NYLT Participant Questionnaire. Name of Participant: Male/Female. Troop / Crew Affiliation T-Shirt Size Age. Scoutmaster / Crew Advisor

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2 NYLT Participant Questionnaire Name of Participant: Male/Female Troop / Crew Affiliation T-Shirt Size Age Scoutmaster / Crew Advisor Scoutmaster / Crew Advisor Council Affiliation: Leadership Experience within Troop / Crew: Dietary Needs: Religious Needs: Medical Needs: Please finish this sentence: I hope that National Youth Leadership Training will I commit to attending the Verdugo Hills Council National Youth Leadership Training on both weekends of January 13 th, 14 th & 15 th and January 26 th, 27 th & 28 th, that I will attend in full field uniform, and will strive to live by the Scout Oath and Law. To be signed by Participant

3 For Parents/Guardians: My child has my permission to participate in the 2017 National Youth Leadership Training course at Camp Verdugo Oaks, January 13 th, 14 th, 15 th & January 26 th, 27 th, 28 th. I will provide a current copy of his Annual BSA Health and Medical Record form, including part A, Informed Consent, Release Agreement and Authorization and Part B: General Information/Health History. This form can be found at Please note here & on the Personal Health & Medical Record any special dietary needs: Parent/Guardian Signature Date Printed Name address Phone number where you can be reached during the course SLEEPING ASIGNMENTS and TENT REQUIREMENTS NYLT is a course run using the Scout-led Patrol Method. As such, participants are divided up into Patrols for the activity. Scouts from the same troop will not be assigned to the same patrol. Therefore, each participant should bring their own tent and not rely on sharing with another Scout. Plan your stay for a three-day event. Include an appropriate amount of extra clothing. Scouts should pack in backpacks. Avoid using duffle bags, foot-lockers, suitcases or trunks. Do not bring matches, lighters, fire starting materials, any snacks or food, money, or personal electronics (games) Cell phones are permitted, but we will ask that they be turned off until an appropriate time to use them.

4 Suggested Personal Equipment Checklist Verdugo Hills Council National Youth Leadership Training Remember - This is an outdoor Scouting activity. Therefore your equipment should reflect such. For example: magic cards, comic books, mp3 players, Ipods, cellular phones, PDA s, and expensive items can be easily misplaced or lost. Be prepared, pack accordingly. The NYLT staff and Council does not assume responsibility for broken, damaged or lost property. Important Forms to Bring o Directions to Camp o Health Form o Parent/ Guardian Consent Form Uniform Including Green Pants (no Jeans) o Scout Shirt o Scout Socks o Scout Pants o Neckerchief Slide Underclothing o Extra socks o Underwear o Undershirts Outer Wear o Warm Coat o Beanie Hat o Gloves Medicines o Bring all required o Report them to the Nurse Sleepwear o Clean, dry clothes not worn during the day Extra shoes o Gym shoes o Hiking boots Toiletries o Swim Suit for showering o Towel o Wash cloth o Soap and Shampoo o Comb o Tooth brush and tooth paste Bedding o Two man tent o Ground cloth o Sleeping bag cold weather o Pillow o Insolate pad o Blanket Watch Canteen Flashlight Personal First aid kit Scout Hand book Pencil and pens Pocket knife Rain Coat & Pants Poncho Extra Sweater or Jacket

5 SLEEPING ASIGNMENTS and TENT REQUIREMENTS NYLT is a course run using the Scout-led Patrol Method. As such, participants are divided up into Troops or Patrols for the activity. Scouts from the same Troop Will Not be assigned to the same patrol. Therefore, each participant should bring their own tent and not rely on sharing with another Scout. Plan your stay for a three day event. Include an appropriate amount of extra clothing. Scouts should pack in backpacks. Avoid using duffle bags, foot lockers, suitcases or trunks. Do Not Bring Matches, Lighters, Fire Starting materials, any snacks or food, Money, Personal Electronics (games)

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