| INFORMED CONSENT AND HOLD-HARMLESS AGREEMENT I understand that participation in the______________________________________________________ (activity) offered through the Indian Nations Council, Boy Scouts of America, involves a certain degree of risk. I have carefully considered the risk involved and have given ____________________________________ (scout's name), my consent to participate in ______________________________ on ______________________________ (activity) (date) This form must have parents/guardian signature(s): ____________________________________ ____________________________________ Name (Please Print) Name (Please Print) ____________________________________ ____________________________________ Signature Signature _____________________________________ ____________________________________ Date Date Telephone number ( ) ________________________ |