Boy Scouts of America ~ Orange County Council ~ Saddleback District

PARENT OR GUARDIAN CONSENT AND APPROVAL FOR BOY SCOUT ACTIVITY

(Applies to all personnel under the age of 18)

SCOUT: ADDRESS: PHONE: ACTIVITY:

DESCRIPTION:

DATE OF BIRTH: DATE: DATES: RANK:

TOUR LEADER:

I APPROVE OF THE LEADERS WHO WILL BE IN CHARGE OF THIS ACTIVITY. I ALSO CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE SCOUT NAMED HERON IS PHYSICALLY FIT TO ENGAGE IN THE ACTIVITY DESCRIBED ABOVE. SHOULD ANY ILLNESS OR ACCIDENT OCCUR ON THE OUTING/TRIP, I WILL NOT HOLD LIABLE THE BOY SCOUTS OF AMERICA, THE ORANGE COUNTY COUNCIL, OR TROOP 623 AND ITS OFFICERS OR LEADERS, FOR MEDICAL AID RENDERED AND WILL REIMBURSE THE ORANGE COUNTY COUNCIL, BSA, OR TROOP 623 FOR ALL MEDICAL EXPENSES OR OTHER EXPENSES INCURRED IN MY SONS BEHALF.

CONSENT BY PERSON HAVING CARE OF A MINOR

SECTION 6910 OF THE "FAMILY CODE OF CALIFORNIA" AND FURTHER DEFINED IN SECTION 6900 THE PARENT OR GUARDIAN (EITHER PARENT IF BOTH PARENTS HAVE LEGAL CUSTODY, OR THE PARENT OR PERSON HAVING LEGAL CUSTODY, OR THE GUARDIAN, OF A MINOR) MAY AUTHORIZE IN WRITING AN ADULT INTO WHOSE CARE A MINOR HAS BEEN ENTRUSTED TO CONSENT TO MEDICAL CARE (X-RAY EXAMINATION, ANESTHETIC, MEDICAL OR SURGICAL DIAGNOSIS OR TREATMENT, AND HOSPITAL CARE UNDER THE GENERAL OR SPECIAL SUPERVISION AND UPON THE ADVICE OF OR TO BE RENDERED BY A PHYSICIAN AND SURGEON LICENSED UNDER THE MEDICAL PRACTICE ACT), OR DENTAL CARE (X-RAY EXAMINATION, ANESTHETIC, DENTAL OR SURGICAL DIAGNOSIS OR TREATMENT, AND HOSPITAL CARE BY A DENTIST LICENSED UNDER THE DENTAL PRACTICE ACT), OR BOTH, FOR A MINOR.

PARENT:
IN CASE OF EMERGENCY PLEASE NOTIFY: NAME: MEDICAL INSURANCE INFORMATION: PROVIDER: ALLERGIES: MEDICATIONS:

SIGNED:
PHONE: POLICY #:

DATE:

C.P.C. 12552 FURNISHING FIREARMS TO MINOR UNDER EIGHTEEN WITHOUT PERMISSION

EVERY PERSON WHO FURNISHES ANY FIREARM, AIR GUN (BB GUN), OR GAS OPERATED GUN, DESIGNATED TO FIRE A BULLET, PELLET, OR METAL PROJECTILE TO ANY MINOR UNDER THE AGE OF EIGHTEEN YEARS, WITHOUT THE EXPRESS OR IMPLIED PERMISSION OF THE PARENT OR LEGAL GUARDIAN OF THE MINOR IS GUILTY OF A MISDEMEANOR.

MY CHILD, HAS PERMISSION TO RECEIVE INSTRUCTION AND TRAINING IN THE CARE AND USE OF BB GUNS, RIFLES, SHOTGUNS, BLACK POWDER FIREARMS, AND ARCHERY EQUIPMENT AND THE FIRING OF THE SAME. IT IS FURTHER UNDERSTOOD THAT THIS WILL BE CONDUCTED UNDER THE DIRECTION OF A BSA OR NRA CERTIFIED RANGE MASTER.

PARENT:

SIGNED:

DATE:

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