CORONADO AREA COUNCIL

Transcription

1 CORONADO AREA COUNCIL Cub Scout Camping 2013 Cub Scout Leaders Guide Cub Scout Resident Camp 2013 Camp Hansen SCOUTING AROUND Cub Scout Promise THE WORLD I, (say your name), promise to DO MY BEST To do my DUTY to GOD And my Country To HELP other people, and To OBEY the LAW of the Pack C U B S C O U T I N G Camp Hansen / Cub Scout Resident Camp / Saturday, Camp hansen Forty 1 Eight Years of Scouting

2 June 29-30, July 1, 2013 INDEX 1. Cover Page 1 2. Index 2 3. Cubmaster & Pack Committee Letter 3 xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx 4. Cub/Webelos Scout Activity Pins Annual Health & Medical Form / Info Cub Scout Resident Camp Check-In Info 7 7. Cub Scout Resident Camp Fact Sheet Cub/Webelos Scout Camp General Info Council Campership Info Council Campership Form Cub/Webelos Resident Camp Registration Form Equipment Checklist Health Lodge Emergencies/Emergencies Medication/Prescription Info Medication/Prescription Form Refund Request Info Refund Request Form Swim Classification Form Tent Rental Info Tour Plan Info Your Role as a Leader Youth Release Request Form & Info Special Camping Information: 1. Camp Segment Program Camp Stewards Program Cub Scout Outdoor Activity Award Cub Scout Overnight Camping Recognition Directions-Camp Hansen (Map & GPS Coordinates) 4 On-Line Tour Plan: The On-line Tour Plan is now in effect. Paper Tour Plans or the older Tour Permit will no longer be accepted. The Tour Plan is accessed from your MyScouting.org page Camp Hansen Tent Rental: The rental fee is $10 per tent. IMPORTANT: Tent fees are payable only at camp because of vailability. This fee is payable at unit registration. 2

3 Dear Cubmaster and Pack Committee: This Leader s Manual has been developed to help prepare your Cub Scouts, leaders, and parents for the adventure that lies ahead at Cub Resident Camp, Webelos Resident Camp, Fun with Son Overnight, Spring Cub Adventure Camp. Your Coronado Area Council offers these programs so your Scouts have the opportunity to camp and do many more outdoor activities. The main purpose for Cub Scout Camping Programs is for Scouts to have fun. Packs that attend camp usually return because their Scouts and leaders had an enjoyable experience. These council programs offer a variety of options. Some Scouts/parents want to attend all events and some may want to pick and choose. The Cub Scouts in your Pack have undoubtedly grown from their experiences in Scouting. You might have noticed or a parent might have told you that their son has used his Scouting experiences in other areas. The Cub Camping experience offers new opportunities that many Packs cannot accomplish on their own. Cub Camping lets boys enjoy the out-of-doors, meet new friends, learn new skills, and have fun. Boys will enjoy campfires, swimming (Webelos will snorkel), shooting bows and arrows and BB guns, hiking, nature study, and crafts. Resident camp should be a part of your Pack s year-round program. Third grade Bear Scouts will become Webelos Scouts on June 1st and can attend Webelos Resident Camp this summer. By attending two years of Webelos Resident Camp, he can earn activity badges and is well on his way to earning his Arrow of Light in February or March of his fifth grade year. Your next steps are to read this guidebook, recruit a Pack Camping Chair and with the Pack Committee, schedule your summer activities to include all or a combination of Day Camp, Fun with Son Overnight and Cub Scout & Webelos Resident Camp. Your Pack might also want to schedule a 15-minute camp promotion at a Pack meeting. If you have any questions or would like to schedule a Camp promotion, don t hesitate to call your Council Service Center. Thank you for helping your Cub Scouts attends camp this summer. We look forward to seeing you in camp this summer and offering them a great program. Coronado Area Council, BSA Phone: Toll Free: FAX: Web site address: 3

4 Camp Hansen is located about three miles GPS Coordinates South of Kirwin, Kansas / Take the paved N ft. road South out of town W ft. Kirwin, KS is on Hwy 9, and is about 20 Phone # miles Southeast of Phillipsburg, KS. Camp Hansen is about 65 miles North of Hays, KS. 4

5 2013 Cub Scout and Webelos Scout Resident Camps 2013 Cub Scout Camping Resident camping is geared toward an introduction to the outdoor program of the Boy Scouts of America by providing council facilities and certified camp staff for our campers. 1. The objective is to provide Cub Scouts, Webelos, parents, and other volunteer leadership with a meaningful fun experience and to strengthen parent-son relationships. 2. Webelos Resident Sessions is only for Webelos. Boys going into grades four and five in the fall of Cub Resident Sessions is only for Wolf and Bear Cub Scouts. Boys going into grades two and three in the fall of The length of each camp is 3 days and 2 nights. 5. Cub Scouts,Webelos Scouts and Leaders will stay in the same campsite. 6. The camp provides a dining hall for meals. 7. The facility used, meets all Cub Scout camping standards and will be inspected on National Standard criteria. 8. A trained staff is employed by the Council for the Cub & Webelos Resident Camp programs. 9. Program facilities include swimming pool, BB gun and archery ranges, sports fields, cooking areas, nature area, etc., developed around Cub Scout needs and skills. 10. The program is designed to provide a program for Webelos Scouts capable of keeping the degree of challenge in perspective for boys and their parents. Cub Resident Camp will center on fun and adventure with some Wolf and Bear requirements. 11. A ratio of one adult for every boy is desirable. However, a 1 to 5 adult to Scout ratio is required and two deep leadership is also required at all times. A minimum of 2 leaders for the first 5 scouts, and then a ratio of 1 leader to each 5 scouts is required. Additional adults however provide the opportunity for more meaningful relationships to develop between the adults and the Cub/Webelos Scouts. Leaders may alternate between the sessions. Some leaders may serve for a day, then another will serve for a period of time to meet leadership requirements. All packs will merge into villages and all adult leaders in each village will work together and share leadership responsibilities. 5

