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Boy Scout Troop Chartered to St Michael Episcopal Church

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					                                             Boy Scout Troop 183
                                   Chartered to St. Michael’s Episcopal Church
                                   444 South Harbour Drive, Noblesville, 46062
                                              www.bsatroop183.org


                                            New Scout Joining Checklist

                           Your Scout’s Name _____________________________

We are excited about your decision to join Boy Scout Troop 183. This checklist will help you provide
what the Troop needs for your son to become a Boy Scout in Troop 183. Use this checklist to make
sure that you return all the appropriate forms and information requested.

All the forms listed here are included in the New Scout Folder.

Please provide the following to the Troop to complete your son’s registration. Note that your
application will not be processed until the registration fee and all forms are returned to Troop 183.
Some items listed below and included in the folder are for your reference and are not required to be
returned.

 ____ Boy Scout Application

 ____ Troop 183 $125 New Scout Registration Fee, CHECK PAYABLE TO, “TROOP 183”
         (Note: Annual fees are $175, with $100 due annually on January 31. The balance is to be covered by
         participation in the annual popcorn fundraiser or by $75 paid December 1 or a combination thereof. New Scout
         Registration also includes $25 for scout’s neckerchief, slide, epaulets, unit numeral, and Boy Scout Handbook.)

 ____ Acknowledgement of Reading & Agreement to Troop 183 Handbook

 ____ Acknowledgement of Reading & Agreement to Troop 183 Code of Conduct

 ____ Informed Consent & Permission Agreement (Must be notarized)

 ____ BSA Annual Health and Medical Record Parts A&C (Does not require physician signature.
         (Part B required only for long-term camping more than 72 hours including Summer Camp and High Adventure.)

 ____ Photocopy of Insurance Carrier Card for Scout

 ____ Vehicle, Insurance, & Driver’s License Information Form
         (Required for all drivers and vehicles transporting Scouts to and from Troop or Scout Activities)

 ____ Obstacles to Learning

         Uniform Components & Information

         Recommended Personal Gear & Clothing for Campouts (or, the New Scout’s Necessities)

         Troop 183 Leadership Roster




Revision 1.0                                                                                                 Approved 11/02/10
                      BOY SCOUTS OF AMERICA
                        YOUTH APPLICATION




                                                      Boy Scouting

                                                Scout Oath or Promise
                                                On my honor I will do my best
                                           to do my duty to God and my country
               Cub Scouting                      and to obey the Scout Law;
                                              to help other people at all times;
   Tiger Cub                   Cub Scout      to keep myself physically strong,
               Webelos Scout               mentally awake, and morally straight.
                                                                                            Venturer/Sea Scout
           Cub Scout Promise
                                                                                               Venturing Oath
      I, (name), promise to do my best
    To do my duty to God and my country,                                           As a Venturer, I promise to do my duty to
           To help other people and                                                God and help strengthen America, to help
         To obey the Law of the Pack.                                               others, and to seek truth, fairness, and
                                                                                            adventure in our world.


                                                    Varsity Scouting
28-406B                                                                                                                 507
                                                                                         Boy Scouts of America
                                                                                         Information for Parents
                                               A parent or guardian must certify that he or she has read this information sheet for all applicants under 18 years of age.
                                                                (Venturing and Sea Scout members: It is important that you share this with your parents.)


Welcome to the Boy Scouts of America!                                                                                are permitted.
Your child is joining more than 4 million members of the Boy Scouts of America. Please take the time to
review this material and reflect upon its importance.                                                                 religious instruction to the member’s religious leaders and family.


The BSA and the Chartered Organization                                                                               in its religious activities.

The Boy Scouts of America makes Scouting available to our nation’s youth by chartering community                     must be 21 years of age or older, are required on all trips and outings. If trips and outings are coeduca-
organizations to operate Cub Scout packs, Boy Scout troops, Varsity Scout teams, Venturing crews, and                tional, leaders of both genders must be present.
Sea Scout ships.
                                                                                                                     discipline problems.
The chartered organization must provide an adequate and safe meeting place and capable adult leadership,
and must adhere to the principles and policies of the BSA. The BSA local council provides unit leader training,      be conducted in plain view of others.
program ideas, camping facilities, literature, professional guidance for volunteer leaders, and liability insur-
ance protection.                                                                                                     who is responsible for reporting this to the appropriate authorities.

