Fillable Cub Scout Summer Camp Registration Form (Page 2 of 2) in pdf

Take Flight at Cub Camp!

2016 Cub Summer Camp Information

Registrations are accepted on March 19 starting at 5pm online.

Registrations are accepted in paper form starting on March 21 at the Scout Service Center.

Shooting Sports Authorization Form

_____________________________________________________________________________________________

THIS DOCUMENT AUTHORIZES PARTICIPATION BY A MINOR IN CERTAIN ACTIVITIES.

DO NOT COMPLETE THIS FORM UNLESS YOU WISH YOUR CHILD TO PARTICIPATE IN THESE ACTIVITIES.

PARENTAL FIREARM AUTHORIZATION FORM

CONSENT OF MINOR TO USE FIREARMS, AMMUNITION, AND B.B. DEVICES*

I, the undersigned custodial parent or legal guardian of

__________________________________________, a minor, do hereby authorize the Silicon Valley Monterey

Bay Council to furnish firearms,

muzzle loading rifle,

ammunition, and B.B. devices, as appropriate*, to the

minor named herein for the purpose of instruction in the safe handling and shooting of firearms, target shooting,

and related activities under the supervision of the shooting sports director, range master, or range staff.

I do further agree to indemnify and hold harmless the Boy Scouts of America, the Silicon Valley Monterey Bay

Council, its chartered organizations, and all officers, members, employees, and volunteers thereof, from all

suits or actions brought for, or on account of, any injuries or damages received or sustained by any person or

persons by or from the consequences of any negligence or any act or omission of the above named minor

occurring during the course of said instruction.

This authorization will remain in effect for said minor while participating in any Boy Scouts of America program

or related activity related to firearms, ammunition, and B.B. devices unless revoked in writing by the

undersigned and said revocation is personally delivered to the Silicon Valley Monterey Bay Council.

Parent’s name: ______________________________________ Date: _______________, 20____.

Parent’s signature: ________________________________________________________

* The State of California has enacted legislation that requires the consent of a minor’s parent or guardian before a firearm, live ammunition

or B.B. devices may be furnished to the minor for the purpose of instruction in the safe handling and shooting of guns and related activities.

Adult Participation

All Day Camps and Twilight Camps: An adult must attend at least two days of camp OR a pack must provide a ratio

of 1:4, adult to youth, each day.

Webelos Resident Camp: A minimum ratio of 1:4, adult to youth, is required.

Be sure to attend the pre-camp orientation. See frequently asked questions (FAQ) on the website for more information.

Health Form and Permission Form for Cubs and Adults

All camps : The BSA health form

(parts A and

B), a copy of medical card and the permission to use a firearm (for

the BB guns) are to be completed and turned in for the registration to be considered complete. These forms are requested

at the time of registration.

See website for more information and to download the forms. For all camps,

these forms should be submitted with the

camp registration form at the time of registration.

The health form is required for both youth AND adults. To comply

with confidential information standards, the health form should not be emailed to the service center.

Cancellation Policy: If there are any cancellations, please notify the Activities Director in writing at least 14 days

prior to the committed date. All refunds/transfers are subject to a 25% cancellation fee. There are no refunds 14 days before

the event. The event will be held rain or shine. No refunds due to weather.

Phone: 408-638-8300

970 West Julian Street

E-mail:

Fax: 408-280-5162

San Jose, CA 95126

Website:

Cub Scout Summer Camp Registration Form Page 2

Related Articles

Related forms

Related Categories