7/30/2019 2013 OA Spring Ordeal Parental Permission Form

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Spring Ordeal at Camp BradleyLeaving: May 31, 4:00 at Scout Office Returning: June 1, 12:00 midnight at Scout office

Participant: Birth:

Parent: Cell: Home: Work:

Address:[ ]Special diet [ ] Allergies [ ] Medication [ ] Chronic Recurring illness [ ] Surgery/illness this year [ ] Physical condition limitation

Hold Harmless AgreementI 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.

In case of emergency involving my child, I understand every effort will be made to contact me. In the event 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 participants parents or guardian, and/or determination of the participants

ability to continue in the program activities.

Signature: Date:

Scout Outdoor Essentials, (page 264 of the Boy Scout Manual)

First aid kit (p127)Extra food

Flashlight, w/ bulb/batteries

Map / compass (compass only)Matches and fire starters

Pocketknife & sharpener

Rain gear / Sun protectionHiking Stick

Water bottles

Personal Overnight Camping Gear (pages 292-293 of the Boy Scout Manual)

Backpack w/ rain coverCalamine lotion (or equiv)

Clean up kit (bathroom essentials)

Ground clothInsect protection

Leather gloves (service project)Notebook/pencil or pens

Nylon cord, 50

Scout & Patrol leader handbook

Sleeping equipment& pillowSleeping pad

Spoon, plate, bowl, cup, knife,

fork, spoon (page 293)Whistle

Clothing, etc. (Bring at least this amount of items)

Order of the Arrow Sash

Day Hike backpack (school bag)Full uniform

At least 1 pair of socks/unders

1 pair cotton/nylon pants

1 t-shirt

1 pajama1 hat

1 wind breaker/jacket

Plastic bag for soiled clothes

Repair kit: thread, needles, safety

pinsSoap, toothbrush, toothpaste,

dental floss, comb, shampoo

washcloth, 1 towel- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Please bring extra equipment as you see fit for weather conditions. We will be doing a physical serviceproject; please send your boy with a pair of work gloves and clothes. Please DO NOT pack any electronicdevices. When in doubt, call your leader.

Leaving: May 31, 4:00 at Scout Office Returning: June 1, 12:00 pm at Scout officeAdvisor: Steven Maschek, 735-1315, stevenemily@gmail.com

ASM