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Cub Scout Pack 350
(Georgetown, Kentucky)
 
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Policy on Use of the Annual Health and Medical Record

In order to provide better care for its members and to assist them in better understanding their own physical capabilities, the Boy Scouts of America recommends that everyone who participates in a Scouting event have an annual medical evaluation by a certified and licensed health-care provider—a physician (MD or DO), nurse practitioner, or physician assistant. Providing your medical information on this four-part form will help ensure you meet the minimum standards for participation in various activities. Note that unit leaders must always protect the privacy of unit participants by protecting their medical information.

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. 

Part D pertains to high-adventure programs and is not applicable to Cub Scouting.

Attachments
Icon File Name Comment  
680-001_AB.pdf Annual Health and Medical Record (Form Fillable) Parts A & B  
680-001_ABC.pdf Annual Health and Medical Record (Form Fillable) Parts A, B, & C  

Cub Scout Pack 350 Forms


Attachments
Icon File Name Comment  
Disbursement_Reimbursement_Form.pdf Cub Scout Pack 350 Disbursement/Reimbursement Form  
Volunteer Service Project Sign-In Sheet.pdf Cub Scout Pack 350 Volunteer Project Sign-In Sheet  

Cub Scout Forms


Attachments
Icon File Name Comment  
Cub Scout World Conservation Award Form.pdf Cub Scout World Conservation Award Form  
Cub_Scout_Outdoor_Activity_Award_Worksheet.pdf Cub Scout Outdoor Activity Worksheet  
Family Talent Survey Sheet.pdf Family Talent Survey  
Kentucky State Badge Requirements.pdf Kentucky State Badge Requirements