Scout Ranch

Shared by: jianghongl
Categories
Tags
-
Stats
views:
40
posted:
2/15/2012
language:
English
pages:
36
Document Sample
scope of work template
							Slippery Falls
     Scout Ranch
 Leader Guide to Summer Camp




          2012
             last frontier council




      G
                reetings Fellow Campers!

                 I am looking forward to spending my summer at
                 Slippery Falls Scout Ranch with you and your
                 Scouts! Summer camp has always been a fun,
      meaningful and rewarding time for me. The staff and I will
      strive to make your experience at camp just as memorable.
      Through staff facilitation, advancement and program, our
      goal is to provide a meaningful experience for Scouts in the
      following key areas: Provide activities that build strong
      personal values and character; engage Scouts in opportunities
      to build caring and nurturing relationships; instill a positive
      sense of self-worth and usefulness; create a desire to learn;
      offer activities that promote a productive and creative use of
      time and offer a safe atmosphere to mold the leaders of the
      future.
      Our continued commitment is to improve the experience at
      Slippery Falls. Many improvements will be readily seen, such
      as new program pavilions and a new dock. Others will be
      intangible but immeasurable in outcome. If you haven’t been
      to Slippery Falls in the past year, you won’t want to miss the
      new climbing tower and the Chickasaw Village as well. The
      staff at Slippery Falls Scout Ranch is dedicated, energetic,
      and trained to provide your unit with a great experience;
      prompting you to return again and again.
      This guide will help prepare you and your unit for a great
      week at summer camp. Please read it carefully and pass it
      along to your other leaders. A separate Program Guide will
      be published in March with further details on merit badges
      and program areas.
                                         Be Prepared,


                                         Randy Burghart
                                         Randy Burghart
                                         Director, Slippery Falls Scout Ranch




[2]
slippery falls scout ranch
                                         Contents
Registration                                 Merit Badges and Programs
 Camp Fees                               4    First-Year Campers                   19
 Program Fees                            4    Merit Badge Sessions                 19
 Summer Camp Session Dates               4    Youth Programs                       21
 Registration                            4    Adult Leader Training                21
 Refunds                                 5    Older Boy Scouts                     22
 Online Registration Tips                5    Camperships                          22
 Pre-Camp Leader Orientation Mtgs        6    Venturers                            22
 Campsite Reservation                    6    Maverick Campers                     22
 Arrival Time & Check In                 7
 Check-Out                               7
Health & Safety
 Youth Protection Policies               8
 Health and Medical Procedures           9
 Buddy System                            9
 Wildlife and Plant Safety              10
 Alcohol, Tobacco and Illegal Drugs     11
 Firearms & Ammunition                  11
 Fireworks                              11
 Fires and Liquid Fuels                 11
 Emergency Procedures                   11
 Accident and Sickness Insurance        12
 Motor Vehicles and Parking             12
Preparing for Camp
                                             Forms & Extras
 Troop and Personal Camping Equipment   12
 What Not to Bring to Camp              14    Honor and Merit Troop Application    23
 Campers with Special Needs             14    Scoutmaster Merit Badge              24
 Vehicles in Camp                       14    Map to Camp                          25
 Campsite Inspection                    14    Campsite Reservation Form            27
 Camp Commissioners                     15    Unit Roster                          28
 Uniform and Attire in Camp             15    Unit Swim Classification Record      29
 Flag Ceremonies                        15    Campership Application Form          30
 Visitors                               15    Annual Health and Medical Record     31
 Correspondence                         16    Routine Drug Administration Record   35
 Mail for Campers                       16
 Wireless and Internet Connectivity     16
 Leader Meetings                        16
 Dining Hall and Meals                  16
Ranch-wide Activities &
Competitions
 Twilight Activities                    17
 Campfires                              17
 Scoutmaster / SPL Shoot-off            18
 Patrol Flag Competition                18
 Scoutmaster Cook-off                   18
 Duty to God                            18
                                                                                        [3]
          last frontier council
Camp Fees                                           Registration
Last Frontier Council Scouts                        The goal of the registration process is to help
      Early Bird:            $200                   campers and staff make accurate plans for
      Late:                  $210                   camp. This guide contains all of the forms and
                                                    information necessary to register for summer
Other council Scouts:                               camp. Most of the process is to be completed
      Early Bird:            $210                   online at www.slipperyfalls.com. All merit
      Late:                  $220                   badge registration is completed online.




                                                    1
Adult Leaders:                                          Camp Application
      Early Bird:            $110                        Troops should submit the summer camp
      Late:                  $120                        reservation form found on page 27 to the
                                                    Last Frontier Council Scout Center. This form
Program fees*                                       includes leader contact information, campsite
                                                    preference and estimated number of campers.
Maverick campers:                $10                Space is reserved with the inclusion of a $100
Horsemanship merit badge: $30                       deposit.




                                                    2
Rifle, shotgun or pistol:        $10                       Advance Payment
*some other merit badges require purchase of kits         The advance payment, totaling $80 per
from the trading post                                     Scout, is due March 1. Only Scouts
                                                    who have paid the advance payment will be
Summer Camp Session Dates                           permitted to register for merit badge sessions.
      Week 1        June 3 - 9


                                                    3
                                                          Merit Badges and Programs
      Week 2        June 10 - 16
                                                          Registration for all programs and merit
      Week 3        June 17 - 23                          badge sessions will be done online.
      Week 4        June 24 - 30                    The Program Guide will be published and the
                                                    website will become active on April 1.
      Week 5        July 1 - 7



                                                    4
      Week 6        July 8 - 14                           Final Payment
                                                           The final balance for all Scout and
                                                           adult leader fees is due May 1, 2012
                                                    to the Last Frontier Council Scout Center.
                                                    The $100 deposit is counted toward this final
                                                    payment. Units making camp fee payment by
                                                    this date qualify for the Early Bird fee rates.




                                                    5
                                                          Check-in
                                                           Please arrive at camp with all the
                                                           required forms and paperwork detailed
                                                    in the Check-In section on page 7. The camp
                                                    staff will update schedules and settle any
                                                    remaining balances at this time.




[4]
slippery falls scout ranch
Any Scouts paying or registering after May
1, 2011 will pay the late fee rate. The only
exceptions will be Scouts who joined a troop
in the current calendar year and were unable
to register for camp on time, and campers
who are attending a second session of camp.
The camp staff will attempt to accommodate
walk-in campers, but this is not recommended.
Many programs and sessions reach maximum
capacity and a walk-in camper’s opportunities
will be extremely limited.
Please contact the Last Frontier Council Scout     summer classes, vacation schedule changes,
Center with any trouble or concerns regarding      child custody issues, or family-imposed
registration. All confirmation of payments         discipline.
and registrations are available on the registra-   5. Refunds or transfers will not be granted
tion web site.                                     for those that register for camp and choose to
                                                   arrive late or depart early.
Refunds
Scouts or adults unable to attend camp due to      6. In the event a unit made payment for
an accident, illness or death in the immediate     multiple participants, any refunds will be sent
family, family relocation or mandated summer       to the unit leader for appropriate distribution.
school may request a refund, less a 20%
                                                   7. The $10 late fee will not be refunded once a
service fee. All refund requests are to follow
                                                   camper registers for camp after May 1.
these procedures:
                                                   Online Registration Tips
1. All refund requests must be submitted in
writing or e-mail to the Last Frontier Council,    You may pay online by credit card, PayPal,
3031 NW 64th St. Oklahoma City, OK 73116           or send in payment to the council office by
no later than two weeks after the conclusion of    mail. You must select and confirm a payment
the event.                                         method at the end of your online registra-
                                                   tion in order for your registration to be saved.
2. To be included in the request: Name and         If you do not select and confirm a payment
date of the event, name of the participant for     method, all your information will be lost.
whom the refund is sought, the amount paid         Please make checks payable to Last Frontier
to date, the receipt number if available, the      Council. Each online payment is subject to
unit number and name and address of the unit       convenience fees of $1 plus 3%.
leader.
                                                   You will receive an electronic receipt after a
3. The $100 Summer Camp campsite deposit           successful registration. To edit an existing
is not refundable in the event of cancellation.    registration, go to the first page of the online
The advance summer camp payment of $80.00          registration. At the bottom of the page, click
is not refundable but may be transferred           on: “To edit an existing registration click
from one Scout to another within a Troop. All      here.” If you need a password, click on: “If you
transfer requests must be made in writing          have forgotten your User ID or Password click
at least one week prior to scheduled camp          here.” You will need to enter the same e-mail
arrival.                                           address you used to register your unit. You
                                                   will then receive an automatic e-mail with a
4. Refunds are issued due to accident, illness,
                                                   user name and password you will use to log
death in the immediate family or family relo-
                                                   on to our website and edit your registration
cation. “No Shows” will not receive a refund.
                                                   information.
Other unacceptable reasons are optional
                                                                                                  [5]
          last frontier council
Pre-Camp Leader Orientation                       Campsites
Meetings                                          Many, but not all, of our campsites have
We will conduct two leader orientation            canvas tents on wooden platforms. The list
meetings. The first will be held on Sunday        below shows only those campsites that do and
April 15 at 2:00 p.m. in Fort Worth, Texas.       how many tents per campsite are provided.
The second will be held on Saturday, April        Any modifications that need to be made to
28 at 2:00 p.m. at the Gaylord Scout Service      tents and tent platforms to conform to special
Center in Oklahoma City. It is very important     needs should be turned in to the program
that units have a representative at one of        office so that proper accommodations can be
these meetings and it is required to attain       made. Each platform has one tent that holds
Honor Troop status. The camp staff values         two people only, so if the campsite doesn’t
the input from unit leaders on the program        have enough tents, troops should arrange to
and will go over any questions leaders have       bring more to fulfill the total need. Cots are
regarding summer camp.                            not provided with the tents and platforms.

