The Boy Scouts of America (BSA) is a nationwide youth organization that promotes leadership, character development, and outdoor activities for young boys and girls. As part of their program, they require parental consent for a variety of activities. To ensure a safe and enjoyable experience for all participants, all participants must have a completed and signed BSA Permission Slip – Consent Form.

Below is a printable PDF version of the consent form. Please print the form, sign it, and bring it with you to your child’s event.

BSA Permission Slip – Consent Form

• Name of Participant: ____________________________
• Address: _________________________________________
• City/State/ZIP: ___________________________________
• Name of BSA Unit: ________________________________
• Type of Activity: _________________________________
• Date of Activity: _________________________________

I, ________________________________, parent/guardian of the above named participant, hereby give
consent for him/her to participate in the BSA activity specified above. I understand that this activity
may involve some risk of personal injury and I accept full responsibility for such risks. I hereby
release the Boy Scouts of America and its related entities, their volunteers, service units, and staff,
from any and all liability for any injury or damage which may occur as a result of my child’s
participation in this activity.

Signature of Parent/Guardian: __________________________