Scouting’s Volunteers and You                                                                                        Scouts of America.

Scouting’s adult volunteers provide leadership at the unit, district, council, and national levels. Many are
parents of Scouts; many entered Scouting as youth members. Each chartered organization establishes a unit          Excerpt from the Declaration of Religious Principle
committee, which operates its Scouting unit, selects leadership, and provides support for a quality program.       The Boy Scouts of America maintains that no member can grow into the best kind of citizen without recog-
Unit committees depend on parents for membership and assistance.                                                   nizing an obligation to God and, therefore, recognizes the religious element in the training of the member, but
                                                                                                                   it is absolutely nonsectarian in its attitude toward that religious training. Its policy is that the home and orga-
The respective unit committee selects the Cubmaster, Scoutmaster, Varsity Scout Coach, Venturing Advisor,          nization or group with which the member is connected shall give definite attention to religious life. Only per-
or Sea Scout Skipper, subject to approval of the head of the chartered organization or the chartered organi-
zation representative and of the BSA. The unit leader must be a good role model because our children’s val-        Boy Scouts of America shall be entitled to certificates of membership.
ues and lives will be influenced by that leader. You need to know your child’s unit leader and be involved in
the unit committee’s activities so you can evaluate and help direct that influence.
                                                                                                                   Policy of Nondiscrimination
Scouting uses a fun program to promote character development, citizenship training, and personal fitness            Youth membership in the Boy Scouts of America is open to all boys and young adults who meet the joining
for every member. You can help by encouraging perfect attendance, assisting with your child’s advancement,         requirements. Membership in Scouting, advancement, and achievement of leadership in Scouting units are
attending meetings for parents, assisting with transportation, and assisting when called upon by the unit          open to all youth without regard to race or ethnic background and are based entirely upon individual merit.
leader.
                                                                                                                   Ethnic background information. The BSA receives inquiries from various agencies regarding racial
Program Policies                                                                                                   composition. Please fill in the appropriate circle on the application to indicate ethnic background.

Chartered organizations agree to use the Scouting program in accordance with their own policies as well
as those of the BSA. The program is flexible, but major departures from BSA methods and policies are not            Thank You
permitted. As a parent, you should be aware that                                                                   The Boy Scouts of America appreciates you taking time to become familiar with Scouting. We feel that an
                                                                                                                   informed parent is a strong ally in delivering the Scouting program. Help us keep the unit program in accord
                                                                                                                   with Scouting principles. Alert the unit committee, chartered organization representative, and head of the
                                                                                                                   chartered organization to any major deviations. Please do your fair share to support a quality unit program.
         Tips for completing the Application for Youth Membership:                                                            BOYS’ LIFE MAGAZINE
    Print—do not use cursive.
    Use black or dark blue ink.
    Press firmly when printing.                                                                                                A message to parents. The youth registration fee is $10 for one year.
    Print one letter only in each box.
    Use upper-case letters and stay within the blue boxes for legibility.                                                     Boys’ Life is the monthly magazine of the Boy Scouts of America. It will help in your Scouting program and
                                                                                                                              stimulate your interest in good reading. The subscription is only $12 a year (half the new regular rate of
                                                                                                                              $24 a year). Just fill in the Boys’ Life circle on the application. Please calculate and remit the appropriate
    Make sure you have all needed signatures on application.
                                                                                                                              state and local taxes. On late registrations it may be necessary to deliver back issues. Boys’ Life will not
                                                                                                                              begin for at least two months after you register.
 Mailing address example:
    7     0      3            F      I      R     S      T            S      T

