Review Information, Print & Sign

Event2019 Backpacking the Rim Rock Trail - Camp Naish

The scouts listed below would like to participate in this event.

Scouts participating promise to obey the Scout Oath and Law, and Be Prepared.

Participants

Scout's Name

Scott Shorter

Scout #2 Name

John Shorter

Patrol

bson

First

John

Last

Shorter

Scout #2 Patrol

owls

List any parents or guardians participating in this event

Scott Shorter

EMERGENCY CONTACT INFORMATION

Parent or Guardian

Scott Shorter

Parent or Guardian Preferred Phone Number

(816) 674-6674

Parent or Guardian Email

Email hidden; Javascript is required.

Other Emergency Contact

Paula Shorter

Other Emergency Contact Phone

(816) 674-4115

Permission to Participate and Release of Liability

In consideration of the benefits to be derived, and in view of the fact that the Boy Scouts of America is an educational organization, membership in which is voluntary, and having full confidence that every precaution will be taken to ensure the safety and well-being of my son(s)/ward(s) during this activity, I hereby agree to his (their) participation and waive all claims against activity leaders and officers, agents and representatives of Troop 118, the sponsoring organization or the Boy Scouts of America. In case of emergency, I understand every effort will be made to contact me. In the event I cannot be reached, I hereby give my permission to the physician selected by the adult leader in charge to secure proper treatment, which may include hospitalization, anesthesia, surgery, or injections of medications for my son(s)/ward(s).

I agree to the terms above