6 YOU RE ROLE AS LEADER While the Camp Staff handles a number of programs, They are always available to assist scouts and leaders. But, what is the role of the Cub Scout Webelos Leader. It is not the staff s intent to take over the operation of your group. Their support should give you more time to devote to the real task at camp THE BOYS. A boy s development generally happens two ways at camp, as an individual and as part of a group. As an individual, he will be learning through instruction by staff members. He will work on Wolf and Bear requirements (Cub Resident Camp), five activity badges (Webelos Resident Camp), or projects that challenges him at the swimming pool and building more selfconfidence through the accomplishment his goals. As a member of a group, he will build lifelong friendships, and learn to work within a group setting. He will learn responsibility, cooperation, and leadership. This is also why camp is such a great experience and opportunity for young scouts. Your leadership role is to give him guidance and discipline as he chooses his projects, encouragement as he tries new things, motivation to keep him on schedule, and understanding and counseling. In addition to youth discipline, leaders are responsible for knowing who can pick up a youth in case he has to leave early. The Youth Leaving Camp Early Request form needs to be completed prior to attending camp. Adult leaders should consult parents if there are any medical concerns. The BSA Personal Health History form needs to be completed prior to camp. While attending Cub and Webelos Scout Resident Camp, adult leaders are asked to help staff members maintain discipline, and to assist staff in program areas if applicable. Two staff members are assigned to each village for check-in. Please become acquainted with your staff members. REMEMBER, it is the adult leader s responsibility for the village, and the disciplining of your scouts. Your village will travel together to meals and program areas. While adult leaders will primarily be responsible for the boys from their pack, all leaders will work together and share some leadership responsibilities within the village. Remember that every adult and youth at camp must be registered members of the Boy Scouts of America and a Unit. Some activities may require leaders to help with instruction(s). These will include BB guns, archery, crafts, etc. Leaders maybe asked to bring tools and equipment to help with program areas. These requests will be announced at your District s May Roundtable. Units are encouraged to have multiple leaders attend the February Roundtable for Pre-Camp Information and the May Roundtable for any last minute information prior to camp. Special Dietary requirements must be discussed with the Camp Cook and Camp Director prior to your arrival at camp. 6

7 CHECK-IN Cub Resident Camp and Webelos Resident Camp (3-day camps) check-in: Camp Hansen Check in will begin on Saturday, June 29, at 2 pm. All camp leaders should check in immediately at the Headquarters Building. Leaders will be required to verify any youth no-shows with the Camp Director. When your unit and/or campsite village (maximum of 32 Cub Scouts) has checked in, a staff member will take the unit and/or village on a tour. This tour includes the health lodge, swimming pool, dining hall and program areas. Late arrivals will check in at Headquarters immediately upon arrival. Be prepared for check-in: By completing the following steps, your actual check-in at camp will run more smoothly and quickly. Prepay all camp fees at the Scout Service Center prior to your arrival at camp. (Bring any receipts you have from the Service Center with you because it often helps clear up misunderstandings.) Health and Medical Record forms and Medication forms are available at the Scout Service Center and on-line. Before you leave home, collect all BSA medical forms and Medication Forms (if applicable). Leaders need to understand and clarify any medical concerns with parents prior to leaving for camp. A medical form for each scout and leader is required. Check the medical form for signatures and that the form is completed in its entirety. Please have them in alphabetical order on arrival at camp. If a Scout/leader is taking medication while at camp, the Medication Form must be filled out in its entirety. Parents are required to list only one medication per Medication Form. All medications, Youth and Adults will be stored in the Health Lodge. Complete and be ready to turn in five (5) copies of your unit s camp roster. A copy is needed for the Camp Director; the Health Officer, Pool Director, and Climbing Tower Director. The final copy is for your pack. This is helpful especially if you will be having rotating leadership for your pack. Call the Scout Service Center two weeks prior to attending camp regarding any special dietary needs. If a scout has any severe dietary restriction(s), a parent is required to speak with the primary cook. Remember, food orders are placed a week in advance. All scouts and leaders will be issued a camp wristband. Visitors will be issued camp wristbands too. Due to safety considerations, personal vehicles will not be permitted in camping areas. If you have a camper or a leader with accessibility needs, prior notification is required. Contact the Camp Director. Camp staff will provide pick up trucks and trailers to haul gear to and from your campsites. 7

8 SWIM CHECKS Everyone will take a swim check following a medical recheck on day one (unless the unit has done this in advance). Scouts and leaders will be classified as a learner (white), beginner (red), or swimmer (blue). The Staff can help with swim lessons during your group s swim times. Swim checks can also be completed prior to camp as long as they are conducted by a certified BSA Life Guard. Swim check forms are included in this guide. VISITORS AT CAMP/FAMILY PICNIC Visitors are welcome at Resident Camp. Please check in at Headquarters Building upon arrival. Visitors are required to adhere to all policies of the Boy Scouts of America and those outlined in this manual. The last meal of each resident camp session is a family picnic. Parents and families are invited to visit camp, eat with their scouts and units. Please secure a count of the number of guests for the family picnic and give to the Camp Director upon check-in. Camp Hansen Parents can arrive at 4 pm on the afternoon of the 3rd Day. Visitors cannot participate in programs ie: swimming, bb-gun, archery, etc. Visitor s meals are available at the following rates: Breakfast $3.00 Picnic Meal Costs Lunch $3.00 $5.00 over 12 years Dinner $5.00 $3.00 under 12 years Daily Meal Charges $11.00 under 4 years of age free AUTOMOBILES All cars will be parked and in the camp parking lot. Camping equipment will be unloaded and loaded into camp approved vehicles and taken to campsites. Please lock all vehicles. Only emergency and service vehicles are permitted in campsites. If a camper/visitor has a disability and needs assistance to get around camp, prior notification to the Scout Service Center is required prior to attending camp. REFUNDS Refunds: The Refund Request Form must be used and this written request must be submitted to the Council office not later than 30 days following a unit s camp session. This request must state why a scout could not attend. The Refund Request Form must be filled out in its entirety and must be signed by the scoutmaster and, in some cases, by a physician. Normal circumstances considered are illness, death in the family, or moves from the council territory make it impractical for the scout to attend Camp Hansen. Fifty ($50) dollars of a scout s fee is non-refundable. The balance of the fee will be refunded to the unit. Fees are not refundable for homesickness, or a scout s choice to attend a sports activity, etc. If a scout becomes ill while attending camp and is sent home by the Camp Medical Staff, they are eligible for a prorated refund (by day) of the balance of the fee. If a scout leaves without being sent home by the Camp Medical Staff, there is NO Refund. Reminder!! Requests can be made directly to the Coronado Area Council, but not later than 30 days following their session. All refunds will be issued by August 31, Leader fees are refundable under the same conditions as Scout fees. TRADING POST Camp Hansen s Trading Post is opened to all campers and visitors. Leaders will be informed at camp about hours of operation. The Trading Post offers souvenirs, T-shirts, sunscreen, bug spray, scout equipment, handicraft items, and a variety of pop, candy, and snacks. Please recycle aluminum cans in appropriate containers. 8