Campsite Reservation                              Campsites with tents provided:
Troops that were in a campsite last summer           Arrow C                 14 platforms
were able to reserve a spot by placing a             Arrowhead               12 platforms
deposit during their week at camp. Available
campsites may be reserved on a first-come,           Broken Wagon Wheel 16 platforms
first-served basis. The campsite reservation
                                                     Charlie Brown           12 platforms
is nonrefundable, but may be used toward the
total camp fee. Troops that make a reserva-          Diamond E               13 platforms
tion, but for some reason do not show, forfeit
their $100 deposit. Units coming to camp this        Four E                  25 platforms
summer will have first pick to reserve their         HJ Connected            25 platforms
campsite for the next summer. Campsite
reservations are based on a minimum of               Nichols Don             12 platforms
eighteen (18) campers for a full unit campsite.      Rafter B                12 platforms
If there is fewer than the minimum number
of campers required in the unit, the unit may        Spade                   11 platforms
be reassigned to an alternate location or may        WF Connected            12 platforms
be required to share a campsite with another
unit.




[6]
slippery falls scout ranch
Arrival time                                       Items to bring to camp tour &
Units should plan to arrive at camp beginning      health check:
at 1:00 p.m. and no later than 3:00 p.m. on         Annual Health & Medical Records, A, B & C
Sunday. Units arriving on Monday should
arrive no later than 7:00 a.m. and are required     Routine Drug Administration Record
to contact the camp office at least a week prior
                                                    Medications
to the arrival date to make arrangements.
This will ensure that all the logistics sur-        Swim trunks & towels (if needing a swim
rounding check-in are taken care of. If a troop    check) or completed swim check form
requires a Saturday arrival, please make
arrangements through the Ranch Director.           Items to bring to admin check-in:
Slippery Falls will be closed between 10:00         Unit roster of campers
a.m. Saturday and 1:00 p.m. Sunday. Units
arriving on Saturday will be responsible for        Tour plan
their own provisions until Sunday dinner.
                                                    Merit Badge session registration
Check-In                                           confirmation

Upon arrival at camp, one staff member              OA call-out letter and unit election report.
will serve as a Troop Guide to assist with
the check-in process. The check-in process
will not begin until all Scouts in a unit have
arrived at camp. After vehicles are parked,
the staff Troop Guide will escort the Scouts
and leaders on a camp tour and health check.
The Annual Health and Medical Record forms,
medications, Routine Drug Administration
forms and Swim Check form need to be with
this group at the health check. Swim checks,
if needed, will occur after the tour and health
checks. Any Scouts needing a swim check will
need to bring swim trunks and a towel with
them on the camp tour.
The unit leader will go to administrative
check-in at the program office instead of the      Check-out
camp tour. The unit leader will submit a
roster of Scouts and leaders and BSA Tour          The check-out procedure will begin on
Plan. The program office staff will review the     Saturday and should be completed before
merit badge and program schedule with the          10:00 a.m. Any unit with special check-out
unit leader and address any scheduling needs.      considerations should make plans through
Any outstanding balances will be settled at        the Camp Commissioner. Vehicles will be
this time.                                         allowed into camp to load personal and unit
                                                   equipment. The Commissioner and unit leader
If an out-of-council unit wishes to have can-      will conduct an inventory to make sure that
didates called out for the OA, the unit leader     no equipment has been damaged or misplaced
must present a letter from the home Lodge          and inspect the site to ensure that it is clean.
Chief and Lodge Adviser requesting the             Health forms, medications and routine drug
call-out, list the members to be called out and    administration records may then be retrieved
attach a signed copy of the home lodge’s unit      from the Health Lodge. Patches will be issued
election report.                                   in the Program Office.
                                                                                                 [7]
          last frontier council
                               Health and Safety
Youth Protection Policies for                     Appropriate attire.
Summer Camp                                       Proper clothing for camp activities is required
                                                  at all times.
Youth Protection Training.
All adult leaders are required to have a          Constructive discipline.
current BSA Youth Protection Training certifi-    Discipline used in Scouting should be con-
cate. This training must be taken every two       structive and reflect Scouting’s values.
years.                                            Corporal punishment is never permitted.
Two-deep leadership.                              Hazing prohibited.
There must be a minimum of two adult              Physical hazing and initiations are prohib-
leaders with each unit and/or campsite. The       ited and may not be included as part of any
unit leader or anyone serving as a unit leader    Scouting activity.
must be at least 21 years of age and a regis-     Youth leader training and
tered member of the Boy Scouts of America.
                                                  supervision.
The second adult may be a registered Scouter
18 years of age or older, or a parent of a par-   Adult leaders must monitor and guide the
ticipating youth member.                          leadership techniques used by youth leaders
                                                  and ensure that BSA policies are followed.
No one-on-one contact.
                                                  Appropriate sleeping quarters.
One-on-one contact between adults and youth
members is not permitted. In situations that      Male and female leaders must have separate
require personal conferences, such as a Scout-    sleeping facilities. Married couples may share
master’s conference, the meeting is to be         the same quarters if appropriate facilities are
conducted in view of other adults and youths.     available. Male and female youth partici-
                                                  pants will not share the same sleeping facility.
Respect of privacy.                               When staying in tents, no youth will stay
Adult leaders must respect the privacy of         in the tent of an adult other than his or her
youth members in situations such as changing      parent or guardian.
clothes and taking showers at camp, and
                                                  Behavior Guidelines
intrude only to the extent that health and
safety require. Adults must protect their own     All members of the Boy Scouts of America are
privacy in similar situations. Many individ-      expected to conduct themselves in accordance
ual shower and restroom stalls are in use at      with the principles set forth in the Scout Oath
Slippery Falls Scout Ranch.                       and Law. Physical violence, hazing, bullying,
                                                  theft, vandalism, verbal insults, and drugs
Proper preparation for camp.                      and alcohol have no place in the Scouting
Activities with elements of risk should never     program and may result in the revocation
be undertaken without proper preparation,         of a Scout’s membership in the unit. Unit
equipment, clothing, supervision, and safety      leaders are responsible for monitoring the
measures.                                         behavior of youth members and interceding
No secret organizations.                          when necessary. The leadership of Slippery
                                                  Falls Scout Ranch will determine if misbe-
The Boy Scouts of America does not recognize      havior warrants expelling a camper from
any secret organizations as part of its           the property, and it is the unit and parent’s
program. All aspects of the Scouting program      responsibility to transport the camper home.
are open to observation by parents and
leaders.

[8]
slippery falls scout ranch
Health and Medical Procedures                      Health Lodge
A current Annual Health and Medical Record,        Slippery Falls Scout Ranch employs a Camp
No. 34605, with Parts A, B, and C completed        Health Officer under the direction of the
within the past 12 calendar months is              council physician. The Camp Health Officer
required for all staff, leaders, and campers       resides in the health lodge and is available
in attendance. Health history and physical         around the clock. The camp maintains an
examination is required for this form. Medical     extensive first aid kit, exam room, and several
forms are shared only on a need-to-know basis      beds.
and will be on file in the health lodge. Forms
may be picked up from the health lodge upon        Slippery Falls Scout Ranch maintains working
departure from camp. Uncollected forms will        agreements with hospitals in Tishomingo
be destroyed.                                      and Ardmore as well as a 10-minute response
                                                   time with the local emergency medical
On arrival in camp, everyone is given a            services. If a camper requires emergency
private medical screening by a physician,          medical services, or needs to see a physician,
health officer, or other adult approved by the     a Scout’s parent or guardian will be notified
camp physician. The Ranch Director and unit        by telephone. Non-emergency transportation
leaders are informed of campers with limita-       must be arranged by the parents or the unit.
tions so that the appropriate staff members
are alerted.                                       Unit Leader First Aid
                                                   Unit leaders are encouraged to provide first
Any camper, youth or adult, who does not
                                                   aid for minor cuts, blisters, and scrapes using
submit a current and completed Annual
                                                   a unit first aid kit. Please contact the health
Health and Medical Record, No. 34605, with
                                                   lodge for anything beyond adult leader skill
Parts A, B, and C will be required to leave
                                                   and training. Camp welcomes the assistance
within 24 hours. There is no fee refund.
                                                   of qualified medical personnel with visiting
Visitors on camp less than 24 hours (such as
                                                   units!
those attending Friday evening campfire) are
not required to submit medical forms.
                                                   Prevention of Dehydration and
Medications                                        Heat Exhaustion
All prescription drugs                             Please prepare Scouts to counter common
(including those needing                           health issues, especially dehydration and
refrigeration) are to be                           heat exhaustion. Symptoms of dehydration
kept in locked storage. An                         and heat exhaustion are more varied than
exception may be made for a                        just being thirsty or hot and may include
limited amount of medication                       nausea, loss of appetite, headache, dizziness,
to be carried by a camper,                         and muscle cramps. Please review pages 147
leader, parent, or staff member for life-threat-   and 150 of the new Boy Scout Handbook for
ening conditions, including bee-sting or heart     symptoms and first aid of dehydration and
medication, and inhalers, or for a limited         heat exhaustion. Every camper should carry
amount of medication approved for use in a         a water bottle with them and drink plenty of
first-aid kit. The camp will provide a locked      water while at camp.
metal box for storing small amounts of medi-
cations in a unit campsite under supervision       Buddy System
of a qualified adult leader. All drug dispensa-    The buddy system of having two or more
tion must be documented using the Routine          campers together is used in all appropriate
Drug Administration Record, one sheet for          activities, such as aquatics, backpacking,
each camper.                                       climbing/rappelling, COPE, and off-camp
                                                   activities.
                                                                                                 [9]
          last frontier council
Wildlife & Plant Safety                           Snakes
Most animals and plants at Slippery Falls are     Several species of venomous snakes can be
harmless, but there are some that demand          found at Slippery Falls. Copperheads are the
precaution:                                       most common. Water moccasins, also called
                                                  cottonmouths, are occasionally found near the
Poison Ivy                                        water. Rattlesnakes are occasionally seen.
Be wary of vines and shrubs with three            Please inform the camp staff if one of these
leaves. Virginia creeper and blackberries are     snakes is seen near a campsite or program
harmless look-alikes. Do not touch or handle      area. Use a flashlight at night and always
poison ivy! About 70% of people are allergic      watch where you step. Anyone with a bite
to urushiol, the oil found in the sap. Wash off   should immediately call for the health officer!
the urushiol with soap and water immediately
– it binds to the skin between five minutes
and four hours and then can no longer be
removed with soap and water. Be sure to
remove and wash items that may have come
into contact with the oil. Calamine lotion or
hydrocortisone may alleviate the itch. Refrain
from using creams containing anesthetics or
antihistamines, as they can actually worsen
the rash. Don’t scratch!

