Troop 529's
PUBLIC SITE
Home Page
Recent Events
Program
Eagle Merit Badges
Leadership
The Outdoor Code
Activity Forms


 
Boy Scout Troop 529
(Maryland Heights, Missouri)
 
ScoutLander Contact Our Troop Member Login
  
 

Boy Scout Information


Equipment Checklist: http://www.scoutlists.com/

Annual Health/Medical Record and Permission Slip


These forms are mandatory for all Boy Scout Activities: Annual Health and Medical Record, and a Permission Slip.

Individual Forms:
Annual Health and Medical Record - Necessary to administer emergency medical care and for the monitoring of 
prescription medication, and for basic insurance information. 

Troop 529 Parents are to complete Parts A and B before Part C is completed and signed by a certified and 
licensed heath-care provider-physician (MD or DO), nurse practitioner, or physician assistant.  
Please ignore Part D and any instructions about "high-adventure".

Parts A and B are to be completed at least annually by participants in all Scouting events. This health history,
parental/guardian informed consent and hold harmless/release agreement, and talent release statement is to be
completed by the participant and parents/guardians.

Part C is the physical exam that is required for participants in any event that exceeds 72 consecutive hours,
for all high-adventure base participants, or when the nature of the activity is strenuous and demanding. Service
projects or work weekends may fit this description. Part C is to be completed and signed by a certified and
licensed heath-care provider—physician (MD or DO), nurse practitioner, or physician assistant. It is important
to note that the height/weight limits must be strictly adhered to when the event will take the unit more than
30 minutes away from an emergency vehicle–accessible roadway, or when the program requires it, such as
backpacking trips, high-adventure activities, and conservation projects in remote areas. See the FAQs for when
this does not apply.

Prescriptions
The taking of prescription medication is the responsibility of the individual taking the medication and/or that
individual’s parent or guardian. A leader, after obtaining all the necessary information, can agree to accept the
responsibility of making sure a youth takes the necessary medication at the appropriate time, but BSA does not
mandate or necessarily encourage the leader to do so. Also, if state laws are more limiting, they must be followed.

Note: 
Health and Medical Form 680-001, revision 11/2010 will not save data, so use 
the newer version of Form 680-001, revision 2/2011 attached.


Permission Slip - Validates the scout is allowed to attend an activity.


Troop Forms:
Local Tour Permit - Necessary for scouts traveling over 50 miles (one direction)

National Tour Permit - Necessary for scouts traveling over 500 miles (one direction) or crossing international borders.

Attachments
Icon File Name Comment  
2014 Health Form 529_ABC.pdf 2014 Health Form Parts A,B,and C  
Court of Honor Program Outline.doc Sample Outline for Court of Honor  
Local Tour Permit.pdf 50+ Miles  
National Tour Permit.pdf 500+ Miles or International  
Permission Slip.pdf Basic Permission Slip