9 TELEPHONE/EMERGENCY It is recommended that parents/guardians have the cell phone number(s) of a leader(s) attending camp. Camp Hansen does have a phone that parents/guardians may call in the event of an emergency. The phone number for Camp Hansen is: The Camp Ranger/Director is Rex Lowe. CAMP MAIL A special mailbox for out-going mail is located in the Trading Post. The mailing address for the Camp Hansen is: Scout s Name Cub Scout Pack Number Dane G. Hansen Scout Reservation P.O Box 122 Kirwin, KS SMOKING All Coronado Council buildings and facilities are designated as non-smoking areas. Smoking outside entrances/exit doors is not permitted at any location and will not be permitted within 100 feet of the participants of any Scouting program area, activity, meeting, or etc. Leaders are asked to only smoke in designated areas. Camp Hansen designated smoking area is the parking lot. FLAG CEREMONIES There will be a camp-wide flag ceremony each morning and evening. Please wear your Scout Class A uniform for the evening flag ceremonies and for dinner. DEPARTURE FROM CAMP We discourage Scouts from being taken to town for any other than the most essential reasons. When it is necessary for boys and leaders to be in town, their conduct should exemplify the very best of Scouting. Scouts and Leaders must check out of camp at the Camp Office. Any Scout that leaves camp during the session must have a permission slip signed by the parent or guardian. Pack Leaders are considered the guardian of youth at camp and will also need to sign a release form (see Appendix for the Scout Leaving Camp Early Form). ACHIEVEMENTS AT CAMP Leaders will be given sheets at camp on what the camp staff is instructing and other programs offered (i.e. cookout meal, camp segment program). Leaders will need to keep track of what Scouts have done and take this information home so the youth receives credit. Activity badges are offered at Webelos Resident Camp and most of these requirements will be covered. Cub Resident Camp will cover some Wolf & Bear requirements. Leaders will also track Scout s progress on the Camp Segment program. PETS Pets are NOT permitted in camp by participants or visitors, even at the picnic. TREES Our camps have lots of trees. PLEASE DO NOT CUT ANY GREEN TREES OR STANDING TREES. No green wood is necessary for a project. Scouts and Scouters should keep campsites clean, and prevent damage to nature areas so future Scouts may enjoy the same camping experience. 9

10 ALCOHOL & ILLEGAL DRUGS The possession of alcoholic beverages in camp is strictly prohibited. An adult violating this policy will be asked to leave camp immediately. Camp fees will not be reimbursed. FIREWORKS, FIREARMS AND ARCHERY EQUIPMENT The possession of fireworks, firearms and archery equipment by Scouts and Leaders is strictly prohibited. Use of pocketknives should be limited to Webelos Resident Camp and then be supervised. Webelos Scouts must have their Whittling Chip prior to use of a pocketknife. LOST AND FOUND A Lost and Found department will be set up in the Dinning Hall or Camp Office. Please check your belongings before leaving. We cannot mail these articles to you when you return home. Mark shirts and equipment with name and pack number. Lost and Found will end up at the Council Service Center after camp, and given to Goodwill in early August. SHOES TENNIS OR HIKNG SHOES MUST BE WORN AT ALL TIMES. Tree stubs, rocks, thorns, some broken glass, and other hazards make this necessary. (No sandals or open toed shoes.) EMERGENCIES REPORT ALL INJURIES TO THE HEALTH OFFICER. IN CASE OF SERIOUS ILLNESS OR INJURIES, NOTIFY THE CAMP DIRECTOR AND HEALTH OFFICER IMMEDIATELY. LIQUID PROPANE-FILLED LANTERNS AND STOVES Many units in recent years have begun to use liquid propane-filled lanterns. The BSA has a policy for handling this equipment and fuel. The camp maintains a storage facility for extra liquid propane fuel and it must be checked in to the Camp Director. Charcoal starter or other liquid fuels will not be used to start fires. Liquid/gas fuel lanterns, etc. can only be operated by adults. Only battery operated lanterns may be taken inside a tent. NO FLAMES are allowed in tents. WHAT NOT TO BRING Your son is not to bring the following items to camp: thongs, sandals, hatchet, hand axe, radio or cassette/cd player, extra food or goodies, fireworks, slingshots, candy or seeds of any kind. Pocketknives can only be brought to Webelos Resident Camp and must be kept by adult leaders except when being used by youth with adult supervision. Extra food (ie: smores, marshmallows) can be brought by leaders for your entire village (32 boys plus leaders). 10

11 Activity Pins offered at Webelos Resident Camp ODD YEARS EVEN YEARS Outdoorsman Naturalist Readyman Forrester Aquanaut Geologist Outdoorsman Aquanaut FOURTH AND FIFTH GRADE WEBELOS RESIDENT CAMPING DANE G. HANSEN SCOUT RESERVATION SESSION 4: June 29-30, July 1, 2013 (Sat.-Mon.) 1. The length of camp is 3 days and 2 nights. 2. The Webelos Resident Camp maintains the pack and den concept. Cub Scout trained leadership is required at all campsites and program areas. To the maximum extent possible, packs should camp as units (dens). Adult leadership provided by the pack should include the Webelos den leader, the assistant Webelos den leaders, and other adults. Leaders may alternate during the session. A Den consists of two or more scouts. A Village consists of two or more dens. Boys will be in separate villages that stay together during the camp. Each den will have two staff members assigned to it for check-in and during program times. Adult leaders in each village will need to work together so that the village stays together. 3. Some of the general programs, (ie: campfires), will be held together. Activity badges are offered on a twoyear cycle. At check-in, leaders will be given a list of program items covered by the camp staff and leaders will need to track the Scout s progress. 4. Day 3 (last day) has a picnic meal. There are no activities (pool, archery, bb guns etc.) available for family members. Program areas are open until 4:00 p.m. Camp Hansen visitors need to arrive at 4:00 and stay for the picnic. The picnic will begin at 5:00pm. 5. The Aquanaut and Outdoorsman Activity Badges are offered every year. The Aquanaut Badge offered every year was a request from leaders. 11

12 HEALTH LODGE AND EMERGENCIES Our camp maintains a well-stocked Health Lodge that is staffed by an individual who is First Aid Certified and approved by our camp physician. This individual is certified to treat injuries that occur in the outdoor program. Incidents that are more serious and require medical attention; special arrangements have been made with the Phillips County Hospital in Phillipsburg and the Phillips County Ambulance service. The camp reserves the right to send a Scout and adult camper to the hospital for diagnosis and treatment if, in the judgment of the health officer, it is advisable to do so. Whenever possible, a reasonable effort will be made to notify a parent or guardian before such action is taken. ALL CHARGES FOR SUCH HOSPITALIZATION, DIAGNOSIS, OR TREATMENT THAT ARE ABOVE THE COUNCIL PROVIDED ACCIDENT INSURANCE POLICY IS THE RESPONSIBILITY OF THE INDIVIDUAL OR THE SCOUT S FAMILY. THE CORONADO AREA COUNCIL PROVIDES LIMITED ACCIDENT INSURANCE COVERAGE FOR BSA REGISTERED WEBELOS/CUB SCOUTS AND LEADERS THAT ATTEND CORONADO COUNCIL CAMPING EVENTS. If you have any questions, contact the Scout Service Center. This insurance is a secondary or excess type of policy and is in effect after a camper s own insurance is used. Usually this insurance covers the deductible that the camper s insurance does not pay or the Council s policy becomes the primary insurance if the camper has no insurance. SPECIAL MEDICAL ATTENTION: Any Scout or Leader currently under a doctor s care is required to notify the Health Officer regarding his/her ailment and should bring a written statement from the doctor. Scouts and leaders will not be permitted to have medicine, pills, etc. in their possession. (The Exceptions are inhalers and bee sting kits and only when a medical statement from the physician is shown.) Scouts/leaders on medication must bring a completed Medication Form. EMERGENCIES REPORT ALL INJURIES TO THE HEALTH OFFICER. IN CASE OF SERIOUS ILLNESS OR INJURIES, NOTIFY THE CAMP DIRECTOR IMMEDIATELY. FIRES: Instructions will be given at camp and you will hear the siren tested. In Case of a fire Leave the immediate area and notify a staff member. You will be notified of the ALL CLEAR. DANGEROUS WINDS: Instructions will be given at camp and you will hear the siren tested. All campers will go to the Dining Hall. Avoid taking shelter under large trees. The ALL CLEAR will be announced. KNIVES: Scouts carrying knives at Cub Resident Camp is prohibited. Whittling Chip will be taught to leaders and Webelos Scouts. All sheath knives are strictly prohibited. VALUABLES: All valuables (money, watches, etc.) should be kept by the unit leader, especially when attending the aquatics program. Some leaders establish a bank to allocate funds. 12

