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    BSP Cert

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    Angel May Sarmiento
    This application form is for an event hosted by the Boy Scouts of the Philippines Davao del Sur Council in Digos City. It collects information such as the applicant's name, age, address, and emergency contact. The parent or guardian must provide consent by waiving claims against the Boy Scouts and acknowledging precautionary safety measures. A physician must also sign to certify the applicant is physically fit.

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    © All Rights Reserved
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    BSP Cert

    Uploaded by

    Angel May Sarmiento
    20 views1 page
    This application form is for an event hosted by the Boy Scouts of the Philippines Davao del Sur Council in Digos City. It collects information such as the applicant's name, age, address, and emergency contact. The parent or guardian must provide consent by waiving claims against the Boy Scouts and acknowledging precautionary safety measures. A physician must also sign to certify the applicant is physically fit.

    Original Title

    BSP CERT

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    This application form is for an event hosted by the Boy Scouts of the Philippines Davao del Sur Council in Digos City. It collects information such as the applicant's name, age, address, and emergency contact. The parent or guardian must provide consent by waiving claims against the Boy Scouts and acknowledging precautionary safety measures. A physician must also sign to certify the applicant is physically fit.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    20 views1 page

    BSP Cert

    Uploaded by

    Angel May Sarmiento
    This application form is for an event hosted by the Boy Scouts of the Philippines Davao del Sur Council in Digos City. It collects information such as the applicant's name, age, address, and emergency contact. The parent or guardian must provide consent by waiving claims against the Boy Scouts and acknowledging precautionary safety measures. A physician must also sign to certify the applicant is physically fit.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 1

    Boy Scouts of the Philippines

    DAVAO DEL SUR COUNCIL


    Digos City
    -o0o-

    APPLICATION FORM
    Event/Activity:
    Place: Date/s:
    BOYSCOUTSOFTHEPHILIPPINESDAVAODELSURCOUNCILBOYSCOUTSOFTHEPHILIPPINESDAVAODELSURCOUNCILBOYSCOUTSOFTHEPHILIPPINESDAVAODELSURCOUNCILBOYSCOU
    Name (Print): Age: Status:
    Date of Birth: Place of Birth:
    Home Address: Municipality:
    School/Office: Address:
    Date Registered, BSP: Unit No. BSP ID No.
    Occupation/Profession: Attainment:
    Scouting Position: Rank:
    Nearest Kin/Relative: Relation:

    Applicant’s Signature
    BOYSCOUTSOFTHEPHILIPPINESDAVAODELSURCOUNCILBOYSCOUTSOFTHEPHILIPPINESDAVAODELSURCOUNCILBOYSCOUTSOFTHEPHILIPPINESDAVAODELSURCOUNCILBOYSCOU

    PARENT/GUARDIAN’S CONSENT
    I/WE HEREBY APPROVED the above application of Scout
    and certify to the correctness of the above information. In consideration of the benefits that he will
    derive from his participation in the scheduled event, I/WE expressly waive any and all claims
    against the Boy Scouts of the Philippines and/or its authorized representatives on account of any
    accident or injury or damage that his property may incur BEYOND the control of the Scout Leader,
    provided, however, that necessary precautionary and safety measure are strictly implemented.

    Signature: TL/OA over printed name Signature: Parent/Guardian over printed name
    Date: Date:
    BOYSCOUTSOFTHEPHILIPPINESDAVAODELSURCOUNCILBOYSCOUTSOFTHEPHILIPPINESDAVAODELSURCOUNCILBOYSCOUTSOFTHEPHILIPPINESDAVAODELSURCOUNCILBOYSCOU

    MEDICAL CERTIFICATE

    THIS IS TO CERTIFY that I have personally examined aboved-named Scout and that he is
    physically fit to join the above scheduled Scouting Activity/Event.

    Physician’s Remark:

    Signature: Physician over printed name


    License No:
    Expiration Date:

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