I understand that:

1. My child ________________________________________________________ will be participating in the following activity involving BSA Troop 828 of Sugar Land, Texas 77478:

DATE: March 21 – 23, 2003

ACTIVITY / COST: Shooting Weekend $24.00 per person – NO CASH

DEPART ST. LAURENCE: Arrive 5:30 p.m. Depart 6:00 SHARP!!

ARRIVE AT ST. LAURENCE: Noon


2. This activity includes transportation by vehicle of all participants to and from the above mentioned location.

3. My child will not be permitted to depart for this activity unless a signed Consent-To-Treat Form (medical data sheet) and the signed Informed Consent Form are on file with the Scoutmaster or the adult leader of this activity.

4. In the event of a medical emergency involving my child during this activity, and being unable to contact me or my designated physician, the adult leader may obtain medical treatment for my child at my expense, as designated and/or restricted by my child’s Consent-to-Treat-Form on file with Troop 828.

5. If during this activity the adult leaders deem it necessary that my child be removed from this activity, I agree to come and get my child or provide return transportation for my child as soon as possible.

Therefore, I agree that my child ________________________________________________ may participate in this activity and, having full confidence that all reasonable safety precautions will be taken, I agree to abide by any decisions that adult leaders of this activity deem necessary to provide for the safety, well being, and good conduct of all participants. Also, in consideration of the benefits to be derived from this activity, and in view of the adventurous nature and voluntary membership of the Boy Scouts of America, I waive any and all claims against the leaders of this activity, and officers, agents, sponsors, and the representatives of the Boy Scouts of America, that may arise from my child’s participation in this activity.

I have read and understand the above statement

________________________________________ ____________________

Signature of Parent or Guardian                                    Date

Phone numbers where I can be reached during this activity:

__________________ ____________________ ___________________ _______________

         Home                       Cell                            Work                    Friend

Is this scout taking any medication? ______________________

If yes, what is the name of the medication? ________________

Do you want your child to self medicate? ________________

Can you provide transportation for this event? ______________________

The Scoutmaster is responsible for the health and safety of all the Scouts while they are at meetings and other Scout functions.

It is the Scoutmaster’s duty to impose a reasonable level of discipline in order to insure that all Scouts may participate equally in the activities without interference, physical or emotional harassment, or unsafe conditions.

The Scoutmaster must use common sense and personal discretion in the enforcement of the rules of discipline. If a Scout injures, threatens, or otherwise interferes with another Scout’s ability to participate in troop activities, the Scoutmaster should restore order and take action to see that the problem does not continue. The action will include, but is not limited to, one of the following steps, depending on the severity and/or frequency of the infractions:

1. Conference with the offending scouts, with parent in attendance, if present.
2. Have the scout leave or discontinue his participation in the activity and have parents pick up the scout.
3. Suspend the scout from all troop and patrol activities for one month.
4. Have the scout perform a service project to demonstrate Scout spirit.
5. Suspend the scout for several months.

In the case of a suspension, the scout will not be allowed to return unless he had a Scoutmaster’s Conference with parents in attendance and has satisfied the Scoutmasters that he has improved Scout Spirit and willingness to cooperate. Otherwise the reinstatement will be refused.

Items 3, 4, and 5 require that the Scoutmaster advise the scouting committee after the action is taken.

Notes:

1. The Scoutmaster should and will expect that other adults present, whether registered and trained or not, are available to assist in maintaining order at troop functions.
2. If the Scoutmaster is not present at a scheduled troop function, he should designate beforehand one of the other registered adults to serve as Acting Scoutmaster for that event. This person will have the Scoutmaster’s authority to maintain order and discipline.

Mark Hotze, Scoutmaster

Troop 828

 

 

** Parent/Guardian AND Scout must sign prior to the activity.

____________________________ ______________________________ __________________

  Parent/Guardian’s Signature              Scout’s Signature                         Date