ZOO TROOP 136 • NEW SCOUT SCHEDULE OF FEES / CONSENT FORM

Mandatory Fees per Scout:
£ National BSA Fees, Youth (1-year) Note: if transferring from Pack for which 2007 dues are paid, fee is $1.00 If transferring, please indicate Troop transferring on BSA form and here:			$10.00	$1.00
£ National BSA Fees, Adult (1-year) At least one adult from each Scout’s family is required to be a registered Member of the unit committee. This makes that adult eligible to sit on Troop boards of review. Fee is $10 per adult ($1.00 if transferring).			$10.00	$1.00
£ One time dues for Troop Operations		$30.00
£ Neckerchief and Slide (Troop 136 Special)		$10.00
	Total Mandatory Fees:
Optional:
£ Boy’s Life Youth Magazine Subscription (1-year) To promote understanding of the Scouting program, all Scouts are encouraged to subscribe at this attractive discount rate.		+$12.00
Total Mandatory with Boy’s Life:

Scout’s Name:		Scout’s Email:
Date of Birth	Grade in School:
Registered Adult’s Name:			Date of Birth:
Address (plus City, Zip):
Parents Name:
Address (plus City, Zip):
Email
Telephone: (Home)				(Cell)
Alternate telephone (name and #):
Medical insurance firm and policy number:

I understand that all registered adults must participate in at least 2-4 Troop Activities this calendar year.

Printed Name of parent/guardian:
Signature of parent/guardian:	Date:

Notes: After the Scout has attended three Troop meetings, and the adult has attended at least one Troop Committee meeting, return all forms, BSA Adult and Scout applications, and applicable fees to Amy Lopez, Membership Chairman, 422-7226, 585 Ark Way- Make check payable to "Troop 136."

£ Scout has attended 3 Troops meetings and Adult has attended One Troop committee meeting, signed_____________________________________

Annual Parent Consent / Driver Information Form for Troop 136

Last Name	First Name
Patrol

Scout, ______________________________________________, is authorized to participate in all Unit activities for the calendar year 20______, effective _______________________(Today’s Date). I/We grant permission to participate on all Unit activities including those that are held at other than the regularly appointed meeting site and may involve driving to alternative locations. I/We understand that these activities can include but are not limited to overnight activities, water activities, off-trail hiking, rock and cave climbing, and fire and knife usage.

I/we authorize our Scout to participate in all Unit activities unless I/we inform the Unit Leader in writing prior to the activity. This authorization will remain in effect for said Scout while he is participating in any unit program or activity unless we revoke this authorization in writing and personally deliver the written revocation to the Unit Leader. I/we understand that is my/our responsibility to inform the Unit Leader of any current medical concerns not listed on the unit medical forms (i.e. ear infections, sinus infection, strained/pulled muscles, current or new medications, etc.) prior to an event. Should I/we choose not to have my/our Scout participate in any part of an activity, I/we agree to inform the Unit Leader in writing prior to the activity.

The troop will continue to issue Activity Notices for each individual outing or event, and may elect to collect activity-specific permission slips for record keeping purposes, but is not required to do so.

I/We understand that the Boy Scouts of America is an educational organization, membership is voluntary, and as such, reasonable precautions will be taken to insure the safety and well being of the Scouts during participation in the Unit activities.

In case of emergency, I understand that all reasonable efforts will be made to contact me. If I cannot be reached, I authorize the doctors and hospitals chosen by the registered adult leader to provide medical treatment, including any X-Ray examination, hospitalization, anesthesia, surgery, and medications by any licensed emergency personnel, medical practitioner or hospital.