                                                                                                 Joining Requirements
                                                                                            Parent/Guardian Information
Cub Scout Pack                                                                                         Boy Scout Troop/Varsity Team
Pack membership is open to boys.                                                                                  Boy Scout Troop
1. Complete the information on the application page and sign your name, indicating approval.                      Your son can be a Scout if he has completed the fifth grade and is at least 10 years old or is age 11 or has earned the
2. Give the completed application and fees to the Cubmaster.
                                                                                                                  1. Complete the application (sign your name, indicating approval).
Tiger Cub—Must be under the age of 8, have completed kindergarten or be in the first grade, or be age 7.
                                                                                                                  2. Give the completed application and fees to the Scoutmaster.
Cub Scout—Must have completed first grade but not completed third grade, or be age 8 or 9.
Webelos Scout—Must have completed third grade but not completed fifth grade, or be age 10 but not yet 111⁄2.       3. Secure a copy of the Boy Scout Handbook and complete the joining requirements as listed.
Parent Agreement                                                                                                  Health information. Please fill out the personal health history Class 1 form, No. 34414B, found on
I have read the Cub Scout Promise and I want my son to join the pack. I will assist him in observing the          www.scouting.org/forms and give it to the unit leader.
policies of the Boy Scouts of America and of his pack’s chartered organization. I will                            Varsity Team
     While he is a Tiger Cub, serve as his adult partner and participate in all meetings and activities and       Varsity Scouting—A male youth must be at least 14 years of age and not yet 18.
     approve his advancement.*                                                                                    (Complete the application process as above and give it to the Varsity Coach.)
     While he is a Cub Scout, help him grow as a Cub Scout and approve his Cub Scout advancement.                 Health information. Varsity Scouting involves strenuous activities. You should inform your Varsity Scout Coach of any
     While he is a Tiger Cub, Cub Scout, or Webelos Scout, attend monthly pack meetings and take part in          condition that might limit your son’s participation. Please fill out the personal health history Class 1 form, No. 34414B,
     other activities; assist pack leaders as needed.                                                             found on www.scouting.org/forms and give it to the unit leader.
*If the parent is not serving as the adult partner, the parental signature on the application indicates                                                                                          Cut along dotted line.
approval of the adult partner and also if the adult partner does not live at the same address as the                      Registration and Subscription Fee Chart
Tiger Cub, a separate adult application is required.                                                                 Term per        Youth/adult          Boys’ Life
Health information. Please fill out the personal health history Class 1 form, No. 34414B, found on                     month        registration fee    subscription fee                          (Good for 60 days)
www.scouting.org/forms and give it to the unit leader.                                                                    1              .85                  —
                                                                                                                                                                                                 This certifies that
                                                                                                                          2             1.70                 2.00
Venturing Crew/Sea Scout Ship (Coeducational)                                                                             3             2.55                 3.00                __________________________________
I submit my $10 registration fee for one year. I am at least 14 years of age and have completed the eighth
grade or am 15 years of age and not yet 21. Must have parent/guardian approval if under 18 years of age.                  4             3.40                 4.00
                                                                                                                                                                                 is a member of ______________________
                                                                                                                          5             4.25                 5.00
Venturers and Sea Scouts registered in a crew or ship prior to their 21st birthday may continue as mem-                                                                          __________________________________
                                                                                                                          6             5.10                 6.00
bers after their 21st birthday until the crew or ship recharters or until they reach their 22nd birthday,                                                                                   Unit leader signature
whichever comes first.                                                                                                     7             5.95                 7.00
                                                                                                                          8             6.80                 8.00                __________________________________
Venturing and Sea Scouting include challenging physical and mental activities. If you have not recently had a
complete medical examination, you are urged to see your family physician. Notify your Advisor/Skipper if you              9             7.65                 9.00
require special medication or if your physician recommends limited activity. Please fill out the personal health          10             8.50                10.00
history Class 1 form, No. 34414B, found on www.scouting.org/forms and give it to the unit leader.                        11             9.35                11.00
                                                                                                                         12            10.00                12.00
                                                                                                   USE BLACK OR BLUE INK ONLY.
                              Unit type:                Cub Scout                         Boy Scout                 Varsity Scout             Venturing            Sea Scout
                              (Fill in the circle.)     Pack                              Troop                     Team                      Crew                 Ship                                              Unit
    YOUTH
 cursive.                                                                                                                                                                                                            number:
 MEMBERSHIP                                                                               Tiger Cub                 Cub Scout                 Webelos Scout
  number only in                    Mark here if new to Scouting.
   each box.
If applicant has an unexpired membership certificate, registration may be accomplished in this unit by paying $1 for processing the transfer. Mark and attach certificate. It will be returned by the council.