Ticks
Deer ticks and Lone Star ticks are common in
                                                  Scorpions, Centipedes and Spiders
the woods and brushy areas. They are easily
brushed off or killed before they bite. Ticks     These nocturnal creatures sometimes crawl
can vary in size from 1/8 inch to as small as     into shoes or clothing left on the ground.
the period at the end of this sentence. Tick      Shake out clothing and shoes to check for
bites are painless and often                      these unwanted visitors. Be able to identify
undetected. Check for ticks                       and avoid brown recluse and black widow
twice a day, especially in                        spiders – their bites can be very serious.
areas where clothing is tight                     Anyone with a sting or bite should imme-
against the skin. Please visit                    diately visit the health lodge or call for the
the health lodge for proper                       Health Officer.
removal of embedded ticks.
                                                  Bees, Hornets and Wasps
Fire Ants                                         Do not disturb these insects. Remember to
Do not disturb ant nests! Inspect your sitting    remove a bee stinger by scraping it out with
or sleeping area for signs of ants. Inform a      the side of a knife blade; do not pinch the
camp commissioner of any signs of fire ants.      venom sac. Anyone with a sting or bite should
                                                  immediately visit the health lodge or call for
                                                  the health officer.

                                                  Raccoons, Skunks and Opossums
                                                  These nocturnal mammals are attracted to
                                                  food scent. Avoid having food in your tent! Do
                                                  not attempt to capture one of these animals,
                                                  as they will bite. A skunk can spray from up
                                                  to 15 feet away.
[10]
slippery falls scout ranch
Alcohol, Tobacco, and Illegal                      charcoal, and ceremonial campfires. Solid-
Drugs                                              type starters are just as effective, are easier to
                                                   store and carry, and are much safer to use for
Alcoholic beverages and controlled substances      this purpose.
are absolutely prohibited. Possession or
use of illegal drugs will be reported to local     Never leave a campfire, stove or lantern
law enforcement officers, as will the act of       burning and unattended. The camp adheres
providing alcoholic beverages to youth.            to all official burn bans.

Adult leaders should support the attitude that     Emergency Procedures
young adults are better off without tobacco
                                                   Slippery Falls Scout Ranch has written plans
and may not allow the use of tobacco products
                                                   for emergency response. Further details will
at any BSA activity involving youth partici-
                                                   be shared at check-in and the first leader
pants. Camp is conducted on a smoke-free
                                                   meeting at camp. Adult leaders should always
basis, with a designated smoking area located
                                                   carry a unit roster and vehicle keys while in
away from all participants. Absolutely no
                                                   camp. In an emergency or evacuation, having
smoking is permitted in campsites, program
                                                   a roster and car keys will greatly expedite the
areas, along roads and trails, or in the forest.
                                                   process.
Firearms, Ammunition, and                          Medical Emergency
Archery Equipment                                  In the event of a medical emergency, the
Slippery Falls Scout Ranch will provide all        Camp Health Officer should be contacted
shooting sports equipment. Please leave all        immediately. If a medical emergency is
personal guns, ammunition, bows and arrows         beyond the skill and training of the Health
at home.                                           Officer, the camp staff will contact emergency
                                                   medical services. Unit leaders should not dial
Fireworks                                          911!
Fireworks and pyrotechnic devices are prohib-
ited from possession or use by campers.            Severe Weather
                                                   In case of severe weather, campers should
Fires and Liquid Fuels                             seek shelter in buildings or tents. Oklahoma
Units in camp will follow the guidelines on the    has the best mesoscale weather monitoring
Unit Fireguard Chart, No. 33691, and display       system in the world, and the staff constantly
the fireguard chart in the campsite.               monitors for watches and warnings. At least
                                                   one adult leader in each unit should have
Knowledgeable adult supervision must be            completed BSA Weather Hazards Training
provided when Scouts are involved in the           and be familiar with precautions for lightning
storing, handling, and filling of stoves or        and tornadoes. Slippery Falls Scout Ranch
lanterns or the lighting of chemical fuels.        has a number of in-ground tornado shelters
                                                   throughout the camp. In a tornado warning,
Battery-operated lanterns and flashlights
                                                   campers should seek cover in these shelters or
should be used by Scouts in camping activi-
                                                   among nearby boulders and ravines through-
ties, particularly in and around canvas tents.
                                                   out the camp.
No flames in tents. This includes burning any
solid, liquid, gel, or gas fuel; including tents   Fire
or teepees that feature or support stoves or
                                                   Uncontrolled fires should be reported to camp
fires; and any chemical-fueled equipment or
                                                   staff immediately. Do not attempt to put out
catalytic heaters.
                                                   the fire and do not call 911. The camp fire
The use of liquid fuels for starting any type of   alarm system will sound. Leaders will be
fire is prohibited. This includes damp wood,       briefed on fire response upon arrival at camp.
                                                                                              [11]
          last frontier council
Accident & Sickness Insurance                            Preparing for Camp
The Last Frontier Council has purchased
accident and sickness insurance for Scouts
and adult leaders of Last Frontier Council         Troop and Personal Camping
units. Units attending camp from other             Equipment
councils should verify their insurance policy
                                                   Units should prepare detailed checklists to
with their local council. This insurance is in
                                                   ensure all necessary equipment is brought to
excess of any health or accident insurance
                                                   camp. A shakedown may also be needed to
that a family may already have in place. This
                                                   ensure that unnecessary items stay at home.
coverage is primary only if no other insurance
is available. This insurance covers all autho-     Scout Basic Essentials
rized camp program activities while at camp.
This insurance does not cover the co-pay-          The Boy Scout Handbook lists ten outdoor
ments for a family’s primary insurance. For        essentials that campers should plan to take on
questions, contact the office coordinator at the   every outing. These essentials can be carried
Last Frontier Council.                             in a day pack and are appropriate for summer
                                                   camp.
                                                    Pocketknife
                                                    First-aid kit
                                                    Extra clothing
                                                    Rain gear
                                                    Water bottle
Motor Vehicles, Transportation                      Flashlight
                                                    Trail food
& Parking                                           Matches and fire starters
Each unit is responsible for the safe transpor-     Sun protection
tation of Scouts and adult leaders to and from      Map and Compass
camp and for obtaining a local or national tour
permit. Under no circumstances are pas-
sengers to be carried in the bed of or towed
behind a pickup truck. This includes pickups
with camper tops. Trailers must never be
used for carrying passengers.
Parking is provided in two designated parking
lots for adult leaders and visitors. Troops may
use a vehicle to pull trailers to the campsite.
After the gear and trailer are at the campsite,
the vehicle must return to the designated
parking lot. Units may leave the trailer in the
campsite to store gear. Vehicles should not be
moved into camp during the week, and roads
through campsites and program areas are
restricted to authorized camp vehicles only.
Scouts or adult leaders with special mobility
needs should contact the camp staff prior
to arrival at camp for arrangements. Once
at camp, the Camp Commissioner staff will
assist with mobility needs of campers.
[12]
slippery falls scout ranch
Personal Summer Camp Gear                       Group Summer Camp Gear
Personal gear should be labeled with the        Most troops bring a trailer to camp to store
camper’s name.                                  common equipment. Below is a list of general
                                                equipment often needed at a long-term camp.
 The Scout Basic Essentials                    Some troops may wish to bring other items
 Clothing                                      to enrich their experience or to cook special
       Scout uniform shirt                     desserts or snacks.
       Scout uniform shorts/pants
       Scout uniform belt                       Tents (if not using camp tents)
       Scout uniform socks                      Dining fly or canopy (1 per patrol)
       Scout uniform hat                        Nylon cord
       Scout uniform neckerchief & slide        Group first-aid kit
       Scout T-shirts
                                                 Repair kit & tools
       Shorts
                                                 Tarps
       Underwear
       Extra Shoes                              Rope
       Socks                                    Patrol flags
       Swim trunks                              U.S. and state flags
 Sleeping gear                                  Lanterns
       Cot or sleeping pad                      Solid fire starter
       Sleeping bag or bed roll                 Matches
       Small pillow                             Water jugs
 Eating kit (only need on Wednesday dinner)
                                                 Ice chests
       Spoon
                                                 Hand carts
       Plate / Bowl
       Cup                                      Camp chairs
 Cleanup Kit                                    Woods tools
       Soap                                     Dutch oven
       Toothbrush & toothpaste                  Charcoal
       Dental floss                             Trash bags
       Comb                                     Registration paperwork (see list on page 7)
       Towel                                    Maps
 Personal items
                                                 Merit badge book library
       Scout Handbook
       Merit badge books                        Advancement forms & record book
       Notebook                                 Bulletin board material & stapler or tacks
       Pencil or pen
       Totin’ Chip & Firem’n Chit
       Watch
       Alarm clock
       Medications & eyewear
       Camera
       Money
       Small musical instrument
 Other gear for specific activities
      Some merit badges and activities
      require specific clothing or equipment.
      Some examples are: Swimming, Life-
      saving, and Horsemanship. Check your
      merit badge books.
                                                                                          [13]
           last frontier council
What Not to Bring to Camp                           Please contact the Ranch Director by May to
                                                    make arrangements. In the event that not
Do not bring alcohol, firearms, tobacco,
                                                    enough carts are available, the camp staff
fireworks, illegal drugs, video games, fixed-
                                                    may issue a special vehicle permit to a unit for
blade knives, excessive grooming products,
                                                    the sole purpose of transporting a Scout with
highly odorous products, or excessive amounts
                                                    mobility needs. There are several wheelchair
of candy. Clothing with inappropriate
                                                    accessible showers and restrooms at camp.
language or graphics will not be permitted.
                                                    Campers may bring their own wheelchairs or
No pets of any kind, with the exception of
                                                    motorized chairs, but ATVs are not permitted.
special needs animals, are permitted in camp.
Campers are not permitted to use ATVs or            CPAP Machines
utility carts.
                                                    It is recommended that CPAP users acquire
Electronic devices such as radios, tape/cd/mp3      a battery for their machine to use at camp.
players, electronic games, and cell phones are      There is no power available in most campsites.
not permitted in camp program areas. Unit           Camp Commissioners will be available to
leaders are responsible for setting campsite        charge batteries daily.
and travel policies regarding electronic
devices.                                            Vehicles in camp
                                                    All vehicles should park in the main parking
Any items which are in violation of BSA policy
                                                    lot just past the Ranch House upon arrival.
may be confiscated by the camp staff and
                                                    One vehicle pass per unit will be issued at
returned upon departure. The camp staff will
                                                    check-in. This will allow one vehicle at a time
work with the unit leader in all such cases.
                                                    to enter the camping area to unload or load up
Campers with Disabilities and                       gear. All vehicles must return to the desig-
                                                    nated parking lot. No vehicles are permitted
Special Needs                                       in campsites.
If a Scout or adult needs some extra help
to enjoy the camp experience, please let us
know! Unit leaders should contact the Ranch
Director prior to camp regarding campers with
special needs that require assistance from
the camp staff. Most arrangements should
be made in writing so the preparation can be
accurate and complete. Slippery Falls Scout
Ranch is not able to accommodate all possible
special needs, but the staff will work diligently
to make arrangements where possible.

