Purpose: This consent form shall serve as your general permission for your Scout to participate in Troop 662 activities during the 2025-2026 scout year (9/1/2025– 8/31/2026). While specific information will be provided to you regarding each trip or activity, this will be the only consent form distributed for the 2025-2026 scout year. This consent form will be kept with the Troop records and will serve as our source of information set forth below. Your Scout will not be permitted to accompany the Troop in its 2025-2026 activities unless a signed copy of this consent form is with the Troop’s records. If any information regarding your Scout changes during the year, please let a Troop leader know so that an updated consent form can be prepared. Some activities (i.e., High Adventure, skiing, etc.) may require an additional consent form which you agree to complete and comply with upon request. Please keep a copy of this consent form for your files.
INFORMED CONSENT, RELEASE AGREEMENT, AND AUTHORIZATION
I understand that participation in Scouting activities involves the risk of personal injury, including death, due to the physical, mental, and emotional challenges in the activities offered. Information about those activities may be obtained from the venue, activity coordinators, or local council. I also understand that participation in these activities is entirely voluntary and requires participants to follow instructions and abide by all applicable rules and the standards of conduct. In case of an emergency involving my child, I understand that efforts will be made to contact me. In the event I cannot be reached, permission is hereby given to the medical provider to secure proper treatment, including hospitalization, anesthesia, surgery, or injections of medication for my child. Medical providers are authorized to disclose protected health information to the adult in charge and/ or any physician or health care provider involved in providing medical care to the participant. Protected Health Information/Confidential Health Information (PHI/CHI) under the Standards for Privacy of Individually Identifiable Health Information, 45 C.F.R. §§160.103, 164.501, etc. seq., as amended from time to time, includes 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.
With appreciation of the dangers and risks associated with programs and activities including preparations for and transportation to and from the activity, on my own behalf and/or on behalf of my child, I hereby fully and completely release and waive any and all claims for personal injury, death, or loss that may arise against the Boy Scouts of America, the local council, the activity coordinators, and all employees, volunteers, related parties, or other organizations associated with any program or activity.
NOTE: The Boy Scouts of America and local councils cannot continually monitor compliance of program participants or any limitations imposed upon them by parents or medical providers. List any restrictions imposed on a child participant in connection with programs or activities below and counsel your child to comply with those restrictions.