  letters and stay
    Transfer application     Transfer from council number:                                         Unit type:                      Pack       Troop        Team            Crew                Ship             Unit number:
  within the blue
  boxes for legibility.                                                                                                                                                                                             completely.
Enter membership number from unexpired certificate:
Name and address information (Please print one letter in each space—press hard, you are making a copy.)




                                                                                                                                                    E
         (No initials or nicknames)

 J O H N                                                                                        A N                  E W                          SM I T H




                                                                                                                                                  L
Country    Mailing address                                                                                                  City                                                                                State      Zip code

 U S       1 2 3 4                  A N Y             S T          E E T                                                    A N Y TOWN                                                                           N Y        1 2 3 4 5

 5 5 5             1 2 3              4 5 6 7                0 1                0 1            1 9 9 5



                                                                                                        P               0 6
              -                 -                                       /                 /                                                               African American            American Indian          Alaska Native          Asian
                                                                                                                                                          Caucasian/White                                      Pacific Islander        Other
School
                                                                                                                                                                                                                          Boys’ Life




                                                                                                      M
 O A K             T         E E          E           E M E N T A                         Y                                                                                                                               subscription

Parent/guardian or Tiger Cub adult partner information                                    Mark here if address is same as above.                                                  Mark here if you are the Tiger Cub adult partner




                                                              A
   Mark here if the adult partner is not living at the same address; complete and attach an adult application.
Select relationship:                          Parent                                  Guardian                               Grandparent                      Other (specify)
           (No initials or nicknames)




                                                            S
     E B O             A H                                                                      S U E                                             SM I T H
Country    Mailing address                                                                                                  City                                                                                State      Zip code




                                                                                                                                                                                                                                               28-406B
US 1 2 3 4                          A N Y             S T          E E T                                                    A N Y T OWN                                                                          N Y        1 2 3 4 5

                                                                                                                                                                                                                                           M
 5 5 5         -   1 2 3        -     4 5 6 7               0 1     /       0 1       /       1 9 7 2
Business phone                                              Ext.              signatures
                                                                   all neededPrevious Scouting experience                                                                                    Cell phone
                                                                   on application.
              -                 -                       X                                                                                                                                                  -                -

Parent/guardian e-mail address                                                                                                                            I have read the attached information sheet and approve the application
                                                                                                                                                          (signature of parent/guardian required if applicant is under 18 years of age).
 A N Y P A                   E N T@A N Y E - MA I                                              A                    E S S . C OM
                                                                                                                                                                        Deborah Sue Smith
                             Bill Taylor                                                                        /              /
                                                                                                                                                          Signature of parent/guardian
Signature of unit leader (or designee)
                                                        $                   .                                           $                 .
 2000                                                                                                  Boys’ Life fee                                     Signature of Venturer
                                            This form is read by machine. Please print the numbers and letters as shown on the sample application.
                             Unit type:                Cub Scout                    Boy Scout               Varsity Scout              Venturing            Sea Scout
                             (Fill in the circle.)     Pack                         Troop                   Team                       Crew                 Ship                                              Unit
   YOUTH                                                                                                                                                                                                      number:
 MEMBERSHIP                                                                         Tiger Cub               Cub Scout                  Webelos Scout
                                    Mark here if new to Scouting.
If applicant has an unexpired membership certificate, registration may be accomplished in this unit by paying $1 for processing the transfer. Mark and attach certificate. It will be returned by the council.

