Goose Pond Scout Reservation 2015 PRE-CAMP WORKSHEETS Please mail, fax or all forms to camp at least 1 week prior to your arrival.

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1 Goose Pond Scout Reservation 0 PRE-CAMP WORKSHEETS Please mail, fax or all forms to camp at least week prior to your arrival. All forms are available electronically at If your pre-registrations are late, your Scouts may lose priority for merit badge sessions and other program activities for which enrollment may be limited. Goose Pond Scout Reservation Camp Office 0 Goose Pond Road Lake Ariel, PA FAX: goosepond@nepabsa.org You are encouraged to make a copy of all forms for your records. The Camp Clerk or Commissioner may call you prior to your arrival to confirm and update information. ITEMS DUE ONE WEEK PRIOR Unit Analysis Form Program Registrations Individual Scouts Troops are encouraged to utilize the on-line registration program for Merit Badges, Pathways and other Program signups at See p. of the Leader s Guide for details. Troop & Patrol Roster ITEMS DUE AT SUNDAY CHECK-IN Medical Forms & Medication. Complete and current forms are required for all Scouts and leaders. Anyone arriving to camp without a medical form will be sent home after hrs. Be sure to bring all required prescription medication. See p. in the Leader s Guide for specific details. Release of Minors Authorization. Scouts who need leave camp during the week with someone other than a parent or legal guardian must have advance written permission on file. Please duplicate the enclosed gray form as necessary. Scouts will not be released from camp without this prior authorization. Reservations for the Family Night Meals and Orders for Troop Photos. Unit leaders should take orders and collect money in advance. Total orders and fees due should be submitted to the Camp Office using the enclosed form at check-in. Final Copy of Troop Roster. This must include all Scouts and adults who will be attending. Proof of Youth Protection Training is required for ALL adults attending camp. Balance of any camp fees.

2 0 Unit Analysis Form Goose Pond Scout Reservation can better serve you and all units in camp if we have some important facts about your Troop. Please fill in the form below. Troop #: Council: District: Troop s Hometown: Dates Attending: Chartered Organization: Scoutmaster: Day/Home Phone: Cell Phone: Troop Camp Leader: Address: City: State: Zip: Day/Home Phone: Cell Phone: Number of registered Scouts in unit Number of active Scouts in unit Number of Scouts attending Goose Pond Number of total adults over attending Goose Pond Number of total adults - attending Goose Pond Number of female leaders attending Goose Pond Special Needs: Goose Pond is committed to accommodating all of your troops needs. However, advance notice is often required. Please list on the reverse side any special needs of Scouts and leaders in your troop that we should know about, including physical disabilities, medical conditions and dietary requirements.

3 Troop & Patrol Roster for Goose Pond To be turned in with merit badge pre-registrations at least two weeks prior to arrival. Please print clearly. Duplicate as necessary. If using the on-line merit badge registry, this roster may be generated from it! Troop: Week: Site: Adult Leaders (list all leaders attending with troop and check days they will be in camp) 9 0 Name Sun Mon Tues Wed Thurs Fri Sat Scouts Patrol Name: Name Age Year in Camp Patrol Name: Name Age Year in Camp

4 Scouts Patrol Name: Troop & Patrol Roster for Goose Pond Page (if needed) Name Age Year in Camp Patrol Name: Name Age Year in Camp Patrol Name: Name Age Year in Camp

5 Goose Pond Scout Reservation Authorization to Release Minors To Persons Other than the Legal Parent or Guardian Due to Boy Scouts of America regulations, Goose Pond Scout Reservation cannot release campers who are minors (under ) to persons other than legal parents or guardians without specific written authorization in advance. If a Scout needs to leave camp at any time during the week, for non-camp related activities, with a person other than a parent or guardian, this completed form must be already on file at the camp office. Otherwise, Scouts will not be allowed to leave camp. Camp Session Date: Troop Number: Name of Minor: Name of Camp Troop Leader: Legal Parent/Guardian Name: Address: Home Phone: Cell Phone: Business Phone: I hereby authorize Goose Pond Scout Reservation to release the minor listed above to only the following persons for non-emergency transport out of camp. I realize that the release on the BSA medical form authorizes the camp leadership to secure emergency medical treatment including transportation to appropriate facilities if needed. Adults to whom the minor may be released: Parent(s) or Legal Guardian(s) signature Date I have reviewed the names listed above and will only allow the Scout to leave with approved adults. Troop Camp Leader Date I have received this authorization form which will be kept on file in the camp office. The camp will only release minors to adults approved by parents or guardians on this form. Camp Director Date Please duplicate locally and bring completed forms to camp. (/ update)

6 Goose Pond Scout Reservation 0 Individual Program Registration Pathways & Voyager Individual Schedules Outpost & COPE Special Requests PLEASE DUPLICATE ALL SECTIONS AS NECESSARY OR Troops are encouraged to utilize the on-line registration program for Merit Badges, Pathways and other Program signups at See p. of the Leader s Guide for details. Pre-Registration is Required. We will try to accommodate all Scouts preferences, and early information will allow us to customize schedules to the week s need. Individual schedules will be available at check-in This information must be received one week prior to arrival. Limited enrollment sessions will be filled on a first-come, first served basis. Late registrations will lose all priority for sessions. Session Dates: Troop #: Pathways Registration Pathways is the integrated New Scout Program designed for persons who have just joined Scouting. It runs for three sessions daily (from 9am until noon). Participants will eat lunch at the noon hour, some days cooking out with the Pathways staff, other days eating with their troop. Campers enrolled in Pathways may choose one additional merit badge at the pm hour only. Scout s Name Age Date He Joined Scouting

