Free Download · Scoutmaster & Parents

Overnight Campout Permission Slip

Print one per scout. Keep signed copies on file for the duration of the activity. This is a template — adapt to your council's requirements.

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Event Information

Event / destination:

Troop number:

Depart date & time:

Return date & time:

Meeting location:

Return location:

Transportation:

Scoutmaster name & phone:

Council camp / address:

Scout Information

Scout full name:

Date of birth:

Troop / patrol:

T-shirt size:

Parent / guardian name:

Relationship:

Primary phone:

Secondary phone:

Email:

Home address:

Emergency Contact (if parent unreachable)

Name:

Relationship:

Phone:

Alternate phone:

Health Information

Known allergies (food, medication, environmental):

Current medications (name, dose, schedule):

Medical conditions the leader should know about:

Dietary restrictions:

Insurance provider & policy number:

Does your scout have a current BSA Annual Health and Medical Record on file?☐ Yes ☐ No

Photo release: I give permission for photographs or video of my Scout taken during this activity to be used in troop communications, newsletters, and social media. Check to decline.

I give permission for my Scout to participate in the above-listed activity under the supervision of registered BSA adult leaders. I understand there are inherent risks in outdoor activities and that leaders will follow BSA Safe Scouting guidelines. In case of emergency, I authorize the troop leadership to obtain medical treatment for my Scout if I cannot be reached.

I have reviewed the activity plan and understand the transportation arrangements, sleeping arrangements, and activity schedule.

Parent / guardian signature

Date

Print name

Scout signature (acknowledgment)

Return this form to the Scoutmaster by: _______________

Independent resource — not affiliated with or endorsed by Scouting America. Always verify current BSA advancement requirements at scouting.org or with your local council. Requirements are updated periodically.