    Transfer application         Transfer from council number:                             Unit type:                       Pack       Troop        Team            Crew                Ship             Unit number:

Enter membership number from unexpired certificate:
Name and address information (Please print one letter in each space—press hard, you are making a copy.)
         (No initials or nicknames)



Country    Mailing address                                                                                           City                                                                                State      Zip code

US
              -                -                                        /           /                                                              African American            American Indian          Alaska Native          Asian
                                                                                                                                                   Caucasian/White                                      Pacific Islander        Other
School
                                                                                                                                                                                                                   Boys’ Life
                                                                                                                                                                                                                   subscription

Parent/guardian or Tiger Cub adult partner information                              Mark here if address is same as above.                                                 Mark here if you are the Tiger Cub adult partner
   Mark here if the adult partner is not living at the same address; complete and attach an adult application.
Select relationship:                          Parent                            Guardian                              Grandparent                      Other (specify)
           (No initials or nicknames)



Country    Mailing address                                                                                           City                                                                                State      Zip code




                                                                                                                                                                                                                                        28-406B
US
               -                -                                   /           /                                                                                                                                                   M

Business phone                                              Ext.                Previous Scouting experience                                                                          Cell phone
              -                -                       X                                                                                                                                            -                -

Parent/guardian e-mail address                                                                                                                     I have read the attached information sheet and approve the application
                                                                                                                                                   (signature of parent/guardian required if applicant is under 18 years of age).


                                                                                                        /               /
                                                                                                                                                   Signature of parent/guardian
Signature of unit leader (or designee)
2000
                                                        $                   .                                    $                 .
                                                                                                Boys’ Life fee                                     Signature of Venturer
                             Unit type:                Cub Scout                    Boy Scout               Varsity Scout              Venturing            Sea Scout
                             (Fill in the circle.)     Pack                         Troop                   Team                       Crew                 Ship                                              Unit
   YOUTH                                                                                                                                                                                                      number:
 MEMBERSHIP                                                                         Tiger Cub               Cub Scout                  Webelos Scout
                                    Mark here if new to Scouting.
If applicant has an unexpired membership certificate, registration may be accomplished in this unit by paying $1 for processing the transfer. Mark and attach certificate. It will be returned by the council.

    Transfer application         Transfer from council number:                             Unit type:                       Pack       Troop        Team            Crew                Ship             Unit number:

Enter membership number from unexpired certificate:
Name and address information (Please print one letter in each space—press hard, you are making a copy.)
         (No initials or nicknames)



Country    Mailing address                                                                                           City                                                                                State      Zip code

US
              -                -                                        /           /                                                              African American            American Indian          Alaska Native          Asian
                                                                                                                                                   Caucasian/White                                      Pacific Islander        Other




                                                                                                                                                                                                                                        UNIT COPY
School
                                                                                                                                                                                                                   Boys’ Life
                                                                                                                                                                                                                   subscription

Parent/guardian or Tiger Cub adult partner information                              Mark here if address is same as above.                                                 Mark here if you are the Tiger Cub adult partner
   Mark here if the adult partner is not living at the same address; complete and attach an adult application.
Select relationship:                          Parent                            Guardian                              Grandparent                      Other (specify)
           (No initials or nicknames)



Country    Mailing address                                                                                           City                                                                                State      Zip code




                                                                                                                                                                                                                                        28-406B
US
               -                -                                   /           /                                                                                                                                                   M

Business phone                                              Ext.                Previous Scouting experience                                                                          Cell phone
              -                -                       X                                                                                                                                            -                -

Parent/guardian e-mail address                                                                                                                     I have read the attached information sheet and approve the application
                                                                                                                                                   (signature of parent/guardian required if applicant is under 18 years of age).


                                                                                                        /               /
                                                                                                                                                   Signature of parent/guardian
Signature of unit leader (or designee)
                                                        $                   .                                    $                 .
                                                                                                Boys’ Life fee                                     Signature of Venturer
                                      Boy Scout Troop 183
                            Chartered to St. Michael’s Episcopal Church
                            444 South Harbour Drive, Noblesville, 46062
                                       www.bsatroop183.org




               Acknowledgement of Reading & Agreement to Troop 183 Handbook



The undersigned parent or adult sponsor of ________________________________________,

acknowledges that my Scout and I have received a copy of the Troop 183 Handbook and we have

both read the Handbook and agree to abide by its goals, rules, and policies.




