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    BSP Activity Permit

    Uploaded by

    Neil Atanacio
    This document is an application form for a Boy Scout to participate in a Tenderfoot Camp being held on January 22-23, 2016 at SSS Village Elementary School. It requests the scout's personal information like name, date of birth, address, parents' names, and school details. The form also requires approval signatures from the scout's parents/guardians and school authorities to certify the scout's physical fitness and qualifications to attend. Attached is a roster listing the names of participating scouts and unit leaders.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    BSP Activity Permit

    Uploaded by

    Neil Atanacio
    392 views2 pages
    This document is an application form for a Boy Scout to participate in a Tenderfoot Camp being held on January 22-23, 2016 at SSS Village Elementary School. It requests the scout's personal information like name, date of birth, address, parents' names, and school details. The form also requires approval signatures from the scout's parents/guardians and school authorities to certify the scout's physical fitness and qualifications to attend. Attached is a roster listing the names of participating scouts and unit leaders.

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    Activity Permit

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    This document is an application form for a Boy Scout to participate in a Tenderfoot Camp being held on January 22-23, 2016 at SSS Village Elementary School. It requests the scout's personal information like name, date of birth, address, parents' names, and school details. The form also requires approval signatures from the scout's parents/guardians and school authorities to certify the scout's physical fitness and qualifications to attend. Attached is a roster listing the names of participating scouts and unit leaders.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    392 views2 pages

    BSP Activity Permit

    Uploaded by

    Neil Atanacio
    This document is an application form for a Boy Scout to participate in a Tenderfoot Camp being held on January 22-23, 2016 at SSS Village Elementary School. It requests the scout's personal information like name, date of birth, address, parents' names, and school details. The form also requires approval signatures from the scout's parents/guardians and school authorities to certify the scout's physical fitness and qualifications to attend. Attached is a roster listing the names of participating scouts and unit leaders.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
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    BOY SCOUTS OF THE PHILIPPINES

    Southern Luzon Region


    Metro Manila East Council
    SSS Village Elementary School
    APPLICATION FOR PARTICIPATION
    SCOUTING EVENT: ________Tenderfoot Camp___________________________________________
    DATE:
    ________January 22-23, 2016_______________________________________
    PLACE:
    ________SSS Village Elementary School_____________________________
    NAME:

    ______________________________________________________________________
    Last Name
    First Name
    Middle Initial
    DATE OF BIRTH: _________________________
    PLACE OF BIRTH: _______________________
    HOME ADDRESS: ______________________________________________________________________
    TELEPHONE/CELLPHONE NO.: _________________________________________________________
    FATHERS NAME: _________________________
    MOTHERS NAME: _______________________
    SCHOOL:
    _________SSS VILLAGE ELEMENTARY SCHOOL_______________________
    ADDRESS:
    _________LILAC STREET, CONCEPCION DOS, MARIKINA CITY_______
    TELEPHONE NO.: _________941-41-35___________________________________________________
    SCOUTING POSITION: ________________
    UNIT NO.: ____________
    RANK: _______________
    MEMBERSHIP CARD NO.: _________________________
    EXPIRATION DATE: _______________

    ______________________________________
    APPLICANTS SIGNATURE

    ______________________________
    DATE

    APPROVAL OF PARENTS/GUARDIANS
    We hereby approved this application and certify its correctness. In consideration of the benefits to be derived,
    we expressly waive our rights or claims against the Boy Scouts of the Philippines or its representatives on
    account of any incident, injury, or damage to personal property that may occur beyond the control of the
    organizing committee/officials provided adequate safety measures and precautions have been instituted in
    connection with the participation of my son/ward in this activity.
    We further agree to have my son/ward meet the health requirements which includes his/her examination by a
    Medical Officer who will use the form provided for this purpose and obtain certification from school
    authorities attesting to his/her academic standing.
    _____________________________________________
    Fathers Signature/Date

    ___________________________________________
    Mothers Signature/Date

    ______________________________________________
    Guardians Signature/Date
    ACTION OF SCHOOL AUTHORITIES

    ____________________________
    Date

    We hereby certify that the above applicant has met all the requirements for participation in this activity as set
    forth by the BSP. We have personally examined all him requirements and found him physically fit and
    qualified to attend this activity. He is currently registered and on the basis of his records of satisfactory
    scouting experiences and his cooperative attitude towards his fellow scouts, we hereby approved this
    application.
    REQUESTING APPROVAL
    Neil N. Atanacio
    Unit Leader
    Clarita C. Cruzat
    School BSP Coordinator

    Freddy T. Josef
    Institutional Scouting Representative
    Examined by:
    Physicians Name: _________________________________
    License Number: __________________________________

    Date: _____________________________________

    BOY SCOUTS OF THE PHILIPPINES


    Southern Luzon Region
    Metro Manila East Council
    SSS Village Elementary School

    NAME OF SCOUTS

    ROSTER OF PARTICIPANTS)
    Tenderfoot Camp
    SSS Village Elementary School
    January 22-23, 2016
    DATE REGISTERED

    BSP ID NUMBER

    1
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    12.
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    NAME OF UNIT LEADERS


    1
    2
    3
    4
    5

    DATE REGISTERED

    MEMBERSHIP ID NUMBER

    SUBMITTED BY:

    ___________________________________
    Institutional Scouting Coordinator

    APPROVED:
    _______________________________________
    Institutional Scouting Representative

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