Bsa Consent Form PDF Details

As a parent, you are required to have your child participate in the Boy Scouts of America. This is done by filling out and signing what is called a "BSA Consent Form." This form has many benefits for both parents and children. Some of these include the following: - It allows scouts to work on their skills in various areas including leadership, citizenship, fitness, and personal development; - It can help them develop friendships with other boys they might not otherwise meet; -It also teaches children about responsibility through community service projects like giving food to needy families or collecting items for less fortunate kids at Christmas time.

In the listing, there is some information about the bsa consent form. There, you'll get the specifics of the form you would like to fill out, like the approximate time for you to complete it and other data.

QuestionAnswer
Form NameBsa Consent Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesscout activity consent form, scouts permission form, activity consent form and approval by parents or legal, activity consent form

Form Preview Example

ACTIVITY CONSENT FORM AND APPROVAL BY PARENTS OR LEGAL GUARDIAN

FORMULARIO DE CONSENTIMIENTO Y APROBACIÓN DE ACTIVIDAD POR PARTE

DE LOS PADRES DE FAMILIA O TUTORES

The recommended use of this form is for the consent and approval for Cub Scouts, Boy Scouts, Varsity Scouts, Venturers, and guests to participate in a trip, expedition, or activity. It is required for use with flying plans.

El uso recomendado de este formulario es para obtener el consentimiento y aprobación para Cub Scouts, Boy Scouts, Varsity Scouts, Venturers, e invitados para participar en un viaje, expedición o actividad. Es obligatorio para su uso con planes de vuelo.

__________________________________________________________________________ _____________________ __________________________________________________________________________

First name of participant

Middle initial

Last name

Nombre del participante

Inicial del segundo nombre

Apellido

Birth date (month/day/year) ____________________________________ /_ _______________ /_____________________

Age during activity_ ____________

Fecha de nacimiento (mes/día/año)

 

Edad al momento de realizar la actividad

____________________________________________________________________________________________________________________________________________________________________________________

Address

Domicilio

City_______________________________________________________________________

State__________________________________________________

 

Zip_ _________________

Ciudad

Estado

 

 

 

Código postal

Has approval to participate in (name of activity, orientation flight, outing trip, etc.)_ __________________________________________

From ______________ to ______________

Tiene la aprobación para participar en (nombre de la actividad, vuelo de orientación, excursión, etc.)

De

(Date)

a

(Date)

 

 

 

(fecha)

 

(fecha)

INFORMED CONSENT, RELEASE AGREEMENT, AND AUTHORIZATION

CONSENTIMIENTO INFORMADO, CONVENIO DE EXONERACIÓN Y AUTORIZACIÓN

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 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.

In case of an emergency involving my child, I understand that efforts will be made to contact me. In the event I cannot be reached, permission is hereby given to the medical provider to secure proper treatment, including hospitalization, anesthesia, surgery, or injections of medication for my child. Medical providers are authorized to disclose protected health information to the adult in charge and/ or any physician or health care provider involved in providing medical care to the participant. Protected Health Information/Confidential Health Information (PHI/CHI) under the Standards for Privacy of Individually Identifiable Health Information, 45 C.F.R. §§160.103, 164.501, etc. seq., as amended from time to time, includes 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.

With appreciation of the dangers and risks associated with programs and activities including preparations for and transportation to and from the activity, on my own behalf and/or on behalf of my child, I hereby fully and completely release and waive any and all claims for personal injury, death, or loss that may arise against the Boy Scouts of America, the local council, the activity coordinators, and all employees, volunteers, related parties, or other organizations associated with any program or activity.

NOTE: The Boy Scouts of America and local councils cannot continually monitor compliance of program participants or any limitations imposed upon them by parents or medical providers. List any restrictions imposed on a child participant in connection with programs or activities below and counsel your child to comply with those restrictions.

Entiendo que la participación en actividades Scouting implica el riesgo de lesiones personales, incluyendo la muerte, debido a los retos físicos, mentales y emocionales en las actividades que se ofrecen. Se puede obtener información sobre dichas actividades en la sede, con los coordinadores de la actividad o el concilio local. También entiendo que la participación en estas actividades es totalmente voluntaria y requiere que los participantes sigan instrucciones y acaten todas las reglas y normas de conducta pertinentes.