13 RESIDENT CAMP SUGGESTED PERSONAL EQUIPMENT CHECKLIST This is a list of items that we suggest you bring to Cub/Webelos Resident Camp. We encourage everyone to wear their Class A uniform to Flag Ceremony and evening dinner. Be sure your clothing is suitable for Fun and Adventure. We will have a pick-up truck to take personal equipment to and from your campsite. Uniform Short-sleeved shirt Shoes suitable for hiking Towels/washcloths Required/prescribed medication (tennis shoes are o.k.) Comb Socks (3-4 pair) Change of shoes, as desired Soap/shampoo, etc. Neckerchief & slide Raingear (if forecasted) Canteen or water bottle Insect Repellent (non-aerosol) Sweater, jacket, or sweatshirt Shorts Flashlight Underclothing (3-4 sets) Sunscreen/lip salve Moccasins or Slippers Personal First Aid kit T-shirts, etc. Twine/Rope for clothes line Camera with extra film Toothbrush and Paste Sun glasses, baseball cap Suitcase/duffel bag Swim gear Baseball glove for recreation/ Cub Scout book (optional) spare time Tent (see below) *Camp has a pick up truck to Bed sheet (hot nights & mosquito Folding chairs for leaders haul gear to and from your protection Sleep bag/blankets campsite. It is suggested that you have at least one pair of long trousers, long-sleeved shirt, and a light jacket or sweatshirt to wear at night if cool. Some campers bring plastic totes to store clothes and personal equipment. PERSONAL TENTS Leaders may bring personal tents for Webelos/Cubs Resident Camp. Camp Hansen has large two person wall tents with no floors that can be rented for $10. Campers are encouraged to bring sheets of plastic for a ground cover and string to tie/lace the four-corners of the tent together. Prior notice to rent tents is required. BSA policy on sleeping arrangements: Male and female leaders require separate sleeping facilities. Married couples may share the same quarters if appropriate facilities are available. When staying in tents, no youth will stay in the tent of an adult other than his or her parent or guardian. Male and female youth participants will not share the same tent. Note: Tents with inside dividers (rooms) are still considered one tent and not a separate tent. Personal Ice Chest Coolers: You may not store perishable food in these coolers in your campsite. Coolers with perishable food must be stored in the walk in refrigerator located in the dining hall. PICK UP YOUR MEDICAL FORMS AND TURN IN THE EVALUATION FORM BEFORE LEAVING CAMP!!!!!!!! The evaluation form will be distributed at camp to all Unit Leaders. 13

14 CUB SCOUT & WEBELOS SCOUT RESIDENT CAMP FACT SHEET WHAT IS CUB & WEBELOS RESIDENT CAMP? Webelos Resident Camp is a three-day/two-night camping experience for Webelos going into four and fifth grade the fall of 2013 and adult leaders. Cub Resident Camp is also a three-day/two night camp for Cub Scouts going into second and third grade the fall of 2013 and adult leaders. WHAT IS THE PURPOSE? It is learning how to work and play together. Boys gain experience, knowledge, and self-reliance with the help of their leaders and a trained camp staff. Webelos Resident Camp has a two-year cycle of activity badges. WHO MAY ATTEND? - Any registered Scout entering the Second through fifth grades in the fall of 2013 may attend Webelos Resident Camp. Since this is not a Family Camp Siblings are not allowed to attend. The National standards for Cub/Webelos Resident Camps prohibit siblings from attending. Ideally, a parent should attend with each Scout. If two boys are attending from different families, two deep leadership is required to get the Scouts to camp and for check-in. Two deep leadership is required at all times, and 1 (one) adult leader for every 5 (five) Webelos Scouts is required. Leaders may alternate their time in camp provided two deep leadership requirements are met at all times. Furthermore all campers must be registered members of the Boy Scouts of America. This includes all adults as well as all youth campers. ACTIVITIES - Resident Camp activities will include BB guns, archery, nature hikes, swimming, campfires, a cookout meal, a family lunch picnic on the last day, and much more. Webelos Resident Camp will offer Aquanaut, Athlete, Readyman, and Outdoorsman activity badges. Cub Resident Camp will offer some Wolf & Bear requirements and Electives for arrow points. DATES Cub/Webelos Resident Camp: Camp Hansen Webelos session 4-June 29-30, July 1, 2013 (Sat.-Mon.) COST - The fee Cub/Webelos Resident Camp is $75 per youth ($90 if paid after April 29, 2013) and $40 per adult. This includes all meals, programs supplies, handicraft materials, a trained staff, and equipment. REGISTRATION - Register by completing the 2013 Webelos Resident Camp or Cub Scout Resident Camp registration form and making a $35.00 per youth deposit. Youth to adult ratios must be 2 adults for the first 5 scouts and then 5 to 1. The balance of the fee is due April 29, 2013 for the discounted youth fee and to hold reservations. Registrations are on a first-come, first-serve basis. Total camp capacity is 120 youth per session. CHECK IN/CHECK OUT - Check in will be at 2pm. Families may arrive at 4pm at Camp Hansen on the last day to visit areas (not participate) and attend the family picnic. Program areas are open until 4:00 p.m. HEALTH FORMS- All participants (youth/adult) must have a current BSA Personal Health and Medical Record on file. This requires the signature of the youth s parent/guardian. DISTRICT ROUNDTABLES It is recommended that each Pack have at least one Unit Leader at their February Roundtable. MORE INFORMATION - Additional information can be obtained by contacting the Coronado Area Council Service Center at (785) or toll free at Information is on-line at Coronado Area Council Reservation Pack: 644 S. Ohio St Cub/Weblos Resident Camp City: P.O. Box 912 Camp Hansen District: Salina, Ks Kirwin, Ks. # Scouts: # Leaders: 14

