Troop 2, Golden Empire Council, BSA

Permission to Participate in Shooting Sports

This permission form must be completed by the participant’s custodial parent or legal guardian prior to any shooting activity, or the youth (Under 18) will not be allowed to participate.

Name: ______(Print Name of Youth) Date of Birth: ______

I, ______(Print Name of Custodial Parent/Guarding)

grantmy consent to Troop 2 and to its representatives including Range Officers andInstructors and others serving in these positions to provide my child, with appropriateguns and ammunition and provide instruction as to their use. I further certify that I ama custodialparent with full parental rights or the legal guardian of this child. I understand that this document will be kept and maintained by Troop 2 or its representatives including,but not limited to, Scout unit, Range Officers and Instructors. I further understand that only the original document will be accepted and that any modification of this form, except as instructed below, will result in its’ not being accepted by Troop 2, Range Officers and/or Instructors. I also understand that some of these activities will take place at locations not necessarily under the control of the Boy Scouts of America. I further understand that this document will remain in effect for the period listed below, unless revoked. This “Permission to Participate in Shooting Sports”may be revoked at any time by notifyingTroop 2and upon notification the original document will be returned.

All activities, equipment, guns and ammunition will be in accordance with the requirements and standards published in the most current version of The Guide to Safe Scouting. Please indicate activities permitted by initialing next to those activities you expressly permit.

BoyScout ProgramsInitials

  • BB Gun (Single shot, Rifle type)______
  • Archery______
  • 12, 16, 20, or 420 Gauge Shotgun______

I do further agree to indemnify and save harmless the Boy Scouts of America, Troop 2 and all officers, members, employees, volunteers thereof, and land owners from all suits or actionsbrought for, or on account of, any injuries or damages received or sustained by any person or persons by orfrom the consequences of any negligence or any act or omission of the above named minor occurringduring the course of said instruction.

Inclusive period: Starting January 1, 2012, and ending December 31, 2013

Youth’s Scouting Unit:Troop2

______Date______

Signature of Custodial Parent or Legal Guardian:

Created on 11/15/2018Shooting Sports Permission Slip