Troop 1 Bellingham
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Boy Scout Name
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First
Last
Please select what Event you are signing up for from the drop down menu below
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Feb 15th - Nashoba Valley Tubing
Feb 16th - West Hill Dam, day hike
Feb 21st - Pack 18 , Pinewood Derby help
Feb 21-22 - Rock-wall climbing overnight
Mar 2 - Pinz
Mar 14-16 - Camping locally at Highridge
Number of Adults Attending Trip
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0
1
2
3
Email
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In the space below please specify any special comments or transportation needs. 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 clicking submit I agree to the above disclaimer.
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