15 Please READ all the information below: The undersigned understands and agrees that: 1. Reservations are accepted on a first-come, first-serve basis. Camp capacity is 120 youth: There are four villages consisting of one den with 30 scouts. 2. A $35 deposit PER YOUTH must accompany this reservation. The balance of fees is due by April 29, After April 29, 2013, the late fee charge will apply. 3. Camp fee: $75/ Cub Scout ($90 if paid or postmarked - after April 29, 2013) and $40 per adult. 4. Leaders need to pay by April 29, Two deep leadership is required for any scout to attend camp. 6. Reservation fees are non-refundable, but are transferable to another Cub Scout attending Cub Resident Camp. See Payments/Refund policy on Page Each Cub Scout and Leader must have a completed BSA Personal Health and Medical Record (Part A & C) completed in its entirety and signed by a parent/guardian. The Health and Medial Record must be brought to camp. Adult Leaders and Scouts must be registered members of the Boy Scouts of America. 8. The Coronado Area Council carries limited Accident Insurance on BSA registered youth and leaders who are attending Cub Resident Camp. Expenses beyond the Accident Insurance policy are an individual and/or parental responsibility. 9. If a scout needs to leave camp early, the Youth Leaving Camp Early form needs to be filled out in its entirety and signed by a parent/guardian and brought to camp. This form is given to the Camp Director at Check-In. On-Line Tour Plan: The On-line Tour Plan is now in effect. Paper Tour Plans or the older Tour Permit will no longer be accepted. The Tour Plan is accessed from your MyScouting.org page Camp Hansen Tent Rental: The rental fee is $10 per tent. IMPORTANT: Tent fees are payable only at camp because of vailability. This fee is payable at unit registration. 15

16 CUB/WEBELOS RESIDENT CAMP REGISTRATION FORM PAGE 1 OF 2 Please indicate below the name, etc. of the person in the pack that should receive the reservation confirmation and all other materials related to the Cub Scout Resident Camp. PLEASE PRINT Name Position in Unit Address City: Zip Code: District: Home Phone ( ) Work Phone (_ ) address Make check payable to the Coronado Area Council. Please submit one check for the entire group Submit this reservation form along with the reservation fee/deposit of $30 per youth. Mail to: Coronado Area Council, BSA P.O. Box 912 Salina, KS Check #: Check Amount: enclosed Charge $: to the Unit s prepaid account at the Council Service Center. Person authorized to charge on unit account Name Signature Scout Service Center Entry Only: Amount received: Receipt #: Confirmation sent: 16

17 CUB/WEBELOS RESIDENT CAMP REGISTRATION FORM PAGE 2 OF 2 Last Name Youth First Name Youth Campership Popcorn Scholarship Rank Total Last Name Adult First Name Adult Position Total 17

18 Cub/Webelos Resident Camp Registration Form Pack: Council: District: Campsite: Administration Health Lodge Swimming Pool # Scout s Name Youth Rank Years as Resident Camper Swim Level Years as Hansen Resident Camper Phone # Address (City, State, Zip) Health Form # Scouters Name Position Years as Resident Camper Years as Hansen Resident Camper Swim Level Phone # Address (City, State, Zip) Health Form 18

19 CORONADO AREA COUNCIL CAMP HANSEN YOUTH RELEASE REQUEST PERMISSION FOR A SCOUT TO DEPART FROM THE PREMISES Page 1 of 2 INSTRUCTIONS: Youth desiring to leave camp prior to the pack s / troop s departure or not as a part of the pack/troop must have a release signed by their parent(s) /guardian and approved by the unit leader at camp with the youth. Youth will normally only be permitted to leave accompanied by their parent(s) /guardian. The BSA considers the Scout leader in charge as the in camp guardian of their youth while they are in camp and release youth only with the approval of the Scout leader in charge. The form below must be used in handling all such departures. Turn this form into the Camp Director or the Program Director. In an emergency, it may not be possible for a parent(s) /guardian to sign the release. In this event, sufficient information must be recorded attesting to the telephone call or means of communication by which word arrived, asking for the release of the youth. This information should document the person from whom the call was received, and give detailed reasons for the requested release. REQUEST IS MADE THAT HOME ADDRESS CITY STATE ZIP PACK NUMBER CAMPSITE BE PERMITTED TO LEAVE BOY SCOUT RESIDENT CAMP FOR THE FOLLOWING REASON: YOUTH IS TO LEAVE ON DATE: TIME: METHOD OF TRAVEL: DESTINATION: ACCOMPANIED BY: THE YOUTH IS TO RETURN ON DATE: TIME: In signing the request for release, BSA and the youth s parent(s) or guardian(s) mutually acknowledge that upon the youth s departure from the camp the BSA or its representatives shall not be liable for any loss or injury to the youth s person or property. 19

20 YOUTH RELEASE REQUEST PERMISSION FOR A SCOUT TO DEPART FROM THE PREMISES Page 2 of 2 This request is made by: (Parent s or guardian s signature required except as noted for emergency departure requests.) PARENT/GUARDIAN SIGNATURE DATE ADDRESS TELEPHONE NUMBER: (H) (C) UNIT LEADER S SIGNATURE OF APPROVAL: release the youth) (Required to ON-SITE REQUEST Before leaving the camp, youth must check out with their unit leader and the camp headquarters. APPROVALS: SIGNED: UNIT LEADER UNIT # DATE SIGNED: Examples when used: Scout leaves for baseball game, birthday, vacation, funeral, homesick, injury at camp, etc. HEADQUARTERS DATE Examples when not used: Field trip for a merit badge class, or other related Coronado Area Council trips requiring the Scout to leave camp. IF YOU KNOW A SCOUT WILL BE LEAVING CAMP EARLY, HAVE THIS FILLED OUT BEFORE YOU ARRIVE. 20

21 Coronado Area Council, BSA Dane G. Hansen Scout Reservation 2013 SWIM CLASSIFICATION PROCEDURES Page 1 of 2 LEADERS NAME (print) UNIT # COUNCIL WEEK AT CAMP All persons participating in BSA Aquatics are classified according to swimming ability. The classification tests and test procedures have been developed and structured to demonstrate a skill level consistent with the circumstances in which the individual will be in the water. The Swimmer s Test demonstrates the minimum level of swimming ability for recreational and instructional activity in a confined body of water with a maximum 12-foot depth and with shallow water footing or a pool or pier edge within 25 feet of the swimmer. The various components of each test evaluate the several skills essential to the minimum level of swimming ability. Each step of the test is important and should be followed as listed below: Swimmer s Test: Jump feet-first into water over the head in depth, level off, and begin to swim. Swim 75 yards in a strong manner using one or more of the following strokes: sidestroke, breaststroke, trudge or crawl; then swim 25 yards using an easy, resting backstroke. The 100 yards must be completed in one swim without stops and must include at least one sharp turn. After the swim, rest by floating. Beginner s Test: Jump feet first into water over the head, level off, swim 25 feet on the surface, stop, turn sharply, resume swimming as before and return to starting place. SPECIAL NOTE: When swim tests are conducted away from camp or at the point of activity, the Aquatics Director at camp shall at all time reserve the authority to review or retest all participants to assure the standards have been maintained. This form must be submitted upon your unit s arrival at camp. WHO CAN GIVE THE SWIM TEST BEFORE CAMP? Currently certified BSA Lifeguard Counselor; Currently certified BSA Lifeguard (at least 18 years old); Currently certified American Red Cross Lifeguard (at least 18 years of age) 21