Dietary
The camp cook can order some special food for
vegetarians and campers with food allergies.
Please provide a specific list of food requests
two weeks prior to arrival. Campers may             Campsite Inspection
have to bring some dietary supplements and          Campsite cleanliness is the responsibility of
food with them.                                     the unit and unit leadership. Camp Commis-
                                                    sioners will perform daily inspections of each
Mobility                                            campsite for cleanliness, originality, impres-
Camp Commissioners will be able to provide          siveness and organization. Campsite awards
cart transportation to Scouts with special          will be given out at the Friday night closing
mobility needs between merit badge sessions.        campfire.
[14]
slippery falls scout ranch
Camp Commissioners
Slippery Falls Scout Ranch enlists the service
of a dedicated group of volunteers who provide
general support to units at camp. Camp
Commissioners make sure that every unit
has a great camp experience and receives
any needed assistance. Commissioners will
visit campsites every morning with coffee, a
newspaper, and a friendly chat. Commission-
ers will let other staff members know if a unit
needs special equipment, campsite mainte-
nance, or program help. The Commissioners
also assist with the check-out process.

Uniform and Attire in Camp
The official Boy Scouts of America field          Visitors
uniform is always appropriate dress at            Visitor night at camp is Friday evening. At
Slippery Falls Scout Ranch. Every camper is       this time, parents will have the opportunity
expected to wear the “Class A” field uniform      to eat with their children in the dining hall
at evening meals, while performing a flag         and to attend the closing campfire. Visitors
ceremony, attending chapel and during             should not plan to arrive before 5:00 p.m.
campfires. The “Class B” uniform, substitut-      as Scouts will be involved in camp program.
ing a Scout T-shirt for the uniform shirt, is     The campfire will conclude around 9:30 p.m.
encouraged at other times.                        Visitors should plan to leave shortly there-
                                                  after so Scouts and leaders can get a good
Campers should wear sturdy walking or
                                                  night’s sleep. A head count of the number of
hiking shoes with socks. Lighter shoes may
                                                  visitors who will be at Friday’s dinner will
be worn in the campsite. Sandals or shoes
                                                  be needed by noon on Wednesday. The cost
without toes are unsafe and not permitted.
                                                  of visitor supper on Friday is $6.00. Visitors
Inappropriate clothing includes sleeveless        may purchase meal tickets from the Program
undershirts, clothing with foul or suggestive     Office. Visitors at any time other than Friday
language or graphics, and clothes with holes.     should make prior arrangements with the
                                                  camp staff. There are no facilities at Slippery
Demonstrate your unit’s Scouting Spirit by        Falls to allow visitors to stay overnight.
being the best-uniformed unit in camp!
                                                  All camp visitors should park in the main
Flag Ceremonies                                   parking lot. Visitors must follow the same
The camp will assemble twice daily for            guidelines as campers with parking, wearing
opening and closing flag ceremonies. Scouts       appropriate clothing, and not bringing pets.
will raise and lower the flag every day after     Visitors should wear sturdy shoes to walk
Sunday. At check-in, you can pick a time          around camp.
for your troop to sign up as the honor guard.
Scouts and leaders are expected to attend
the evening flag ceremony in complete “Class
A” field uniform. Scouts should wear “Class
A” field uniform when performing any flag
ceremony as the honor guard.



                                                                                             [15]
          last frontier council
Correspondence                                     Wireless and Internet
All mail and registration prior to June 1          Connectivity
should be directed to the Last Frontier            There is excellent wireless voice phone
Council office in Oklahoma City. The camp          coverage at Slippery Falls for Verizon,
office at Slippery Falls will be open on June 1.   T-Mobile and AT&T customers. Other
 Last Frontier Council, Boy Scouts of America      services are generally on roaming. Data
                                                   service is poor for all providers.
 3031 NW 64th Street
 Oklahoma City, OK 73116                           Internet service at Slippery Falls is satellite-
                                                   based with limited monthly bandwidth. There
 (405) 840-1114                                    is no capability to upload or download photos
 (888) 841-1114 toll-free                          or videos. We will continue to allow a small
                                                   number of leaders to use the Internet at the
 Slippery Falls Scout Ranch                        program office as bandwidth and time allows.
                                                   Please refrain from sending non-urgent
 (only during camp)
                                                   e-mails addressed to campers using the camp
 (580) 371-2068                                    e-mail address.
 4500 S. Bullet Prairie Road
                                                   Leader Meetings
 Tishomingo, OK 73460
                                                   A meeting for all the adult leaders and Senior
                                                   Patrol Leaders will be held after vespers on
 slipperyfalls.scoutranch@scouting.org
                                                   Sunday night. Each day, an adult leader
 www.slipperyfalls.com                             meeting will be held after breakfast. Unit
                                                   leaders will be able to ask questions, get any
Mail for Campers                                   updates on special events going on in camp,
All outgoing mail may be placed in the             and the daily newsletter will be distributed.
mailbox inside the Trading Post. Mail will
                                                   Each afternoon an SPL meeting will be held.
be taken to the Post Office in town on a daily
                                                   This will be similar to the morning leader
basis. Incoming mail will be available only to
                                                   meeting, but will cover things pertinent to the
unit leaders after 1:30 p.m. Each campsite will
                                                   SPLs. Bring a notebook!
have an assigned mailbox inside the Trading
Post. All mail sent to campers at Slippery
                                                   Dining Hall & Meals
Falls should be addressed:
                                                   Before each meal, the camp assembles at
 Slippery Falls Scout Ranch                        the campsite markers on the parade ground.
 Scout’s Name, Troop #, Campsite                   The camp staff facilitates the flag ceremony,
                                                   grace, provides program notes, and dismisses
 4500 S. Bullet Prairie Rd.
                                                   Scouts to go eat. After the meal, we ask that
 Tishomingo, OK 73460                              everyone remain in the Dining Hall until they
                                                   are dismissed by the staff.
Parents are encouraged to write their Scouts
while they are at camp. Please remember that       The table waiter system, relying on a few
the mail takes more time in a rural area than      Scouts from each unit, is used in the Dining
in a large city or suburb. Letters mailed after    Hall for setting up and cleaning up after
Wednesday probably will not arrive in time.        meals. The Dining Hall
Any mail received after the troop has checked      Steward will explain this
out will be returned to the sender.                during the camp tour.




[16]
slippery falls scout ranch
         Ranch-wide Activities and Competitions
Twilight Activities                             Cowboy Campfire
Many opportunities are available for unit       The Cowboy Campfire is a gathering outside
activities in the evening hours between         of the Ranch House, complete with stories,
vespers and taps. Some activities have been     poetry and songs. Bring your own instru-
scheduled by camp staff and are open to all     ment or cowboy poem! We’ll provide the
Scouts and leaders. Other activities may be     cobbler.
done on a troop basis and can be scheduled
by the unit leader through the appropriate      Friday Campfire
area director. Units may want to see the        At the Friday night campfire, Scouts will
less tame areas of camp. If this is the case,   provide the skits, stunts and songs. There
you may want to hike one of the Nature          will be sign-ups during the week with an
Trails.                                         audition on Friday morning for campfire
                                                selection and placement. Not every skit
                                                can be chosen for campfire, so practice
                                                hard and polish up your acting and musical
                                                skills!
                                                Inter-troop Campfires
                                                Each Wednesday night, the troops in camp
                                                are paired up together for an evening of fun
                                                and fellowship. We try to pair up troops of
                                                similar size as well as troops from different
                                                councils. Starting at about 5:00 p.m., the
                                                troops are on their own program time to
                                                schedule activities of their own choosing
                                                such as chapel services, nature hikes,
                                                fishing trips, or a game of horseshoes. It
The Aquatics Area will sponsor free nights
                                                is recommended that at the very least the
of boating, blobbing and swimming. These
                                                troops should do a campfire together to
free nights are available on Monday,
                                                ensure that the Scouts in Communica-
Tuesday and Thursday. Scouts that do not
                                                tions merit badge are able to fulfill their
enroll in regular aquatics sessions will have
                                                campfire planning requirement. Dinner will
the opportunity during these times to par-
                                                be delivered to the campsites at about 5:30
ticipate in waterfront activities. Troops may
                                                p.m.
also sign up for a refreshing swim at the
waterfalls under their own leadership.
Scouts may participate in other twilight
activities such as mountain biking, open
shoot, climbing & rappelling, and contests
such as the swamped canoe race, troop vol-
leyball tournaments, the Scoutmaster belly
flop contest, and inter-troop campfires.
Sign-ups for mountain biking are done
at camp the day of the trail ride. The
camp will provide bikes for the Scouts and
leaders participating in cycling.

