WP E-Signature by Approve Me - Sign Documents Using WordPress -

Campout Contract Sample 01

Troop 577 will attend: Campout {{order_id}}
Date(s) of Trip: Friday – Sunday, August 12th-14th
Location: Old Mill Campground, Lindsborg KS and Kenwood Cove Waterpark Salina, KS
COST: ${{order_total}} per person; Incluldes food camp fees and admission
Activity Information: {{order_id}} Out of town troop campout
Departure Information: Wichita Church of Christ 4100 W Memory Ln., August 12th, 6:00 PM
Pick-up information:

has my permission to attend:

Number of troop members attending. Scouts: Adults:

Adult attending willing to help with transportation?

Yes

Total number of seats in vehicle for transportation:

I agree to abide by Troop 577’s policy and not remove my son from this activity until the Senior Patrol Leader or appropriate adult leader dismisses all Scouts at the conclusion of the activity unless previous approval has been granted or unforeseen circumstances arise. I further agree that this event is a troop activity and that all participants shall help with all aspects of the activity, including set-up and clean up of the activity site.

Permission to Participate and Waiver of Responsibility for Troop 577 Activities

In consideration of the benefits to be derived, and in view of the fact that the Boy Scouts of America is an educational institution, membership in which is voluntary, and having full confidence that every reasonable precaution will be taken to ensure the safety and well being of my Scout son/ward (named above), I agree to his participation, and waive all claims against (a) the leaders/organizers of these activities, (b) Troop 577, (c) Troop 577’s chartering organization, namely Covenant Presbyterian Church and its affiliated organizations, (d) Quivira Council, (e) the Boy Scouts of America, and (f) the officers, agents, representatives, and affiliates of the aforementioned parties.

Permission to Obtain Emergency Medical Treatment and Release Medical Information

In the event of an medical emergency, I parent/guardian of above listed Scout, do hereby appoint any adult leader of Troop 577 as my agent and representative and do hereby give permission to (a) obtain medical treatment for my Scout son/ward at the nearest medical facility at my expense, (b) disclose health/medical and insurance information I have provided in any form to providers of medical assistance, and (c) take any other measures deemed appropriate. I agree to immediately reimburse (without qualification) any expenses incurred by activity leaders/organizers, Troop 577’s adult leaders and participants, Troop 577, Covenant Presbyterian Church and/or its affiliated organizations, Quivira Council, the Boy Scouts of America, and/or any other persons or organizations as may provide emergency medical assistance to my Scout son/ward.

I certify that I am the parent or legal guardian of the Scout named above, and that I have read and understand this document in its entirety. I affirm that I agree with the terms of this document without qualification.

Leave this empty:

Your legal name

Your email address

Please Confirm full name and signature.

Draw Signature
Type In Signature

Draw your signature with your mouse, tablet or smartphone Clear

I agree that I am and I agree this is a legal representation of my signature for all purposes just the same as a pen-and-paper signature

I agree that I am and I understand this is a legal representation of my signature

Adopt & Sign

Timestamp

Audit

August 29, 2022 4:02 pm CDT

Campout Contract Sample 01 Uploaded by BSA Troop 577 - troop577ict@gmail.com IP 2001:579:d034:1320:ecef:958e:b0b1:27b5