Can provide transportation -- the
following information is required by BSA:
Kind, year
and make of vehicle:____________________________________
Number of
passengers:_______________
Owner’s
name:__________________________________________________
Driver’s
License Number:__________________________________________
Will
everyone wear a seat belt:_______________
Insurance: Liability each Person $_____________Each
Accident $____________
Property
Damage $_____________________
Am interested in coming along.
Can provide chase vehicle. Requires bike rack.
Have bicycle rack for _____ bicycles.
I hereby give permission for my son to participate in all of
the cycling merit badge events, and to be transported to and from these events.
Scouts Name:______________________________________________________
Parents Name:______________________________________________________
Parents Signature:____________________________________________________
Date: ___/____/____
Email Address ________________________________________________________________________
Home Tel:__________________________________________________________