                                                                                        [17]
          last frontier council
Scoutmaster / Senior Patrol
Leader Shoot-off
Each week our Scoutmasters and SPLs team
up for our team shoot extravaganza. Each
Scoutmaster/SPL team will compete together
in archery, shotgun, and .22 rifle. The total
combined score of each will determine the
winning team and the team that does the best
in each competition will be crowned as the
camp sharpshooters.

Patrol Flag Competition
On Friday each patrol around camp will be
able to enter their patrol flag in a competi-
tion to see which patrol is the most creative,
most original, and most artistic. Patrols are
encouraged to make their flag ahead of time
and bring it with them to camp.

Scoutmaster Cook-off
Each week the most popular competition
at Slippery Falls is the Scoutmaster Cook-
                                                      Slippery Falls Grace
off. The prize on the line is not only a
year’s bragging rights and immortalization                For Food and Fun,
in the Slippery Falls Camp Cookbook, but
                                                  For Good Friends and Good Health,
also the coveted red apron.
This challenge is for the best                            For Sun and Rain,
dessert in camp and is open
to all adult leaders. So bring                          For Our Council Fires
your cooking utensils, your                            and the Trails to Follow,
secret ingredients, and your
best recipe!                                           We Thank Thee O Lord.

Duty to God                                                     Amen.
Vespers is a short fellowship service held each
evening (except Wednesday) after dinner.
Vespers is held at the chapel and everyone is
encouraged to attend. Members of the staff
will conduct the first vespers, with the assis-
tance of the camp chaplain. Scouts and units
may volunteer at check-in to lead one of the
services during the week.
Scouts may also volunteer to lead grace prior
to meals. Scouts do this through their Senior
Patrol Leader.




[18]
slippery falls scout ranch
                     Merit Badges and Programs
First-Year Campers                             Scouts will be able to complete many merit
                                               badges at camp. Some merit badges have
        In the First-Year Camper program,
                                               requirements that should be completed
        Scouts will cover many require-
                                               prior to camp, and some requirements
        ments from Tenderfoot through
                                               may only be completed outside of camp.
        First Class ranks. They will be
                                               Scouts must demonstrate completion of
        learning the basic Scout skills
                                               each requirement before it is approved by
        or refining skills that they
                                               a counselor. Requirement details will be
        already know. Scouts will be
                                               listed in the Program Guide.
        covering requirements for knots,
        lashings, woods tool use and care,     Merit badges and programs are run through
        swimming, lifesaving, orienteering,    various Program Areas at Slippery Falls
        plant and animal identification,       Scout Ranch. This is to ensure qualified
        fire building and first aid. Each      instruction by knowledgeable counselors
        Scout will need a swimsuit, towel,     and a great experience by Scouts in each
        personal first aid kit and their Boy   area.
        Scout handbook.
                                               Aquatics
Scouts in this program will become a
                                               This area is located on Lake Payne in the
member of a provisional patrol for the week
                                               central part of the ranch. All aquatics merit
and will have the full attention of experi-
                                               badge sessions are held at the waterfront.
enced staff mentors. This program is a
                                               Scouts will enjoy a swimming dock, canoes,
great introduction to summer camp and
                                               sailboats, row boats, motor boats, kayaks,
is highly recommended for all first-year
                                               snorkeling, and jumping off of a tower onto
campers. This program will take either
                                               the blob. The blob is a kind of giant, inflat-
an entire morning or an entire afternoon.
                                               able trampoline that launches Scouts into
Scouts may enroll in one, two, or possibly
                                               the lake.
three other merit badge sessions.

         Merit Badge Sessions
           Experiencing camp through merit
           badges is the core of the summer
           camp program for Boy Scouts.
           Merit badge sessions are offered
           by the program staff through-
           out each day, mostly during six
           scheduled session times. A few
           merit badges have some sessions
           in the early morning, such as
           fishing, and in the evening, such
           as astronomy. Scouts may take
field trips while working on Animal Science,   Ecology & Conservation
Communications, Citizenship in the Nation,     Summer camp is an outdoor setting, and there
Fire Safety and Indian Lore. Some merit        is no better place to study birds, mammals,
badges and programs require Scouts to          insects, reptiles and amphibians. Scouts
attend two or three sessions each day. The     can also enjoy fishing on the lake and on
merit badge schedule will be listed in the     Pennington Creek. We also offer Nature and
Program Guide published by April 1.            Environmental Science merit badges.
                                                                                         [19]
          last frontier council
                                                           Project COPE, Climbing &
                                                           Rappelling
                                                            Slippery Falls Scout Ranch has an
                                                            indoor climbing wall, numerous
                                                            natural rock sites, and a new
                                                            51-foot tall climbing tower. Scouts
                                                            can attend the climbing merit
                                                            badge sessions or climb during
                                                            the twilight activities. Project
                                                            C.O.P.E. stands for Challenging
                                                            Outdoor Personal Experience.
Western Heritage                                            Scouts or Venturers will experi-
                                                ence problem-solving, teamwork, and lead-
The Oklahoma Centennial Commission              ership on low ropes courses and the tower.
funded construction of a Ranch House and        Scouts must be 13 years of age by January 1,
Bunk House that serves as the headquarters      2012 to participate in these programs.
for this area along with the barn. Horseman-
ship, animal science, metalworking and leath-   Chickasaw Village
erworking are some of the activities Scouts     Programs take place in and around the
will enjoy under the shade of the oak trees.    Council House and the three Summer Houses.
The wranglers host the Cowboy Campfire each     Counselors put a Chickasaw twist on the
week and teach Dutch oven cooking. Bring        handicraft merit badges such as basketry,
your cowboy hat, your boots and jeans, and      pottery, and textiles. Scouts can also learn
enjoy our great western tradition!              about art and Indian Lore and will also visit
Outdoor Skills                                  the Chickasaw Museum in Tishomingo.

Living outside is the specialty of the coun-
selors in this area. Campers will learn and
experience map & compass, first aid, camping,
pioneering, and woods tools in a variety of
merit badge sessions. For Scouts who
want something more extreme, wilderness
survival offers an outpost to test their wits
in the rugged wilds of camp.

Shooting Sports
Boy Scouts may choose to shoot 20-gauge
shotguns, .22 rifles, large-bore muzzle-load-
ing rifles, and bows and arrows. Venturers
may shoot pistols. The range safety officers
and instructors
will provide all
the equipment
and instruction
campers need to
earn the various
shooting sports
merit badges.


[20]
slippery falls scout ranch

                                      Merit Badges

Animal Science                  First Aid*                     Reptile & Amphibian Study
Archaeology                     Fish & Wildlife Management     Rifle (.22 caliber)
Archery                         Fishing                        Rifle (muzzle-loading)
Art                             Fly Fishing                    Robotics
Astronomy                       Forestry                       Rowing
Basketry                        Geology                        Sculpture
Bird Study                      Horsemanship                   Shotgun
Bugling                         Indian Lore                    Small Boat Sailing
Camping*                        Insect Study                   Soil & Water Conservation
Canoeing                        Leatherwork                    Space Exploration
Citizenship in the Nation*      Lifesaving*                    Swimming*
Citizenship in the World*       Mammal Study                   Textiles
Climbing                        Metalworking                   Veterinary Medicine
Communications*                 Motorboating                   Weather
Cooking                         Nature                         Wilderness Survival
Emergency Preparedness*         Orienteering                   Woodcarving
Environmental Science*          Photography
                                                               * Required for Eagle Scout rank
Farm Mechanics                  Pioneering
Fire Safety                     Pottery

Youth Programs                                 Adult Leader Training
BSA Lifeguard                                  Safe Swim Defense
Dutch Oven Cooking                             Safety Afloat
Eagle Trail                                    Aquatics Supervisor Training:
Kayaking BSA                                         Swimming & Water Rescue
Mile Swim                                            Paddlecraft Safety & Supervision
Mountain Biking >                              BSA Lifeguard
Paul Bunyan                                    Climb On Safely
Pistol Shooting "                              Leave No Trace Orientation
Project COPE                                   Trek Safely
Snorkeling BSA                                 Youth Protection
Swim Instruction                               American Red Cross CPR
Outpost (for older Scouts & Venturers)         Scoutmaster Specific Training+
  > Twilight program                             + Will be offered during some sessions
  " Only for Venturers
              Details will be published in the Program Guide by April 1.
                                                                                          [21]
          last frontier council
Older Boy Scouts                                   Venturers
Campers in this program will begin the week        Slippery Falls Scout Ranch welcomes
living in their troop campsite, but will spend     Venturers at any time, but will provide a
four nights at an outpost campsite. Activi-        Venturing-specific program the week of July 1
ties in this program will happen during after-     – 7. During this special week, Venturers will
noons and evenings. Scouts will experience         experience several programs working toward
life on the frontier including horseback riding,   the Outdoor Bronze and Ranger Awards. Core
shooting sports, blacksmithing, and outpost        requirements covered will include cooking,
camping. Scouts will cook their own meals          land navigation, Leave No Trace and wilder-
while at the outpost and may even raid the         ness survival. Venturers may choose optional
trading post! Of course there will be time         elective requirements to include equestrian,
for swimming at the falls and climbing on          fishing, mountaineering, COPE, shooting
the tower. Scouts in this program will have        sports and watercraft. The highlight of the
a special role in flag ceremonies, the cowboy      week will be two days and nights at a Wilder-
campfire, and the closing campfire.                ness Survival outpost camp. Venturers should
                                                   complete the first aid core requirement prior
Scouts should bring long pants or jeans and        to arrival at camp.
boots with a heel for horseback riding and
swim trunks and a towel for swimming.              Maverick Campers
Scouts also need to bring a backpack and
                                                   Boy Scouts who wish to attend summer camp
sleeping bag for the short hike to the outpost
                                                   outside of a regular troop may attend Slippery
campsite. Scouts will be supplied with all
                                                   Falls Scout Ranch as a Maverick. In the old
other needed equipment for metalworking,
                                                   west, livestock without brands were known
horseback riding, climbing, and shooting.
                                                   as mavericks, and today the word means
These activities are for fun and experience
                                                   someone who is independent or nonconformist.
only and are not intended to complete specific
                                                   Maverick campers will enjoy all the benefits of
merit badge requirements. Scouts may use
                                                   camp including a tent, merit badge sessions,
their free time every morning to take up to
                                                   twilight activities, and meals in the dining
three merit badges offered through morning
                                                   hall. Also provided will be two-deep adult
sessions.
                                                   leadership with a Scoutmaster. Mavericks
Camperships                                        attending one week of camp should follow the
                                                   same registration and payment schedule as
Camperships are available to Last Frontier         other Scouts. Mavericks attending Slippery
Council Scouts camping at council camps.           Falls for a second or third week are exempt
The campership application is included in          from late fees. Mavericks may register for any
this guide. The deadline for application is        week of camp.
April 1, although some funding may still be
available after this date. Camperships are
awarded to individual Scouts and may not be
transferred. All campership applications must
include the signatures of a parent or guardian
and the registered unit leader. The camping
committee requests that as much background
information as possible be included on the
application to make fair and helpful decisions.
Scouts awarded camperships will be notified
by mail and the discounted camp fee will be
entered into the unit’s camp registration.


