Boy Scouts of the Philippines
DAVAO DEL SUR COUNCIL
Digos City
-o0o-
APPLICATION FORM
Event/Activity:
Place:
Date/s:
BOYSCOUTSOFTHEPHILIPPINESDAVAODELSURCOUNCILBOYSCOUTSOFTHEPHILIPPINESDAVAODELSURCOUNCILBOYSCOUTSOFTHEPHILIPPINESDAVAODELSURCOUNCILBOYSCOU
Name (Print):
Date of Birth:
Home Address:
School/Office:
Date Registered, BSP:
Occupation/Profession:
Scouting Position:
Nearest Kin/Relative:
Age:
Status:
Place of Birth:
Municipality:
Address:
Unit No.
BSP ID No.
Attainment:
Rank:
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
Date:
Signature: Parent/Guardian over printed name
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: