№ files_lp_4_process_1_34178
Boy Scouts of America scouting activity permission and liability waiver form outlining participation details, transportation arrangements, participant information fields, fees, safety notes, and emergency medical authorization for a model rocket launch outing at Calico Ghost Town in February 2026.
Year: 2026
Location: Calico Ghost Town, Barstow, California, United States
Event Dates: February 20–22, 2026
Return By Date: Monday, February 16, 2026
Organization: Northminster Presbyterian Church Scout Troop
Associated Organization: Boy Scouts of America
Document Type: Activity permission and liability waiver form
Activity Type: Model rocket launch outing
Activity Coordinator / Adult Leader Contact: Edwin Pribadi
Contact Phone: 909-348-3080
Contact Email: [email protected]
Departure Location: CVS Diamond Bar
Departure Date and Time: Friday, February 20, 2026, 6:00 PM
Return Time: Sunday, February 22, 2026, approximately 11:30 AM
Participant Categories: Scouts and Adults
Scout Activity Fee: $11
Additional Scout Costs: Rocket body $5, rocket engine purchase available onsite $5
Adult Fee: $20 for food
Payment Method: Zelle
Payment Recipient: [email protected]
Uniform Requirement: Full Class A uniform for travel
Safety Notes: No shade at location; sun protection and EZ-UP recommended
Transportation Information: Adult driver vehicle and insurance details required
Participant Information Fields: Name, patrol, birth date, age, address
Emergency Contact Fields: Name, phone number, email
Legal Section: Hold harmless agreement and medical treatment authorization
Health Information Clause: Disclosure of protected health information permitted for treatment and activity participation evaluation
Price: 8 / 10 USD
The file will be delivered to the email address provided at checkout within 12 hours.

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