[22]
slippery falls scout ranch

                                  Honor and Merit Troop
                                       Application
The Honor Troop and Merit Troop awards recognize units that participate fully in the camp
program, follow camp rules, and demonstrate the true spirit of Scouting. Please complete this
form and turn it in by Friday at NOON.
             Merit Troop                                                        Honor Troop
    Complete seven of the following             Get these           In addition qualifying for Merit Troop, a
    nine requirements:                        boxes signed:         unit must complete four of the following
                                                                    seven requirements:
 The unit completes all registration                                                                                Get these
   materials by the proper deadlines           Administration                                                      boxes signed:
   including completed forms and
   payments.                                                      The unit has at least one adult leader
                                                                    attend a pre-camp leaders’ meeting.             Administration
 The unit has 50% of its membership in        Administration       (Should be the Scoutmaster; if he or she
   camp.                                                            cannot attend an assistant Scoutmaster
                                                                    or committee member may fill in).
 The senior patrol leader attends all SPL
   meetings and the Scoutmaster attends                           The unit performs a conservation or
                                              Program Director

   the leaders’ meetings while at camp.                             camp improvement project while at                Ranger or
                                                                    camp. This project must be approved             Eco-Con Dir.
 The Scouts and leaders in the unit                                beforehand and checked upon comple-
   attend evening meals and campfires in      Program Director
                                                                    tion by the Eco-Con Director or Camp
   “Class A” uniform.                                               Ranger.
 Provide the assigned number of table                            The unit plans one unit or campsite activity.
   waiters for preparation and clean-up at      Dining Hall
                                                                    The activity must foster a sense of Scouting    Commissioner
   every meal in the dining hall.
                                                 Steward
                                                                    friendship between at least two units.
 Two-deep leadership - provided com-                             At least one leader from the unit completes
   pletely by the unit - is present in camp    Commissioner
                                                                    the Scoutmaster merit badge.                    Administration
   at all times.
                                                                  The unit attends at least three vespers
 The unit maintains a ratio of at least                            services.                                       Camp Chaplain
   one leader for every ten Scouts.            Commissioner

                                                                  Scouts provide an honor guard or lead
 The unit maintains a clean campsite                               grace at one flag ceremony in complete         Program Director
   throughout the week.                        Commissioner
                                                                    “Class A” uniform.
 No vehicles are parked in the campsite                          Every patrol enters a flag in the patrol
   outside of camp arrival and departure.      Commissioner
                                                                    flag contest.                                  Program Director

                                                                   After you get all of the required signatures
Complete the following mandatory                                   in the appropriate boxes please return this
  requirement:                                                     form to the program office on Friday by
                                                                   Noon.
 The unit members participate in activi-
   ties, follow all camp rules, and have a
                                                                   Troop #__________________
                                               Ranch Director
   general attitude conducive to a Scout
   camp.
                                                                   Council _________________
                                                                   City ____________________
                                                                   State___________________                                 [23]
            last frontier council




                          Scoutmaster Merit Badge
                                             Application




   Option One
   Complete six of these ten requirements
   You may repeat requirements for credit

   Staff Initials*
   ________       Volunteer for at least 2 hours in the Trading Post.
   ________        Help supervise the clean-up of the Dining Hall for three meals.
   ________        Help set up or cook for the Leader’s Dinner on Thursday Night.
   ________        Row for the Mile Swim.
   ________        Volunteer in the Eagle Trail Area for one day.
   ________        Serve as an volunteer Quartermaster for one full day.
   ________        Drive a vehicle on a field trip.
   ________        Participate in one of the training programs offered during the week.
   ________        Serve as a Lifeguard at the Aquatics area.
   ________        Assist in a program area for one day.
   ________        Other activity approved ahead of time by the Program Director, Ranger,
                   or Ranch Director.


   Option Two
   Complete one of these requirements.

   ________        Serve as volunteer Quartermaster for a part of at least four days.
   ________        Instruct a merit badge for a full week.
   ________        Serve as the camp chaplain for three evening vespers.
       ________    Serve in the Health Lodge as a qualified assistant for four days.


          *Have the appropriate Area Director of staff initial next to completed requirements.


 Name_________________________________Troop #__________Council__________
[24]
slippery falls scout ranch
71 Miles
to OKC




                                                                 To Ada




                     Joy

                                           177
                    77
                             Sulphur                                                           99
                               7
                           Davis         Go 3 blocks north                        Pontotoc
                                         at stop sign on 177

                                                                7             Connerville

                                                                    Mill Creek

                                                                                  Reagan
                                                                          7
                                                                          Troy
             35                                                TURN
                                                               HERE                    99
                                                                          1
                                                                Ravia
                                                                                            Tishomingo
                    Ardmore                                           1
                                                                                 99
                                   199                                                Lake
                                                                                      Texoma




           To
           Dallas
                                                                                                    [25]
       last frontier council




          1            SFSR
                       SIGN
          4

                                          7                                                                                     99
                                                           SFSR
                                                                                                    SFSR
                                                                                                                7
                                                           SIGN                1
              3                                                                                     SIGN            SFSR
                                                          Saw Mill Road                                             SIGN
                                                            ( DIRT ROAD )              0.5
                                                                                              1
                                                                                                           2
                                                                                   2

       SFSR                   Slippe
                                    ry Fall
       SIGN        2.6            Road      s
                                                          WARNING
                                                          GO SLOW            1.2
                                         ( DIRT ROAD )                                 SFSR
                                                                                       SIGN
                                                3.3
                                                                             1.0                                           8
                           SFSR
                           SIGN                                                                                            99

                   5
                                                                               2.6
                       1                                              SFSR
                                                                      SIGN

                                                      4                                                             1.0
                                                           22                                 1.0
                  28
                                                                                                     99
                                                                                                           12




[26]
slippery falls scout ranch


                       2012 Campsite Reservation Form


Council: ___________________________________    Unit Type:       ¡ Troop ¡ Team ¡ Crew
                                                Unit Number:
                                                Camp Session: ¡1 ¡2 ¡3 ¡4 ¡5 ¡6
Unit Leader Contact Information                          Dates: _______________________
First Name:________________________________     Last Name:________________________________
Mailing Address: ________________________________________________________________________
City: ______________________________________    State: _______ ZIP: _________________________
Telephone 1:                           Type: ¡ Home ¡ Office ¡ Mobile
Telephone 2:                           Type: ¡ Home ¡ Office ¡ Mobile
Telephone 3:                           Type: ¡ Home ¡ Office ¡ Mobile
E-mail Address: _________________________________________________________________________

Camping Information
Estimated number of campers:     ____ Youth    ____ Adults
$100 deposit is required for each campsite. Please number campsites in order of preference.
          o Arrow C r                           o Lightning
          o Arowhead r                          o Nichols Don r
          o Broken Wagon Wheel r                o Okay
          o Charlie Brown   r
                                                o Rafter B r
          o Diamond E r                         o Rocking R
          o Dog Iron                            o Shield Lightning
          o Dollar Sign                         o Spade r
          o Four E r                            o Walking Seven
          o H J Connected r                     o W F Connected r
          o Lazy S                                     r
                                                           tents & platforms provided
Special needs:     o Mobility needs o Special diet o Early or late arrival o Other
                   Comments: ___________________________________________________________
                   ______________________________________________________________________
                   ______________________________________________________________________

                                                                                          [27]
slippery falls scout ranch

                    Unit Roster
                    This Unit Roster form is provided for your convenience. You may use this
                    form or provide your own roster. The roster must include all youth and
                    adults attending camp and their telephone numbers. Please present this
                    form at check-in.


Council: ___________________________________   Unit Type:      ¡ Troop ¡ Team ¡ Crew
                                               Unit Number:
Campsite: _________________________________    Camp Session: ¡1 ¡2 ¡3 ¡4 ¡5 ¡6

Adult Leaders
First Name           Last Name                  Dates in Camp Mobile Phone No.     Position
1.
2.
3.
4.
5.
6.
7.
8.

