Shooting Sports Authorization Form printable pdf download

Pacific Skyline Council

Boy Scouts of America

SHOOTING SPORTS AUTHORIZATION

(Supplements BSA Annual Health and Medical Record "Part A: Informed Consent, Release Agreement,

and Authorization" (BSA Doc # 680-001*) and Activity Consent Form (BSA Doc # 680-673**))

The Pacific Skyline Council adheres to Boy Scouts of America’s longstanding policy of teaching its youth

and adult members the safe, responsible, intelligent handling, care, and use of firearms, air rifles, BB guns,

and archery equipment in planned, carefully managed, and supervised programs. Planned shooting sports

activities are conducted under the supervision of currently certified BSA national shooting sports directors

or National Rifle Association firearms instructors. California law requires express parental permission for

participation by minors in certain shooting sports activities and programs.

Minor Participant’s Name: __________________________________________________ Age: _________

As the parent or guardian of the minor participant listed above, I hereby give my express consent and

permission to the Boy Scouts of America, Pacific Skyline Council and its Shooting Sports Staff for the

participant to engage in the following lawful, recreational shooting sports, including instruction in the

safe handling and shooting of archery, BB devices, Air rifles, and firearms, for target and competition

shooting, and related activities. In the case of activities involving firearms, I hereby additionally

consent to the participant being furnished and possessing live ammunition for use during such

activities. These permissions are intended to comply with any applicable provisions for parental

consent found in California Penal Code §§ 19915, 27505, 29615, and 29655, or similar provisions.

(Please mark each applicable category of permission granted, and Initial each entry)

Archery (bow and arrow, knife and tomahawk throwing) (Cub Scouts, Webelos, Boy Scouts,

Venturers, Explorers) Initial __________

BB Devices (BB gun) (Cub Scouts, Webelos, Boy Scouts, Venturers, Explorers)

Initial __________

Air Rifles (pellet gun) (Webelos, Boy Scouts, Venturers, Explorers only) Initial __________

Long Guns (rifle, shotgun) (Boy Scouts, Venturers, Explorers only) Initial __________

Handguns (Venturers, Explorers only) Initial __________

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 your 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. I have carefully considered the risk

involved and hereby give my informed consent for my child to participate in all activities offered in

the program. I further authorize the sharing of the information on this form with any BSA volunteers

or professionals who need to know of medical conditions that may require special consideration in

conducting Scouting activities.

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.

Parent or Guardian Name (print): _________________________________________________ Date: _________________

Signature: _______________________________________________________________________________________________________

(Please indicate whether this Consent

Does Not Expire or

Expires on _______________________)

Shooting Sports Permission D25Mar14

Shooting Sports Authorization Form

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