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Site Design By James Carter 2005

Medical Forms for Cub Scouts

(for medical forms for adults, click here)

Class 1 (updated annually for all Cub Scouts)
(2 pages, print two-sided if possible)
(fillable Adobe .pdf, 196K)
(non-fillable Adobe .pdf, 19K)

Activities: Day camp, overnight hike, or other programs not exceeding 72 hours, with level of activity similar to that of home or school. Medical care is readily available. Current personal health and medical summary (history) is attested by parents to be accurate. This form is filled out by all participants and is on file for easy reference.

Class 2 (required once every 36 months)
(2 pages, print two-sided if possible)
(fillable Adobe .pdf, 196K)
(non-fillable Adobe .pdf, 19K

NOTE: the Class 2 form is a continuation of the Class 1 form.
Activities: Resident camp or any other activity such as backpacking, tour camping, or recreational sports involving events lasting longer than 72 consecutive hours, with level of activity similar to that at home or school. Medical care is readily available.

If your child has had a medical evaluation (physical examination) within the last 36 months, a copy of the results of this examination must be attached to the health history for all participants in a camping experience lasting longer than 72 consecutive hours. If a copy is not available, a physical examination (using the Class 2 section of this form) must be scheduled by a *licensed healthcare practitioner. This medical evaluation (physical examination) also is required if your child is currently under medical care, takes a prescribed medication, requires a medically prescribed diet, has had an injury or illness during the past 6 months that limited activity for a week or more, has ever lost conscious-ness during physical activity, or has suffered a concussion from a head injury.

*Examinations conducted by licensed health-care practitioners other than physicians will be recognized for BSA purposes in those states where such practitioners may perform physical examinations within their legally prescribed scope of practice.