Youth
First Name    Last Name       Home Phone       First Name     Last Name      Home Phone
1.                                             21.
2.                                             22.
3.                                             23.
4.                                             24.
5.                                             25.
6.                                             26.
7.                                             27.
8.                                             28.
9.                                             29.
10.                                            30.
11.                                            31.
12.                                            32.
13.                                            33.
14.                                            34.
15.                                            35.
16.                                            36.
17.                                            37.
18.                                            38.
19.                                            39.
20.                                            40.
[28]
slippery falls scout ranch
                                      Unit Swim Classification Record
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 shall
at all times reserve the authority to review or retest all participants to assure that standards have been maintained.

Unit Number _____________________                                   Date of Swim Test _____________________

                                                                                       Swim Classification
        Full Name (Please Print)                                   Y/A Non-swimmer               Beginner            Swimmer
 1.
 2.
 3.
 4.
 5.
 6.
 7.
 8.
 9.
 10.
 11.
 12.
 13.
 14.
 15.
 16.
 17.
 18.
 19.
 20.

Name of Person Conducting Test:
________________________________                                    ___________________________________
Print Name                                                          Signature

¡ BSA Aquatics Instructor                  ¡ BSA Aquatics Supervisor                   ¡ BSA Lifeguard
¡ Certified lifeguard, swimming instructor, or swim coach (list agency) ______________________
Unit Leader:
________________________________                                    ___________________________________
Print Name                                                          Signature
SWIMMER’S TEST: Jump feet first into water over the head in depth, level off, and begin swimming. Swim 75 yards in a strong
manner using one or more of the following strokes: side stroke, breast stroke, trudgen, or crawl; then swim 25 yards using an easy
resting back stroke. The 100 yards must be swum continuously and include at least one sharp turn. After completing the swim, rest
by floating.

BEGINNER’S TEST: Jump feet first into water over the head in depth, level off, swim 25 feet on the surface, stop, turn sharply,
resume swimming as before, and return to starting place.
                                                                                                                                  [29]
Last Frontier Council                                                               Boy Scouts of America

              201 Campership Application Form
Campership funds are available for youth who cannot afford to pay the total fee for camp. Requests must
be made in writing and addressed to Last Frontier Council, Camping Committee, 3031 N.W. 64th St.
Oklahoma City, OK 73116. Camperships limited to 50% of fee.
CAMP:                                                                        APPLICATION DUE DATE:
              Diamond H Spring Break                                                   March 1
              Slippery Falls Scout Ranch                                               April 1
              Cub Scout Resident Camp @ George Thomas                                  April 1
              Diamond H 50-Miler, Canoe & High Adventure                               April 1
              Cub Scout Day Camp                                                       May 1
Scout’s Name                                                          Unit Type & No.

Address                                                                                District

City                                                                                   Zip

Rank in Scouting                                   Date joined unit

Years attended camp

Amount of campership needed: $                                    (Limit 50% of fee)

Dates attending camp in 2011:

FAMILY INFORMATION
Parent or Guardian #1 Name
Employer                                                              Occupation
Parent or Guardian #2 Name
Employer                                                              Occupation
Financial Status:
       To give the camping committee a better understanding of the family’s financial status, please provide
       the following information. This information is optional and will be held in the strictest confidence.
Total monthly income $                                 Number of family members ________
Did the Scout sell popcorn in the last year?       Yes      No      Total amount sold $
Did the Scout participate in any other fundraising this year? Yes       No    Amount earned $
Is the unit or community contributing toward the camp fee? Yes         No     Amount $
Previous campership awarded? Yes           No
Additional Information that should be considered by the committee:


                                                                                   (Attach pages if necessary)


Unit Leader Approval (required)                                                        Date

Council Camping Committee Approval                                                     Date

Amount Awarded $
                            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.
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.
•	 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
For more information on medical risk factors, visit Scouting Safely on www.scouting.org.

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:	www.philmontscoutranch.org	or	575-376-2281
•	   Northern	Tier	National	High	Adventure	Base:	www.ntier.org	or	218-365-4811
•	   Florida	National	High	Adventure	Sea	Base:	www.bsaseabase.org	or	305-664-5612
•	   National	Scout	Jamboree:	www.bsajamboree.org
For	frequently	asked	questions	about	this	Annual	Health	and	Medical	Record,	see	Scouting	Safely	online	at
http://www.scouting.org/scoutsource/HealthandSafety.aspx.	Information	about	the	Health	Insurance	Portability	
and	Accountability	Act	(HIPAA)	may	be	found	at	http://www.hipaa.org.
                                                                                                                                            Annual BSA Health and Medical Record                                       High-adventure base participants:
                                                                                                                                            Part A
Full name: _________________________________ DOB: ______________ Allergies: __________________ Emergency contact No.: ___________________
                                                                                                                                                                                                                       Expedition/crew	No.:	 __________________________________________________
                                                                                                                                                                                                                       or	staff	position:	_______________________________________________________
                                                                                                                                            GENERAL INFORMATION
                                                                                                                                            Name ___________________________________________________________________ Date of birth ________________________________ Age _____________ Male                     Female
                                                                                                                                            Address _________________________________________________________________________________________________________________________ Grade completed (youth only) __________
                                                                                                                                                                                                                                                                                                            asf
                                                                                                                                            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	 ______________________________
                                                                                                                                            Health/accident insurance company __________________________________________________________ Policy No. ________________________________________________________
                                                                                                                                                     ATTACH A PHOTOCOPY OF BOTH SIDES OF INSURANCE CARD. 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 ___________________________________________________
                                                                                                                                            HEALTH HISTORY
                                                                                                                                            Are	you	now,	or	have	you	ever	been	treated	for	any	of	the	following:	                                                            Allergies or Reaction to:
                                                                                                                                              Yes      No                       Condition                                        Explain                        Medication ____________________________________
                                                                                                                                                               Asthma	 Last	attack: ____________                                                                Food, Plants, or Insect Bites _________________
                                                                                                                                                               Diabetes	 Last	HbA1c: ____________                                                               _________________________________________________
                                                                                                                                                               Hypertension (high blood pressure)                                                                              Immunizations:
                                                                                                                                                               Heart disease (e.g., CHF, CAD, MI)                                                               The following are recommended by the BSA.
                                                                                                                                                               Stroke/TIA                                                                                       Tetanus immunization is required and must
                                                                                                                                                               Lung/respiratory disease                                                                         have been received within the last 10 years. If
                                                                                                                                                                                                                                                                had disease, put “D” and the year. If immunized,
                                                                                                                                                               Ear/sinus problems
                                                                                                                                                                                                                                                                check the box and the year received.
                                                                                                                                                               Muscular/skeletal condition
                                                                                                                                                                                                                                                                 Yes     No       Date
                                                                                                                                                               Menstrual problems (women only)
                                                                                                                                                                                                                                                                                  Tetanus ________________________
                                                                                                                                                               Psychiatric/psychological and                                                                                      Pertussis _______________________
                                                                                                                                                               emotional difficulties
                                                                                                                                                                                                                                                                                  Diphtheria ______________________
                                                                                                                                                               Behavioral disorders (e.g., ADD,
                                                                                                                                                               ADHD, Asperger syndrome, autism)                                                                                   Measles ________________________
                                                                                                                                                               Bleeding disorders                                                                                                 Mumps _________________________
                                                                                                                                                               Fainting spells                                                                                                    Rubella _________________________
                                                                                                                                                               Thyroid disease                                                                                                    Polio ____________________________
                                                                                                                                                               Kidney disease                                                                                                     Chicken pox____________________
                                                                                                                                                               Sickle cell disease                                                                                                Hepatitis A _____________________
                                                                                                                                                               Seizures	 Last	seizure:____________                                                                                Hepatitis B _____________________
                                                                                                                                                               Sleep disorders (e.g., sleep apnea)             Use	CPAP:	Yes	         No
                                                                                                                                                                                                                                                                                  Influenza _______________________
                                                                                                                                                               Abdominal/digestive problems
                                                                                                                                                                                                                                                                                  Other (i.e., HIB) ________________
                                                                                                                                                               Surgery
                                                                                                                                                               Serious injury                                                                                       Exemption to immunizations claimed
                                                                                                                                                               Other                                                                                                (form required).
                                                                                                                                            MEDICATIONS                                                                                                          (For more information about immunizations,
                                                                                                                                            List all medications currently used. (If additional space is needed, please photocopy                                as well as the immunization exemption form,
                                                                                                                                            this part of the health form.) Inhalers and EpiPen information must be included, even                                see Scouting Safely on Scouting.org.)
                                                                                                                                            if they are for occasional or emergency use only.

                                                                                                                                             Medication _____________________________                 Medication _____________________________                Medication _____________________________
                                                                                                                                             Strength ________ Frequency ____________                 Strength ________ Frequency ____________                Strength ________ Frequency ____________
                                                                                                                                             Approximate date started ________________                Approximate date started ________________               Approximate date started ________________
                                                                                                                                             Reason	for	medication ___________________                Reason	for	medication ___________________               Reason	for	medication ___________________
                                                                                                                                             ________________________________________                 ________________________________________                ________________________________________


                                                                                                                                             Medication _____________________________                 Medication _____________________________                Medication _____________________________
                                                                                                                                             Strength ________ Frequency ____________                 Strength ________ Frequency ____________                Strength ________ Frequency ____________
                                                                                                                                             Approximate date started ________________                Approximate date started ________________               Approximate date started ________________
                                                                                                                                             Reason	for	medication ___________________                Reason	for	medication ___________________               Reason	for	medication ___________________
                                                                                                                                             ________________________________________                 ________________________________________                ________________________________________


                                                                                                                                            Administration	of	the	above	medications	is	approved	by	(if	required	by	your	state): ________________________ / _______________________
                                                                                                                                                                                                                                                           Parent/guardian signature   and/or   MD/DO, NP, or PA signature

                                                                                                                                                  Be sure to bring medications in sufficient quantities and the original containers. Make sure that they are NOT
                                                                                                                                                   expired, including inhalers and EpiPens. You SHOULD NOT STOP taking any maintenance medication.
                                                                                                                                                                                                                                                                                                                680-001
                                                                                                                                                                                                                                                                                                           2010	Printing
                                                                                                                                                                                                                                                                                                           Rev.	11/2010
                                                                         High-adventure base participants:
Part B                                                                   Expedition/crew	No.:	 __________________________________________________
INFORMED CONSENT AND HOLD HARMLESS/RELEASE AGREEMENT                     or	staff	position:	_______________________________________________________

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.	§§160.103,	164.501,	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) ____________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________
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 __________________________________________________________________________________________________________________
2. Name __________________________________________________________________________________________________________________
3. Name __________________________________________________________________________________________________________________

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 in 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 ____________________________
	                                                                       (if	participant	is	under	the	age	of	18)

This Annual Health and Medical Record is valid for 12 calendar months.