22 2013 UNIT SWIM CLASSIFICATION RECORD Page 2 of 2 (Turn this in at camp to Aquatics Director) This is the individual s swim classification as of this date. Any change in status after this date i.e., non-swimmer to beginner or beginner to swimmer, would require a reclassification test by the Camp Aquatics Director. SPECIAL NOTE: When swim tests are conducted away from camp or at the point of activity, the Aquatics Director at camp shall at all time reserve the authority to review or retest all participants to assure the standards have been maintained. Dates Attending Camp: Date of Swim Test: Unit # State Full Name (please print) Non- Swimmer Beginner Swimmer Name of person(s) conducting test: Print Name Signature Print Title Name of Facility (Print) Print Name Signature Camp Leader (Print Name) Signature ALL INFORMATION WILL BE HELD IN STRICT CONFIDENCE 22

23 Council Camperships: It s important that all scouts have an opportunity to attend Resident Camp with their unit. Each pack committee has a responsibility to make opportunities available to scouts so that they can earn money to be applied toward their Resident Camp fee. An excellent opportunity for the unit to raise funds that may be put aside for camp fees is the fall popcorn sale. When a family s finances and pack earning opportunities cannot provide sufficient funds to cover the fee, the Coronado Area Council makes camperships available to help these scouts attend Camp Hansen. Council Camperships Maximum Request Amount - $37.50 This is the maximum amount ($100.00) the Council Camping Committee will give to a scout. Pack committee s nominate scouts for the financial assistance by submitting a Nomination for Camperships form to be received by the Council Service Center not later than Friday March 8, 2013 at 5:00 PM. Nominations received after Friday March 8, 2013 at 5:00 PM either will not be considered or considered as remaining funds allow. Please make it a point to inform your fifth grade Webelos early and make parents aware of applying for camperships. The Campership Form needs to be filled out in its entirety to be considered for funds. The Scout Office will notify Cubmasters prior to Tuesday, March 19, Adults are not eligible for Council Camperships. Out of Council scouts or adults are not eligible for Coronado Council Camperships. 23

24 Coronado Council 2013 Nomination for Campership Cub & Boy Scout Resident Camps DUE DATE: Friday, March 8, 2013 prior to 5:00 PM Page 1 of 3 NOTICE: The DEADLINE for Nomination for Campership is Friday, March 8, 2013 prior to 5:00 PM. This form must be turned into the Coronado Council office, by Friday, March 8, 2013, prior to 5:00 PM. IMPORTANT: The following guidelines will apply to all Nomination for Campership requests: 1. The Coronado Council reserves the right to reject or revoke any campership prior to the ACTUAL DATE of the scout/youth entering camp. 2. Coronado Council Camperships are for scouts/youth only. 3. The Coronado Council will not consider any request for Campership if a scout/youth plans to attend a second week of Boy Scout Resident Camp (Camp Hansen), an Out of Council camp, or a National or International scouting event in the same calendar year. 4. The Nomination for Campership form must be completed in its ENTIRETY. 5. Council Camperships Maximum Request Amount - $ Only one scout/youth per application. 7. The Council Camping Committee encourages UNIT LEADERS to review Nomination for Campership forms in their entirety prior to mailing. Please be sure all information requested in this form is complete and accurate. The Nomination for Campership form must be completed in its ENTIRETY. The more information listed will help committee members. It is important that all scouts have an opportunity to attend Cub/Boy Scout Resident Camp. Each Unit Committee has a responsibility to make opportunities available to their scouts/youth so that they can earn money to be applied toward Resident Camp fees. When family finances and the unit earning opportunities cannot provide sufficient funds to cover this fee, the Coronado Area Council makes camperships available to help these scouts/youth attend camp. Unit Committees nominate scouts/youth by submitting a Nomination for Campership form to the Coronado Council Service Center by the above date. Additional copies of this form can be reproduced or obtained from the Council Service Center. The Coronado Council encourages units to apply for assistance with their Charter Organization, and consider financial assistance for their scouts/youth from their unit treasurer accounts. NOTE: Pack and Troop Committees should cooperate in nominating Webelos transitioning to Boy Scout Troops. Pack Committees should consider funds earned by scouts/youth in a Pack should follow that scout to support his first Boy Scout Resident Camp opportunity. The Council Camping Committee reviews the Nominations for Camperships. Allocations will be made at the March Council Camping Committee Meeting. Therefore, nominations received after the DUE DATE indicated may not be considered. Nominees and Unit Leaders will be notified prior to Tuesday, March 19, All scouts/youth deserve to attend Resident Camp. NOTICE: It is understood that the combined family and unit provisions of funds will amount to at least one-half of the camp fee unless there are VERY extenuating circumstances. xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx District Unit # Scout/Youth Age Rank #Year(s) registered with Unit #Year(s) attended camp Camp session dates Amount of Request (Calculation on reverse side must be complete) $ This nomination is for the current year only. The parent/guardian, Scoutmaster or Committee Chair must sign for this request to be processed. Only original signatures will be accepted no photocopy signatures please. Unit Committee Chair: Approved Date Cub/Scoutmaster: Parent/Guardian: Approved Date Approved Date 24

25 2013 Nomination for Camperships / Page 2 of 3 The Nomination for Campership form must be completed in its ENTIRETY. Total Fee for Cub/Boy Scout Resident Camp.. Amount Scout or Family is able to pay. Amount provided by unit money earning opportunities... Amount the unit and charter organization plans to provide. Total provided by family and unit (line b plus line c).. Total Campership requested (line a minus line d). Please list unit activities to earn money, and amount Scout earned: a) b) c) d) e) f) g) What other scouting event(s) are you planning to attend (do not include Troop events): h) (a second week Boy/Cub Scout Resident camp, Out of Council camp, National or International scouting event) ACTIVITY: YEAR: AMOUNT/Total Sales: Council Fall Popcorn a) Other (specify) Other (specify) b) c) Please share as much as you can about the circumstances surrounding the need for financial assistance. ALL INFORMATION IS CONFIDENTAIL Family Income (approximate) Family Members (list) Circumstances (use additional page if necessary) CONTACT INFORMATION: Parent/Guardian Name: Scouts Name/Cub or Boy Scout: Address: City/State/Zip Code: Phone #: Cell: Home: Cub/Scoutmaster Name: Address: City/State/Zip Code: Phone #: Cell: Home: The Nomination for Campership form must be completed in its ENTIRETY. 25