_________________________________                  _________________________________
Signature of Parent or Adult Sponsor               Signature of Scout



_________________________________                  _________________________________
Printed Name of Parent or Adult Sponsor            Printed Name of Scout



_________________________________                  _________________________________
Date                                               Date




Revision 1.0                                                                      Approved 11/02/10
                                       Boy Scout Troop 183
                             Chartered to St. Michael’s Episcopal Church
                             444 South Harbour Drive, Noblesville, 46062
                                        www.bsatroop183.org




               Acknowledgement of Reading & Agreement to Troop 183 Code of Conduct



The undersigned parent or adult sponsor of ________________________________________,

acknowledges that my Scout and I have received a copy of the Troop 183 Code of Conduct and we

have both read the Code of Conduct and agree to abide by it.




_________________________________                 _________________________________
Signature of Parent or Adult Sponsor              Signature of Scout



_________________________________                 _________________________________
Printed Name of Parent or Adult Sponsor           Printed Name of Scout



_________________________________                 _________________________________
Date                                              Date




Revision 1.0                                                                       Approved 11/02/10
                                               Boy Scout Troop 183
                                     Chartered to St. Michael’s Episcopal Church
                                     444 South Harbour Drive, Noblesville, 46062
                                                www.bsatroop183.org

               INFORMED CONSENT & PERMISSION AGREEMENT
                                                   (To be completed annually.)

I understand that participation in Boy Scout activities offered through Boy Scout Troop 183 involves a
certain degree of risk. I have carefully considered the risk involved and give my consent for my son
___________________________________________, to participate in Boy Scout activities with Boy
Scout Troop 183.

Because of the risk involved in Boy Scout activities, we give permission to the registered leaders of
Boy Scout Troop 183, Boy Scouts of America, to obtain emergency medical treatment for my son
____________________________________________, during Scouting activities.


_________________________________                           ______________________________                           __________
Printed Name of Parent or Legal Guardian                    Signature of Parent or Legal Guardian                    Date

___________________                          ___________________                          ___________________
Home Phone                                   Work Phone                                   Cell Phone
---------------------------------------------------------------------------------------------------------------------------------------
Insurance Carrier Information: Please attach a copy of insurance cards to this form.

Carrier: _____________________________                         Account No: _____________________________

Insured's Name: _____________________________                              ID: _____________________________
      Most hospitals and emergency clinics require this form to be notarized. Please have this form notarized.
---------------------------------------------------------------------------------------------------------------------------------------
State of Indiana                                             ) SS
County of ____________________________)

Before me the undersigned, an officer authorized to take acknowledgements, (Notary Public, Clerk of

the Circuit Court, etc.) personally appeared _____________________________________ and

acknowledged the execution of the foregoing instrument this _____day of ______________,20____ .

IN WITNESS WHEREOF, I ______________________________, have hereunto set my hand and

official seal this _____day of ______________,20____ .

__________________________________________, a ___________________________________,
Signature of Notary Public or other authorized officer (Type of office)

For the County of ___________________________My commission expires____________________.




Revision 1.0                                                                                                          Approved 11/02/10
                       Annual Health and Medical Record
                                      (Valid for 12 calendar months)


Medical Information
The Boy Scouts of America recommends that all youth and adult members have annual medical evaluations
by a certified and licensed health-care provider. In an effort to provide better care to those who may become
ill or injured and to provide youth members and adult leaders a better understanding of their own physical
capabilities, the Boy Scouts of America has established minimum standards for providing medical information
prior to participating in various activities. Those standards are offered below in one three-part medical form.
Note that unit leaders must always protect the privacy of unit participants by protecting their medical information.

Parts A and C are to be completed annually by all BSA unit members. Both parts are required for all events
that do not exceed 72 consecutive hours, where the level of activity is similar to that normally expended at home
or at school, such as day camp, day hikes, swimming parties, or an overnight camp, and where medical care is
readily available. Medical information required includes a current health history and list of medications. Part C
also includes the parental informed consent and hold harmless/release agreement (with an area for notarization if
required by your state) as well as a talent release statement. Adult unit leaders should review participants’ health
histories and become knowledgeable about the medical needs of the youth members in their unit. This form is to
be filled out by participants and parents or guardians and kept on file for easy reference.