En caso de que mi hijo se vea involucrado en una emergencia, entiendo que se realizarán esfuerzos para contactarme. En caso de que yo no pueda ser localizado, por este medio otorgo permiso al proveedor de servicios médicos para garantizar el tratamiento adecuado, incluyendo hospitalización, anestesia, cirugía o inyecciones de medicamentos para mi hijo. Los proveedores de servicios médicos están autorizados a revelar información médica protegida al adulto a cargo, médico o proveedor de servicios médicos involucrado en la prestación de atención médica para el participante. La Información de salud protegida/Información médica confidencial (PHI/CHI, por sus siglas en inglés) bajo los Estándares de privacidad de información médica individualmente identificable, 45 C.F.R. §§ 160.103, 164.501, etc., y siguientes, como se enmiendan de vez en cuando, incluyen resultados de reconocimientos médicos, resultados de pruebas y el tratamiento proporcionado para fines de evaluación médica del participante, seguimiento y comunicación con los padres o tutor legal del participante, o determinación de la capacidad del participante para continuar en las actividades del programa.

Con reconocimiento de los peligros y riesgos asociados con los programas y actividades incluyendo preparativos y transportación hacia y desde la actividad, en mi propio nombre o en nombre de mi hijo, por este conducto eximo total y completamente, y renuncio a cualquiera y toda reclamación por lesiones personales, muerte o pérdidas que puedan surgir, a la organización Boy Scouts of America, el concilio local, los coordinadores de la actividad y todos los empleados, voluntarios, grupos involucrados, u otras organizaciones asociadas con cualquier programa o actividad.

NOTA: La organización Boy Scouts of America y los concilios locales no pueden vigilar continuamente el cumplimiento de los participantes del programa o cualquier limitación impuesta sobre ellos por los padres o proveedores de servicios médicos. Enumerar más abajo las restricciones impuestas a un niño participante en relación con los programas o actividades.

List

participant restrictions, if any:_ _______________________________________________

Restricciones del participante, si existen: __________________________________________

 

 

None

 

 

 

Ninguna

 

 

 

 

 

 

 

 

 

 

______________________________________________________________________________________________________________________________________________________

________________________

 

 

Participant’s signature

 

 

 

 

Date

 

 

Firma del participante

 

 

 

 

Fecha

________________________________________________________________________

___________________________________________________________________________

________________________

 

 

Parent/guardian printed name

 

 

Parent/guardian signature

Date

 

 

Nombre con letra de molde del padre de familia/tutor

 

Firma del padre de familia/tutor

Fecha

________________________________________________________________________

_________________________________________________________________________________________________________

Area code and telephone number (best contact and emergency contact)

 

 

Email (for use in sharing more details about the trip or activity)

 

Código de área y número telefónico (primer contacto y contacto de emergencia)

 

Correo electrónico (para informar más detalles sobre el viaje o actividad)

 

Contact the adult leader with any questions:

 

 

 

 

 

 

Póngase en contacto con el líder adulto si es que tiene preguntas:

 

 

 

 

 

 

Name____________________________________________________________________

Phone_ ___________________________

Email_________________________________________________________________

Nombre

Teléfono

 

 

 

Correo electrónico

 

680-673

2014 Printing

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bsa permission slip empty fields to consider

Make sure you complete the NOTE: The Boy Scouts of America, NOT, A La organ, i, zac, i, n Boy Scouts, List participant restrictions, None, Rest, ricci, ones del participant, e Ning, una Participant, s signature Firma del, Date Fe, cha Nom, bre con let, ra de molde del, Parent, guardian printed name, Area code and telephone number, Contact the adult leader with any, Parent, guardian signature, Firma del padre de familia, tutor and Date Fe, cha space with the necessary particulars.

bsa permission slip NOTE: The Boy Scouts of America, NOTA: La organización Boy Scouts, List participant restrictions, None, Restricciones del participante, Ninguna, Participant’s signature Firma del, Date Fecha, Nombre con letra de molde del, Parent/guardian printed name,  Area code and telephone number, Contact the adult leader with any, Parent/guardian signature, Firma del padre de familia/tutor, and Date Fecha blanks to insert

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