Summer 2027 Backpacking
trip to Philmont, Scout Ranch
New Mexico

My Scout(s) listed above has my (parent/guardian) permission to participate in the Troop 475 planned activity. I certify that my son is in good physical condition, and authorize the leaders to seek medical care for my son should it become necessary. To aid the leaders, should my son need over the counter medicines (Tylenol, Benadryl, Imodium AD, sunscreen &/or other topical medication, et al.) I provide my authorization. To aid with emergency medical assistance which may become necessary, I have listed above any known ALLERGIES, DRUG REACTIONS, RECENT ILLNESSES, CURRENT PRESCRIPTION DRUGS being taken, and any other information which may help a medical professional.

PARENT ACKNOWLEDGEMENT: I acknowledge that I have read and understand the above disclosure. I also acknowledge that I have read, and digitally signed, and understand the Troop 475 Annual Permission form, and that all of the information I provided is true and correct. I state that I have the authority to sign this acknowledgement, as well as the Annual Permission form. I agree my son may participate in the above event or outing, and in the planned activities, as well as in the activities normally associated with this type of event or outing (for example: packing and unpacking clothing and equipment, travelling in adult leaders’ and chaperones’ vehicles, eating, cooking, cleaning, building and extinguishing fires, setting up and taking down equipment, working on rank advancement and merit badges, and the like).

I further agree that I will drop off and pick-up my son at the indicated times and locations, unless I have made other prior arrangements with the above adult leaders. I understand that my son has duties he must perform as part of the troop, consent to his performing those duties, and agree to not interfere with his performance of those duties.