Part B is required with parts A and C for any event that exceeds 72 consecutive hours, or when the
nature of the activity is strenuous and demanding, such as a high-adventure trek. Service projects or
work weekends may also fit this description. It is to be completed and signed by a certified and licensed
health-care provider—physician (MD, DO), nurse practitioner, or physician’s assistant as appropriate for your
state. The level of activity ranges from what is normally expended at home or at school to strenuous activity
such as hiking and backpacking. Other examples include tour camping, jamborees, and Wood Badge training
courses. It is important to note that the height/weight limits must be strictly adhered to if the event will take the
unit beyond a radius wherein emergency evacuation is more than 30 minutes by ground transportation, such as
backpacking trips, high-adventure activities, and conservation projects in remote areas.

Risk Factors
Based on the vast experience of the medical community, the BSA has identified that the following risk factors
may define your participation in various outdoor adventures.
• Excessive body weight                                    •   Asthma
•   Heart disease                                          •   Sleep disorders
•   Hypertension (high blood pressure)                     •   Allergies/anaphylaxis
•   Diabetes                                               •   Muscular/skeletal injuries
•   Seizures                                               •   Psychiatric/psychological and emotional difficulties
•   Lack of appropriate immunizations
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.

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
Last name: ________________________________ DOB: ______________ Allergies: __________________ Emergency contact No.: ___________________
                                                                                                                                           Part A
                                                                                                                                           GENERAL INFORMATION
                                                                                                                                           Name ___________________________________________________________________ Date of birth ________________________________ Age _____________ Male                Female
                                                                                                                                           Address _________________________________________________________________________________________________________________________ Grade completed (youth only) __________
                                                                                                                                           City _____________________________________________________________________ State ____________ Zip ____________________________ Phone No. ________________________________
                                                                                                                                           Unit leader ______________________________________________________ Council name/No. ___________________________________________ Unit No. ___________________
                                                                                                                                           Social Security No. (optional; may be required by medical facilities for treatment) _______________________ Religious preference ______________________________
                                                                                                                                           Health/accident insurance company __________________________________________________________ Policy No. ________________________________________________________
                                                                                                                                           ATTACH A PHOTOCOPY OF BOTH SIDES OF INSURANCE CARD (SEE PART C). IF FAMILY HAS NO MEDICAL INSURANCE, STATE “NONE.”
                                                                                                                                           In case of emergency, notify:
                                                                                                                                           Name _________________________________________________________________________________ Relationship _____________________________________________________________
                                                                                                                                           Address _________________________________________________________________________________________________________________________________________________________________
                                                                                                                                           Home phone _________________________________________ Business phone _______________________________ Cell phone ___________________________________________
                                                                                                                                           Alternate contact _________________________________________________________________________ Alternate’s phone ___________________________________________________
                                                                                                                                           MEDICAL HISTORY
                                                                                                                                           Are you now, or have you ever been treated for any of the following:                                                            Allergies or Reaction to:
                                                                                                                                             Yes       No                      Condition                                       Explain                      Medication _______________________________________
                                                                                                                                                                Asthma                                                                                      Food, Plants, or Insect Bites ____________________
                                                                                                                                                                Diabetes                                                                                    ____________________________________________________
                                                                                                                                                                Hypertension (high blood pressure)                                                                            Immunizations:
                                                                                                                                                                Heart disease (i.e., CHF, CAD, MI)                                                          The following are recommended by the BSA.
                                                                                                                                                                Stroke/TIA                                                                                  Tetanus immunization must have been received
                                                                                                                                                                COPD                                                                                        within the last 10 years. If had disease, put “D”
                                                                                                                                                                                                                                                            and the year. If immunized, check the box and
                                                                                                                                                                Ear/sinus problems
                                                                                                                                                                                                                                                            the year received.
                                                                                                                                                                Muscular/skeletal condition
                                                                                                                                                                                                                                                            Yes    No       Date
                                                                                                                                                                Menstrual problems (women only)
                                                                                                                                                                                                                                                                            Tetanus ____________________________
                                                                                                                                                                Psychiatric/psychological and
                                                                                                                                                                                                                                                                            Pertussis __________________________