7 Session: Troop: Voyager & COPE Registration All schedules are subject to change based on registrations and equipment availability. Project C.O.P.E. Choose either Week-long or interest in a taste Scout s Name Age Week-long COPE Every afternoon Interested in one day or afternoon taste of COPE lots of opportunities as an individual or a patrol! Voyager Confirmation List below the names of campers participating in the Voyager program to confirm that they are planning to attend camp and participate in their Voyager crew. Scout s Name Age

8 Session: Troop: INDIVIDUAL SCOUT SCHEDULES Please complete a schedule for each Scout attending camp. Consult the Leader Guide and supplemental info for the merit badge and program offerings. All campers must sign up for one of the two lunch servings either at noon or at pm. Please list Lunch in the appropriate column. Campers participating in the Pathways program should choose the noon lunch and list Pathways in the 9, 0 and hour columns. Troops are encouraged to utilize the on-line registration program for Merit Badges, Pathways and other Program signups at See p. of the Leader s Guide for details. Advancement Sessions Name 9 am 0 am am noon pm Sample First Year Scout Pathways Pathways Pathways Lunch Handicraft duo Sample Third Year Scout Camping Climbing Swimming Shotgun Shooting Lunch Please duplicate as necessary, create your own sheet or use the on-line registry.

9 Session: Troop: SPECIAL PROGRAM REQUESTS These activities may be scheduled in the afternoons or evening, subject to staff availability. In order to preserve the intent of the requirements and ensure appropriate instruction, the following Eagle-required merit badges will NOT be offered at camp this year, please do not request them: Personal Management, Personal Fitness, Family Life, Citizenship in the Community, Citizenship in the Nation, Citizenship in the World, and Emergency Preparedness. Fly-Fishing Merit Badge: Instructional Swim / Lessons: Music Merit Badge: Mile Swim: Bugling Merit Badge: Insect Study Merit Badge: Bird Study Merit Badge: Swimming & Water Rescue Training & Paddle Craft Safety Training: (See p. of Leader Guide for details) Hiking Merit Badge: Backpacking Merit Badge:

10 0 OPEN HOUSE - FOOD & FARE MANY CHOICES AND OFFERINGS FOR YOUR TROOP S OPEN HOUSE EXTRAVAGANZA! Wednesday Evening at Goose Pond is Open House Night! All Visitors are Welcome after :00pm! Goose Pond s Open House Night activities include several food selections and treat choices. In response to the ever-changing needs of Troops, we have listened to your requests and feedback related to Family Nights at The Pond Please select one (or more) of the following options for your Troop. This form is due to the camp office no later than pm on Sunday (during check-in preferred). The earlier the better! TROOP # CAMP DATES: CONTACT PERSON: Our Troop will be providing our own Dinner/Food for Wednesday evening. Our Troop will eat dinner (special buffet) in the Dining Hall as usual on Wednesday. Our Troop will eat dinner (special buffet) in the Dining Hall as usual, and we will also have additional guests at $0.00 each (Children under 0 are $.00) # Adult Guests: x $0.00 = $ # Children under 0 x $.00 = $ TOTAL: $ Our Troop would like to do a cook-out in our campsite and we request (uncooked) hot dogs/hamburgers (Modest fees of $ to $ apply for amounts beyond weekly Troop totals.) # Hot Dogs needed # Hamburgers needed We also need: Hot Dog Buns Hamburger Buns Ketchup Mustard We would also like: Pasta Salad Potato Salad ICE CREAM SOCIAL - Our Troop would like to have an ice cream social in our campsite! Only a $.00 fee! What it includes: gallons of vanilla ice cream, chocolate & strawberry syrup, whipped cream, sprinkles, cherries, bowls & spoons. serves about 0+ people. (Or do a slightly modified half social for $.00 serves about 0 people.) You can also do this on any evening during the week! Evening preferred: Pick up time: Other special needs or requests: (pending review and approval of the Camp Director) Please make your selections and plan accordingly (cooking gear, utensils, special items, etc.). Program Areas will also be open that evening for a variety of different activities, demonstrations and tours. Feel free to plan you own Troop campfire program or campsite activities as well. Reservations with any payments should be coordinated and made by a unit leader no later than Sunday check-in. Checks may be made payable to Northeastern PA Council.

11 0 TROOP PHOTOGRAPHS As a service, Goose Pond has made arrangements so that each Troop may have its Official 0 Summer Camp Troop Photo taken at the Main Gate during Sunday check-in...one formal & one silly! Since photos will be taken on the way into camp, your troop should be appropriately dressed in Class A uniforms or troop shirts upon arrival. Bring your flags too. Be Prepared! TWO OPTIONS TO CHOOSE FROM. Formal Photo: The classic standard x 0 color-glossy prints, imprinted with your Troop number and year, are only $.00 each. (Same low price as last year!). Silly Photo: Right after the formal picture is taken, the Troop gets a few seconds to clown-it-up for a silly shot x colorglossy prints, imprinted with your Troop number and year, are only $.00 each. However, silly shots may be ordered only along with formal prints. Bring your goofy hats & props! Orders with payment in full must be made on Sunday to the Camp Office. No orders will be accepted for photos without payment. Photos will be delivered to camp so that troops receive their photographs at the Friday night campfire. Please share this information with your Scouts and their families in advance so they can take advantage of this opportunity to have a remembrance of their great summer experience! Orders and payment from families should be coordinated and collected by a unit leader prior to the time the photo is taken and paid for during the administrative check in at the Camp Office. 0 Troop Photo Order Form Please bring with you to camp. Do not mail ahead of time. Payment in full must be made on Sunday during check in. Checks should be made payable to Northeastern PA Council, BSA. Please note any special requests (different text, large silly s, small formals, etc) Troop #: Date: Troop Photos Ordered: Formal x0 Qty: x $ ea = Due: $ Silly x Qty: x $ ea = Due: $ Total Amount Due: $