26 2013 Nomination for Camperships / Page 3 of 3 xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx Coronado Area Council Usage Only Unit participation in: (Centennial Unit Award Family Friends of Scouting Fall Popcorn Sale National Camping Award ) Application for Scout/Youth District Unit Amount of Request: $ Amount Allocated: $ Application was: Disapproved Approved Funds made available by the Council have been depleted Application received after the deadline Signed Campership Review Committee

27 Refunds: The Refund Request Form must be used and this written request must be submitted to the Council office not later than 30 days following a unit s camp session. This request must state why a scout could not attend. The Refund Request Form must be filled out in its entirety and must be signed by the scoutmaster and, in some cases, by a physician. Normal circumstances considered are illness, death in the family, or moves from the council territory make it impractical for the scout to attend Camp Hansen. Fifty ($50) dollars of a scout s fee is non-refundable. The balance of the fee will be refunded to the unit. Fees are not refundable for homesickness, or a scout s choice to attend a sports activity, etc. If a scout becomes ill while attending camp and is sent home by the Camp Medical Staff, they are eligible for a pro-rated refund (by day) of the balance of the fee. If a scout leaves without being sent home by the Camp Medical Staff, there is NO Refund. Reminder!! Requests can be made directly to the Coronado Area Council, but not later than 30 days following their session. All refunds will be issued by August 31, Leader fees are refundable under the same conditions as Scout fees. 27

28 2013 Cub / Boy Scout Resident Camp Refund Request Form This form must be completed in its entirety and be received at Camp Hansen or the Scout Service Center Requests can be made directly to the Coronado Area Council, but not later than 30 days following their session. Cubmaster s Name: Troop # Address: City: State: Zip Code: Telephone Info: Home #: Cell # Scout/Adult Name: Reason for Scout and/or Adult requesting refund: Scout/Adult Signature: Cubmaster s Signature: Physician Signature: Coronado Area Council: Approved: Y N Denied: Y N Coronado Area Council Representative s Signature & Date: 28

29 Annual Health and Medical Record (Valid for 12 calendar months) Policy on Use of the Annual Health and Medical Record In order to provide better care for its members and to assist them in better understanding their own physical capabilities, the Boy Scouts of America recommends that everyone who participates in a Scouting event have an annual medical evaluation by a certified and licensed health-care provider a physician (MD or DO), nurse practitioner, or physician assistant. Providing your medical information on this four-part form will help ensure you meet the minimum standards for participation in various activities. Note that unit leaders must always protect the privacy of unit participants by protecting their medical information. Parts A and B are to be completed at least annually by participants in all Scouting events. This health history, parental/guardian informed consent and hold harmless/release agreement, and talent release statement is to be completed by the participant and parents/guardians. Part C is the physical exam that is required for participants in any event that exceeds 72 consecutive hours, for all high-adventure base participants, or when the nature of the activity is strenuous and demanding. Service projects or work weekends may fit this description. Part C is to be completed and signed by a certified and licensed heath-care provider physician (MD or DO), nurse practitioner, or physician assistant. It is important to note that the height/weight limits must be strictly adhered to when the event will take the unit more than 30 minutes away from an emergency vehicle accessible roadway, or when the program requires it, such as backpacking trips, high-adventure activities, and conservation projects in remote areas. See the FAQs for when this does not apply. Part D is required to be reviewed by all participants of a high-adventure program at one of the national high adventure bases and shared with the examining health-care provider before completing Part C. Philmont Scout Ranch. Participants and guests for Philmont activities that are conducted with limited access to the backcountry, including most Philmont Training Center conferences and family programs, will not require completion of Part C. However, participants should review Part D to understand potential risks inherent at 6,700 feet in elevation in a dry Southwest environment. Please review specific registration information for the activity or event. Northern Tier National High Adventure Base. Florida National High Adventure Sea Base. The PADI medical form is also required if scuba diving at this base. Risk Factors Based on the vast experience of the medical community, the BSA has identified the following risk factors that may limit your participation in various outdoor adventures. For more information on medical risk factors, visit Scouting Safely on Excessive body weight Seizures Muscular/skeletal injuries Heart disease Lack of appropriate immunizations Psychiatric/psychological and Hypertension (high blood pressure) Asthma Emotional difficulties Diabetes Allergies/anaphylaxis Prescriptions The taking of prescription medication is the responsibility of the individual taking the medication and/or that individual s parent or guardian. A leader, after obtaining all the necessary information, can agree to accept the responsibility of making sure a youth takes the necessary medication at the appropriate time, but BSA does not mandate or necessarily encourage the leader to do so. Also, if state laws are more limiting, they must be followed. Frequently Asked Questions (FAQs) Philmont Scout Ranch: or Northern Tier National High Adventure Base: or Florida National High Adventure Sea Base: or National Scout Jamboree: For frequently asked questions about this Annual Health and Medical Record, see Scouting Safely online at Information about the Health Insurance Portability and Accountability Act (HIPAA) may be found at 29

30 Last Name: DOB: Allergies: Emergency Contact #: Annual BSA Health and Medical Record Part A General information Name Date of Birth Age Male Female Address Grade completed (youth only) City State Zip Phone No. Unit leader Council Name/No. Unit No. Social Security No. (optional, may be required by medical facilities for treatment) Religious preference ATTACH A PHOTOOPY OF BOTH SIDES OF INSURANCE CARD (SEE PART C) IF FAMILY HAS NO MEDICAL INSURANCE, STATE NONE In case of emergency, notify: Name Relationship Address Home phone Business phone Cell Phone Alternate contact Alternate s phone MEDICAL HISTORY Are you now, or have you ever been treated for any of the following: Yes No Condition Explain Asthma Diabetes Last Attack Last HbA1c: Hypertension (high blood pressure) Heart disease (e.g., CHF, CAD,MI) Stroke/TIA Lung/respiratory disease Ear/sinus problems Muscular/skeletal condition Menstrual problems (women only) Psychiatric/psychological and emotional difficulties Behavioral disorders (i.e., ADD, ADHD, Asperger syndrome, autism) Bleeding disorders Fainting spells Thyroid disease Kidney disease Sickle cell disease Seizures Last seizure: Sleep disorders (i.e. sleep apnea) Abdominal/digestive problems High-adventure base participants: Expedition/Crew No: Or staff position: Use CPAP: Yes No Allergies or Reaction to: Medication Food, Plants, or Insect Bites Immunizations The following are recommended by the BSA. Tetanus immunization must have been received within the last 10 years. If had disease, put D and the year. If immunized, check the box and enter the year received. Yes No Date Tetanus Pertussis Diptheria Measles Mumps Rubella Polio Chicken Pox Hepatitis A Hepatitis B Influenza Other (i.e.,hib) Exemption to immunizations claimed. (form required) Surgery Serious injury Other MEDICATIONS List all medications currently used. (If additional space is needed, please photocopy this part of the health form0. Inhalers and EpiPen information must be included, even if they are for occasional or emergency use only. Medication Strength Frequency Reason for medication Temporary Permanent Medication Strength Frequency Reason for medication Temporary Permanent (For more information about immunizations, as well as the immunization exemption form, see Scouting Safely on Scouting.org) Medication Strength Frequency Reason for medication Temporary Permanent Medication Strength Frequency Reason for medication Temporary Permanent Medication Strength Frequency Reason for medication Temporary Permanent Medication Strength Frequency Reason for medication Temporary Permanent NOTE: Be sure to bring medications in the appropriate containers, and make sure that they are not expired, including inhalers and EpiPens. You SHOULD NOT STOP taking any maintenance medication. 30

