scout has my permission to participate in Troop activity.
Required
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. I have read and understand this policy.
Required
Parent Name *
By typing your name in the following field, you are confirming that you are the parent of the Scout associated to this permission form and that you understand that an electronic signature is taking place and you intend to be bound by and authenticate this electronic record and attest to the statements contained within, and that you understand that submitting another individual's electronic signature or attesting to false statements in an electronic record is a false statement that is punishable as unsworn falsification; is an offering of a false instrument for recording; and may constitute other crimes such as perjury, theft, attempted theft, criminal mischief, forgery, criminal impersonation, scheme to defraud or criminal use of a computer; or other criminal offenses under state, municipal, or federal law. Please type your name in the box below:
Your answer
Relationship *
Your answer
Will parent be attending? *
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