:

Bv:

Boy Scouts of the Philippines Nueva Vizcaya Council

Bayombong

September 12, 2019

COUNCIL MEMORANDUM No. 12 S. 2019

To: All District Commissioners Secondary Institutional Heads (Public & Private) District Field Commissioners Adult Leaders/Outfit Advisors

SUBJECT: 17th NATIONAL SCOUT JAMBOREE

1. The Boy Scouts of the Philippines (BSP) is pleased to announce the holding of the 17th National Scout Jamboree on 01-07 December 2019 at Camp Kainomayan, Botolan Zambales with the theme "Commitment to Excellence."

2. The Jamboree aims to provide a progressive, safe and enjoyable learning environment for the Scouts in order to enhance their physical, social, mental, emotional and spiritual potentials. At the end of the Jamboree, the participants should be able to:

2.1 Promote the highest quality of scouting, one that is faithful to the mission, principles and method of scouting and adapted to the needs and aspirations of young people;

2.2 Undertake high adventure activities, including community service project related to the current thrust of World Scouting (Environment Education, Peace Education and Development Education) through the Messenger of Peace (MoP) initiatives, World Scout Environment Programme (WSEP, including the Solar Badge) and the Scout of the World Award (SWA);

2.3 Undergo projects, programs and activities that will cater to the fulfillment of the requirements of selected merit badges and scout rank under the advancement scheme;

2.4 Develop core life skills and 21st century leadership capabilities through team building, cooperative learning, group dynamics, creative problem-solving and decision-making skills;

2.5 Keep oneself abreast with the prevailing issue about the environment, human rights, health education, culture and science and technology through the global development village. City of science and cross roads of cultures.

3. The following are the qualification for the participating Scouts and Adult Leaders. a. Scout must be:

Currently registered as a Boy or a Senior Scouts Physically fit as certified by a physician Atleast 10-18-years old (Boy and Senior) with one year camping experience Atleast 2nd class rank or its equivalent

b. Adult Leader must be: Currently registered Physically fit as certified by a physician

':'7"""':ii:7.:-...,.:::A:::t::;:le=:a:::s~t..:.w..:..;i:_;:th camping experience

4. What to bring: a. Tentages/ sleeping gears b. Cooking paraphernalia c. Food provision (April25-30, 2013) d. Type "A" and Type "B" uniform e. Sweat shirt, Jacket, Personal Kits

5. Registration of Five Hundred Pesos (Php. 500.00) shall be charged each participant to cover the cost of program materials, Souvenir items and other operating expenses. A Full payment shall reachjremit to the local council on or before 25 September 2019. NO ON SITE REGISTRATION.

6. Contingent shall be responsible for their vehicle from the point of origin to the venue and vice-versa.

7. For more details, please contact or visit the council office.

8. Widest dissemination of this memorandum is hereby enjoined.

~G Council Scout Executive

Approved:

FLORDELI~COBE, PH.D, CESO VI Schools Division Superintendent

Council Scout Commissioner

APPLICATION FORM 17th NATIONAL SCOUT JAMBOREE

BOTOLAN, ZAMBALES • 01-07 DECEMBER 2019 THEME: "Commitment to Excellence"

Name ------~~~------------~~~~----------~~~~------F armly Name Gii'WI Name Middle NIIITifl

P~sentAdd~ss __________________________ ~~~r-----------------

Email Address --------=~~~=---- Contact#-------~-------Date of Birth --------------- Place of Birth ---------------x----. Age __ _ Religion--------- Civil Status Gender------

Council Spooson~·n-g~ln-s~m~~~io-n----------------

Unit # Membership Card#------­Position in the Troop/Outfit-----------------

Region _____________ _

Date of Registration ---­Current Rank--------

PARENT'S I GUARDIAN'S CONSENT

I understand that the participation in Scouting activities involves a certain degree of risk and can be physically, mentally, and emotionally demanding. I have carefully considered the risk involved and have given consent for myself or my child to participate in this activity. I also understand that participation in this activity is entirely voluntary and requires participants to abide by applicable rules and ~ulations and standards of conduct. I release the Boy Scouts of the Philippines, the Local Council, the activity coordinators, and aU professional staff, volunteers, related parties, or other organizations associated with the activity from any and all claims or liability arising o~ of this participation.

In case of emergency involving my child, I understand that every effort will be made to contact me. In the event that I cannot be ~ached, I hereby give my permission to the medical provider selected by the adult leader in charge to secure proper treatment, including hospitalization, anesthesia, surgery, or injections of medication for my child. Medical providers a~ a~horized to disclose to the adult in charge examination findings, test results, and treatment provided for purposes of medical evaluation of the participant, follow-up and communication with the participant's parents or guardian, and/or determination of the participant's ability to continue in the program activities.

---------~--.,----.,..----Signature over Printed Name of Parent/Guardian

Dme ________________ _

ACTION OF THE SPONSORING INSTITU'nON

This is to certify that Scout , is a bonafide member of the Boy Scouts of the Phnippines ~istered in this institution, under the Council.

Unit Leader's Signature Over Printed Dme _____________ __ lnstit~ional Head I Representative Dme __________________ _

ENDORSEMENT OF THE LOCAL COUNCIL

I I hereby endorse the participation of Sco~ ______ _ to the 17th National Scout Jamboree.

I Registration Status

Reservation Fee: ___ _

Balance:-------Full Payment: ____ _ Date: I OR No-.-----

Council Scout Executive/Officer-in-Charge

Dme _____________________ _

(

ROSTER OF PARTICIPANTS 17th NATIONAL SCOUT JAMBOREE

BOTOLAN. ZAMBALES • 01-07 OECEMSE~ 2019 THEME: "Commitment to Excellence

r -- - ____....,. Sponsoring Institution .____ -~===== -- --- 1 - -======= ·---1 Address

Council

Reg ron

COMPLETE NAME DESCRIPTION

(please write in PRINTI Adult Leader Bv_11'Sr S.:U...t Boy/Sr.Scout Bo~Sr.Scout Boy/Sr.Scout Bo~Sr.Scout Bo~SrScout Boy/Sr.Scout Boy/Sr.Scout

COMPLiiTii NAME DESCRIPT10N (please write in PRtNn

Adult Leader Boy/Sr.Scout Bo_yfSr. Scout Boy/Sr Scout Boy/Sr. Scout Boy/Sr.Scout Bo:t.fSr.Scout Bo:t.fSr.Scout Boy/Sr.Scout

DESCRIP110N

DESCRIPTION COMPLIHii N~A_ME_ lolene write in PRINT\

Adult Leader Bo1[Sr.Scout Boy/Sr.Scout Bo:t.fSr.Scout Boy/Sr.Scout Boy/Sr-Scout Do_i/3r.SWut Boy/Sr.Scout 9<ly/Sr.Scout

Prepared By:

Unit Leader's Signature Over Printed Name

Approved By:

Council Scout Executive/Of'ficer-in-Charge

J

l ·-J Cunwrt Position

AGE GENDER R~~nk lntha Unit

Current Position AGE GENDER Rank In the Unit

AGE GENDER

AGE GENDER c::~ ."osition in the Unit

Noted By:

Institutional Head/Representative

Sub-Camp Assignment Status of Payment --------Verified By P~~~·~ro~ed~-----------------

j