Boy Scouts of the Philippines

BOHOL COUNCIL
City of Tagbilaran

APPROVAL OF PARENTS OR GUARDIANS

We hereby approve this application of our son and certify to its correctness in
consideration of the benefits to be derived. We expressly waive any and all claims against the
Boy Scouts of the Philippines, Bohol Council or its representatives on account of any incident
or injury or damage to personal property that may occur beyond the control of the Contingent
Heads/BSP Officials provided adequate safety measures and precautions have been
instituted in connection with the participation of Scout
______________________________________ in the Patrol/Crew Leaders Training Course on
February 2-4, 2023 at __________________________________________________.

_____________________________ ______________________________
Father/Guardian Mother/Guardian
(Signature over printed name) (Signature over printed name)

MEDICAL CERTIFICATE

Date: ___________________________

To Whom It May Concern:

This is to certify that I have personally examined

____________________________,
age, _____ sex, ___ born on _____________________, and have found that he/she is
physically and medically fit, during the time of examination, to participate in the
Patrol/Crew Leaders Training Course on February 2-4, 2023 at
______________________________________.
Physical Examination:
Date examined: ____________________
Height: __________ Weight: ___________ Blood Pressure: ____________
Pulse, Resting: ___________________________ Respiratory Rate: ________________
Other Remarks: ______________________________________________________________
____________________________________________________________________________
____________________________________________________________________________

___________________________________
Physician/Medical Officer
(Signature over printed name)
License No. ____________________
PTR.: _____________________
Date: _____________________