31 Part B Informed Consent and Hold Harmless/Release Agreement I understand that participation in Scouting activities involves a certain degree of risk and can be physically, mentally, and emotionally demanding. I also understand that participation in these activities is entirely voluntary and requires participants to abide by applicable rules and standards of conduct. In case of an emergency involving me or my child, I understand that every effort will be made to contact the individual listed as the emergency contact person. In the event that this person cannot be reached, permission is hereby given to the medical provider selected by the adult leader in charge to secure proper treatment, including hospitalization, anesthesia, surgery, or injections of medication for me or my child. Medical providers are authorized to disclose protected health information to the adult in charge, camp medical staff, camp management, and/or any physician or health care provider involved in providing medical care to the participant. Protected Health Information/Confidential Health Information (PHI/CHI) under the Standards for Privacy of Individually Identifiable Health Information, 45 C.F.R , , etc. seq., as amended from time to time, includes 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. I have carefully considered the risk involved and give consent for myself and/or my child to participate in these activities. I approve the sharing of the information on this form with BSA volunteers and professionals who need to know of medical situations that might require special consideration for the safe conducting of Scouting activities. I release the Boy Scouts of America, the local council, the activity coordinators, and all employees, volunteers, related parties, or other organizations associated with the activity from any and all claims or liability arising out of this participation. Without restrictions With special considerations or restrictions (list) xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx TALENT RELEASE AGREEMENT I hereby assign and grant to the local council and the Boy Scouts of America the right and permission to use and publish the photographs/film/videotapes/electronic representations and/or sound recordings made of me or my child at all Scouting activities, and I hereby release the Boy Scouts of America, the local council, the activity coordinators, and all employees, volunteers, related parties, or other organizations associated with the activity from any and all liability from such use and publication. I hereby authorize the reproduction, sale, copyright, exhibit, broadcast, electronic storage, and/or distribution of said photographs/film/videotapes/electronic representations and/or sound recordings without limitation at the discretion of the Boy Scouts of America, and I specifically waive any right to any compensation I may have for any of the foregoing. Yes No Adults Authorized To Take Youth To And From Events: You must designate at least one adult. Please include a telephone number. 1. Name Telephone 2. Name Telephone 3. Name Telephone Adults Not Authorized To Take Youth To And From Events: 1. Name Telephone 2. Name Telephone 3. Name Telephone I understand that, if any information I/we have provided is found to be inaccurate, it may limit and/or eliminate the opportunity for participation I any event or activity. If I am participating at Philmont, Philmont Training Center, Northern Tier, or Florida Sea Base: I have also read and understand the risk advisories explained in Part D, including height and weight requirements and restrictions, and understand that the participant will not be allowed to participate in applicable high-adventure programs if those requirements are not met. The participant has permission to engage in all high-adventure activities described, except as specifically noted by me or the health-care provider. Participant s name Participant s signature Date Parent/guardian s signature Date This Annual Health and Medical Record is valid for 12 calendar months. Part B Full Name: DOB: 31

32 Coronado Area Council Cub Webelos Scout Resident Camp Camp Hansen MEDICATION FORM The attached medication form is needed for the above mentioned camp if a camper is taking medication while at camp. This information will speed up your check in and provide needed information to the camp health officer. The health officer will keep all medications and record its usage. Please keep medications in their original bottles that have dosage and pharmacy/doctor information. Please provide this form, as needed, to campers (youth & adult). One form is needed per prescribed medication. All medications, Youth and Adult will be stored in the Health Lodge. Questions, please call the Coronado Council Service Center at MEDICATIONS/PRESCRIPTIONS ADULTS & YOUTH All medications/prescriptions MUST be turned into the Health Medical Officer at Check-In. 32

33 Coronado Area Council MEDICATION FORM Cub/Webelos Scout Resident Camp Medication must be in Original Container (One form per medication, copy as needed) Unit # District Council Camper s Name Name of Parent or Guardian Phone #( Doctor s Name Phone #( ) ) Medication/Strength Time(s) of Day Medication Taken Amount of Medication Taken Reason for Medication When was medication started Temporary Permanent Side Effects (reactions to food, dehydration, stress, iodine, other meds, decreased balance, motor activity, concentration, drowsiness, lethargy, etc) List other important information about this medication since access to medical information or facilities could be delayed due to geographical area. Special Storage Instructions Expected action if medicine is not taken as directed Waiver: This information is confidential and is provided to Name of Leader in Camp For the express purpose of helping to ensure a healthy, safe camping experience for my child. This form may be shared with medical personnel should the necessity arise. Signature of Parent/Guardian Date 33

34 The Council Camping Committee approved a Cub Scout camping recognition totem in This Cub Scout Totem is to recognize Cub Scouts and leaders that camp overnight, and to promote Cub Scout camping. Recognition will include: Belt totem and a set (2) beads for approved overnight campouts Beads: Blue clear night / no rain (not used with other color beads); Purple below 32 degrees F. (not used with other color beads); Black rain night (not used with other color beads); Red council Cub or Webelos Resident Camp two nights each time; Yellow Council Cub Adventure Camp one night each time; Orange Council Fun with Son Overnight one night each time; Green Webelos Den Overnight: Packs must follow BSA Guide to Safe Scouting, BSA Cub Scout camping policies, and have a BALOO trained leader plan to attend pack campouts. Overnight campouts from November to March are not encouraged due to cold weather. The overnight must be an official Cub Scout campout, sponsored by the pack, district or a Boy Scout council with a Local Tour Permit filed. Cost: Belt totem $1.50 and beads two for ten cents. Both stings are identical to show off more beads and incase one of the strings breaks. Leaders may backdate (order beads for previous BSA campouts). It is recommended that the pack committee approve this recognition for pack use. BALOO trained pack leaders can conduct pack overnights, Spring, Summer and Fall Council Camps. Volunteer leaders help fulfill a Scout s Camping Dream. 99% of Cub Scouts joined because they want to camp! 34

35 CUB SCOUT OVERNIGHT CAMPING RECOGNITION Cub Scout Outdoor Activity Award Cub Scout Outdoor Activity Award is an award that your pack will probably have to schedule outdoor programs to earn. Attending Day Camp or Resident Camp is required (these are district and council programs), and there are many pack program options to fill the remaining requirements. Information is enclosed and on line at The awards can be ordered through the Coronado Area Council Scout Shop. See you at camp in 2013!! 35

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