In consideration of the benefits to be derived from the Scouting program, and in view of the fact that the Boy Scouts of America is an educational organization in which membership is voluntary, and having full confidence that every precaution will be taken to ensure the safety and well being of my son(s) during this activity, I hereby agree to his/their participation in

________________________________________________________________

to be held on this date ______________________________________________

at this location ________________________________________________________

and waive all claims against the leaders of this activity, Pack 356, Occoneechee Council, Sunrise United Methodist Church, and Boy Scouts of America.

By signing below, I certify that I am the parent or legal guardian of the participant(s) listed below, and I give my consent for him/them to participate in the above activity. I understand that participation in scout activities may involve a certain degree of risk that could result in injury or death. I have carefully considered the risk involved and agree to hold Pack 356, Occoneechee Council, Sunrise United Methodist Church, Boy Scouts of America, their agents, employees, officers, and volunteers harmless for all personal injury which could result from participation in this activity.

Name of Scout(s):

Parent/Guardian Signature:

Date Signed: