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Jamboree Form 01 Participants Application Form

Okay jamboree

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curamengjoannekristine
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93 views

Jamboree Form 01 Participants Application Form

Okay jamboree

Uploaded by

curamengjoannekristine
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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14TH CENTRAL LUZON REGIONAL SCOUT JAMBOREE

PARTICIPANT’S APPLICATION FORM


BRGY. ALION, MARIVELES, BATAAN ● 11 - 15 DECEMBER 2024
THEME: “Ready for Life: Scouts for Peace and Sustainable Development”

Name
Family Name Given Name Middle Name

Present Address
Email Address Contact #
Date of Birth Place of Birth Age
Religion Civil Status Gender

Council Region
Sponsoring Institution
Unit # Membership Card # Date of Registration
Position in the Troop/Outfit Current Rank

PARENT’S / GUARDIAN’S CONSENT

I understand that the 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 regulations and standards of conduct. I release the Boy Scouts of
the Philippines, the Local Council, the activity coordinators, and all professional staff,
volunteers, related parties, or other organizations associated with the activity from any and all
claims or liability arising out of this participation.

In case of emergency involving my child, I understand that every effort will be made to contact
me. In the event that I cannot be reached, I hereby give my permission to the medical provider
selected by the adult leader in charge to secure proper treatment, including hospitalization,
anesthesia, surgery, or injections of medication for my child. Medical providers are authorized to
disclose to the adult in charge 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.

______________________________________________
Signature over Printed Name of Parent/Guardian
Date ______________________

ACTION OF THE SPONSORING INSTITUTION


This is to certify that Scout , is a bonafide member of the
Boy Scouts of the Philippines registered in this institution, under the Council.

Unit Leader’s Signature Over Printed Institutional Head / Representative


Date Date

ENDORSEMENT OF THE LOCAL COUNCIL

Registration Status I hereby endorse the participation of Scout


to the 14th Central Luzon Regional Scout Jamboree.
Reservation Fee:
Balance:
Full Payment:
Date: Council Scout Executive/Officer-in-Charge
OR No. Date

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