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Participants Application Form

The document is an application form for participants of the 18th National Scout Jamboree taking place in Passi City, Iloilo from December 11-17, 2023. It includes sections for personal information, parental consent, and endorsements from the sponsoring institution and local council. The theme of the event is 'Youth Engagement: Sustaining Relevance and Strengthening Resilience.'

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Yuri Villanueva
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© © All Rights Reserved
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15 views

Participants Application Form

The document is an application form for participants of the 18th National Scout Jamboree taking place in Passi City, Iloilo from December 11-17, 2023. It includes sections for personal information, parental consent, and endorsements from the sponsoring institution and local council. The theme of the event is 'Youth Engagement: Sustaining Relevance and Strengthening Resilience.'

Uploaded by

Yuri Villanueva
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Participants-Application-Form

BSEd Physical Science (Southern Luzon State


University)

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18TH NATIONAL SCOUT JAMBOREE
PARTICIPANT’S APPLICATION FORM
PASSI CITY, PROVINCE OF ILOILO ● 11 - 17 DECEMBER 2023
THEME: “Youth Engagement: Sustaining Relevance and Strengthening Resilience”

Name
Family Name Given Name Middle Name

Present Address
Email Address Contact #
Date of Birth Place of Birth Age
Religion Civil Status Gender

Council Region
Sponsoring Institution
Unit # Membership Card # Date of Registration
Position in the Troop/Outfit Current Rank

PARENT’S / GUARDIAN’S CONSENT

I understand that the 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
regulations and standards of conduct. I release the Boy Scouts of the Philippines, the
Local Council, the activity coordinators, and all professional staff, 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 that every effort will be made
to contact me. In the event that 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 participant’s
parents or guardian, and/or determination of the participant’s ability to continue in
the program activities.

Signature over Printed Name of


Parent/Guardian Date

ACTION OF THE SPONSORING INSTITUTION


This is to certify that Scout , is a bonafide member of
the Boy Scouts of the Philippines registered in this institution, under the
Council.

Unit Leader’s Signature Over Printed Institutional Head /


Representative
Date Date

ENDORSEMENT OF THE LOCAL COUNCIL

Registration Status I hereby endorse the participation of Scout


to the 18th National Scout Jamboree.
Reservation Fee:
Balance:
Full Payment:
Date:
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OR No.
Council Scout Executive/Officer-in-
Charge Date

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