Part B             Full name: ___________________________________________________________ DOB: __________________
                                                                                                                                                 680-001
                                                                                                                                            2010	Printing
                                                                                                                                            Rev.	11/2010
                                                                                      High-adventure base participants:
                                                                                      Expedition/crew	No.:	 __________________________________________________
Part C                                                                                or	staff	position:	_______________________________________________________
TO THE EXAMINING HEALTH-CARE PROVIDER (Certified and licensed physicians [MD, DO], nurse practitioners, and physician’s assistants)
You	are	being	asked	to	certify	that	this	individual	has	no	contraindication	for	participation	in	a	Scouting	experience.	For	individuals	who	will	be	attending	a	
high-adventure program at one of the national high-adventure bases, please refer to Part D for additional information.
(Part D was made available to me. ❏ Yes	 ❏ No)

PHYSICAL EXAMINATION
Height (inches) ____________ Weight (pounds)______________ Maximum weight for height __________ Meets height/weight limits                                 	Yes		   No
Blood pressure _______________________ Pulse __________________ Percent body fat (optional) __________________
 If you exceed the maximum weight for height as explained on this page and your planned high-adventure activity will take you more than 30 minutes
 away from an emergency vehicle–accessible roadway, you will not be allowed to participate. At the discretion of the medical advisors of the event
 and/or camp, participation of an individual exceeding the maximum weight for height may be allowed if the body fat percentage measured by the
 health-care	provider	is	determined	to	be	20	percent	or	less	for	a	female	or	15	percent	or	less	for	a	male.	(Philmont	requires	a	water-displacement	
 test to be used for this determination.) Please call the event leader and/or camp if you have any questions. Enforcing the height/weight guidelines is
 strongly encouraged for all other events.


                         Normal         Abnormal               Explain Any                 Range of Mobility             Normal       Abnormal               Explain Any
                                                              Abnormalities                                                                                 Abnormalities
 Eyes                                                                                    Knees (both)
 Ears                                                                                    Ankles (both)
 Nose                                                                                    Spine
 Throat
 Lungs
 Neurological                                                                                      Other                  Yes             No
 Heart                                                                                   Contacts
 Abdomen                                                                                 Dentures
 Genitalia                                                                               Braces
 Skin                                                                    Inguinal hernia                                                                        Explain
 Emotional                                                               Medical equipment
 adjustment                                                              (i.e., CPAP, oxygen)
 Tuberculosis (TB) skin test (if required by your state for BSA camp staff)        Negative                       Positive
Allergies (to	what	agent,	type	of	reaction,	treatment): ____________________________________________________________________________________________________________
______________________________________________________________________________________________________________________________________________________
Restrictions (if none, so state) ____________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
EXAMINER’S CERTIFICATION                                                       Height         Recommended              Allowable             Maximum
I certify that I have reviewed the health history and examined this person                 (inches)          Weight (lbs)           Exception             Acceptance
and find no contraindications for participation in a Scouting experience.                     60                97-138                139-166                 166
This participant                                                                              61               101-143                144-172                 172
• Meets height/weight requirements                                                            62               104-148                149-178                 178
   D
•		 oes	not	have	uncontrolled	heart	disease,	asthma,	or	hypertension                          63               107-152                153-183                 183
   H
•		 as	not	had	an	orthopedic	injury,	musculoskeletal	problems,	or	                            64               111-157                158-189                 189
   orthopedic surgery in the last six months or possesses a letter of                         65               114-162                163-195                 195
   clearance from their orthopedic surgeon or treating physician
                                                                                              66               118-167                168-201                 201
•	Has	no	uncontrolled	psychiatric	disorders
                                                                                              67               121-172                173-207                 207
•	Has	had	no	seizures	in	the	last	year
                                                                                              68               125-178                179-214                 214
•	Does	not	have	poorly	controlled	diabetes
  	
•	If	less	than	18	years	of	age	and	planning	to	scuba	dive,	does	not	                          69               129-185                186-220                 220

  have diabetes, asthma, or seizures                                                          70               132-188                189-226                 226
                                                                                              71               136-194                195-233                 233
Provider printed name _______________________________________________________
                                                                                              72               140-199                200-239                 239

Address _________________________________________________________________________             73               144-205                206-246                 246
                                                                                              74               148-210                211-252                 252
City, state, zip __________________________________________________________________           75               152-216                217-260                 260
                                                                                              76               156-222                223-267                 267
Office phone ___________________________________________________________________              77               160-228                229-274                 274
                                                                                              78               164-234                235-281                 281
Signature ________________________________________________________________________
                                                                                           79 & over           170-240                241-295                 295

Date ______________________________________________________________________________    This table is based on the revised Dietary Guidelines for Americans from the U.S.
                                                                                       Dept. of Agriculture and the Dept. of Health & Human Services.

                                                                        DO NOT WRITE IN THIS BOX
 REVIEW	FOR	CAMP	OR	SPECIAL	ACTIVITY
 Reviewed	by	 ____________________________________________________________________________________________________ Date _______________________________
 Further approval required ❏	Yes	 ❏	No	 Reason	 ________________________________________________________________________________________________________
 By ______________________________________________________________________________________________________________ Date _______________________________

Part C              Full name: ______________________________________________________________ DOB: ________________                                                      680-001
                                                                                                                                                                    2010	Printing
                                                                                                                                                                    Rev.	11/2010
              5RXWLQH 'UXJ $GPLQLVWUDWLRQ 5HFRUG
Name:________________________________________ Campsite:_________________

Unit Number:________ Date of birth:_______________ Classification:______________

Drug Hypersensitivity:_________________________________                                                   Weight:_____________

 Prescribing Physician:____________________________________
                                                                                                  Med
 Medication:________________ Rx: No Yes Number:___________                                                    S    M     T       W   R      F      S
                                                                                                  Time
 Dosage:_______________________ Date Filled:______________
 Route: P.O . I.M. S.C. S.I. Topical Inhalation Rectal
 Time: PRN Daily BID TID QID AC PC HS
 Amount in bottle:_______________ Comments:_______________
 ______________________________________________________



 Prescribing Physician:____________________________________
 Medication:________________ Rx: No Yes Number:___________                                        Med
                                                                                                              S    M     T       W   R      F      S
 Dosage:_______________________ Date Filled:______________                                        Time
 Route: P.O . I.M. S.C. S.I. Topical Inhalation Rectal
 Time: PRN Daily BID TID QID AC PC HS
 Amount in bottle:_______________ Comments:_______________
 ______________________________________________________




 Prescribing Physician:____________________________________
                                                                                                  Med
 Medication:________________ Rx: No Yes Number:___________                                                    S    M     T       W   R      F      S
                                                                                                  Time
 Dosage:_______________________ Date Filled:______________
 Route: P.O . I.M. S.C. S.I. Topical Inhalation Rectal
 Time: PRN Daily BID TID QID AC PC HS
 Amount in bottle:_______________ Comments:_______________
 ______________________________________________________



 Prescribing Physician:____________________________________
 Medication:________________ Rx: No Yes Number:___________                                        Med
                                                                                                              S    M     T       W   R      F      S
 Dosage:_______________________ Date Filled:______________                                        Time
 Route: P.O . I.M. S.C. S.I. Topical Inhalation Rectal
 Time: PRN Daily BID TID QID AC PC HS
 Amount in bottle:_______________ Comments:_______________
 ______________________________________________________



 Initial       Signature                  Name                      Position
 _______       ____________________ ____________________ __________________
 _______       ____________________ ____________________ __________________
 _______       ____________________ ____________________ __________________
 Instructions: Record on this form all medicines brought to camp. You can list up to four
 medications on each sheet. Record dispensing times and dates in the spaces provided.
 P.O. = by mouth or orally I.M. = intramuscular injection S.C. = subcutaneous
 PRN = as needed BID = twice daily TID = three times each day QID = four times each day   AC = before meals   PC = after meals   HS = at bedtime

 Fill out this form or attach prescription labels.
                                        BROKEN WAGON
          ARROW C        ARROWHEAD                      CHARLIE BROWN
                                           WHEEL




         DIAMOND E           DOG IRON    DOLLAR SIGN         FOUR E




       H J CONNECTED          LAZY S      LIGHTNING       NICHOLS DON




                                                             SHIELD
            OKAY             RAFTER B     ROCKING R
                                                           LIGHTNING




                     SPADE       WALKING SEVEN   W F CONNECTED




E-MAIL                                       LAST FRONTIER COUNCIL
slipperyfalls.scoutranch@scouting.org        3031 N.W. 64th Street
                                             Oklahoma City, Oklahoma 73116
WEBSITE
                                             405-840-1114 | 888-841-1114
www.slipperyfalls.com
                                             lastfrontiercouncil.org

						
Related docs
Other docs by jianghongl
JOHN DAMSCHRODER - Ohio University
Views: 86  |  Downloads: 0
Download Student Flyer - Scholastic Book Clubs
Views: 106  |  Downloads: 0
presentation - University of Alberta
Views: 77  |  Downloads: 0
Agenda - Kansas Board of Regents
Views: 2461  |  Downloads: 0
October 31_ 2012 Agenda - University of Regina
Views: 91  |  Downloads: 0
GCC_Agenda_4_11_12
Views: 88  |  Downloads: 0
KronoDesk Overview Presentation - Inflectra
Views: 97  |  Downloads: 0