                                                                                                                                                                emotional difficulties
                                                                                                                                                                                                                                                                            Diptheria __________________________
                                                                                                                                                                Learning disorders (i.e., ADHD, ADD)
                                                                                                                                                                Bleeding disorders                                                                                          Measles ___________________________
                                                                                                                                                                Fainting spells                                                                                             Mumps ____________________________
                                                                                                                                                                Thyroid disease                                                                                             Rubella ____________________________
                                                                                                                                                                Kidney disease                                                                                              Polio _______________________________
                                                                                                                                                                Sickle cell disease                                                                                         Chicken pox_______________________
                                                                                                                                                                Seizures                                                                                                    Hepatitis A ________________________
                                                                                                                                                                Sleep disorders (i.e., sleep apnea)                                                                         Hepatitis B ________________________
                                                                                                                                                                GI problems (i.e., abdominal, digestive)
                                                                                                                                                                                                                                                                            Influenza __________________________
                                                                                                                                                                Surgery
                                                                                                                                                                                                                                                                            Other (i.e., HIB) ___________________
                                                                                                                                                                Serious injury
                                                                                                                                                                Other                                                                                         Exemption to immunizations claimed.
                                                                                                                                           MEDICATIONS                                                                                                      (For more information about immunizations, as
                                                                                                                                           List all medications currently used. (If additional space is needed, please photocopy                            well as the immunization exemption form, see
                                                                                                                                           this part of the health form.) Inhalers and EpiPen information must be included, even                            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 ___________________
                                                                                                                                            ________________________________________                 ________________________________________                ________________________________________
                                                                                                                                            Distribution approved by:                                Distribution approved by:                               Distribution approved by:
                                                                                                                                            ____________________ / ___________________               ____________________ / ___________________              ____________________ / ___________________
                                                                                                                                            Parent signature           MD/DO, NP, or PA Signature    Parent signature          MD/DO, NP, or PA Signature    Parent signature          MD/DO, NP, or PA Signature
                                                                                                                                            Temporary          Permanent                             Temporary          Permanent                            Temporary          Permanent
                                                                                                                                            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 ___________________
                                                                                                                                            ________________________________________                 ________________________________________                ________________________________________
                                                                                                                                            Distribution approved by:                                Distribution approved by:                               Distribution approved by:
                                                                                                                                            ____________________ / ___________________               ____________________ / ___________________              ____________________ / ___________________
                                                                                                                                            Parent signature           MD/DO, NP, or PA Signature    Parent signature          MD/DO, NP, or PA Signature    Parent signature          MD/DO, NP, or PA Signature
                                                                                                                                            Temporary          Permanent                             Temporary          Permanent                            Temporary          Permanent
                                                                                                                                            NOTE: Be sure to bring medications in the appropriate containers, and make sure that they are NOT expired,
                                                                                                                                                  including inhalers and EpiPens. You SHOULD NOT STOP taking any maintenance medication.
Part B
PHYSICAL EXAMINATION
Height ____________ Weight ____________ % body fat ___________ Meets height/weight limits                         Yes      No
Blood pressure ___________ Pulse ____________
Individuals desiring to participate in any high-adventure activity or event in which emergency evacuation would take longer
than 30 minutes by ground transportation will not be permitted to do so if they exceed the height/weight limits as documented
in the table at the bottom of this page or if during a physical exam their health care provider determines that body fat
percentage is outside the range of 10 to 31 percent for a woman or 2 to 25 percent for a man. Enforcing this limit is strongly
encouraged for all other events, but it is not mandatory. (For healthy height/weight guidelines, visit www.cdc.gov.)

                                                     Explain Any                                                                            Explain Any
                    Normal       Abnormal                                     Range of Mobility        Normal         Abnormal
                                                    Abnormalities                                                                          Abnormalities
 Eyes                                                                    Knees (both)
 Ears                                                                    Ankles (both)
 Nose                                                                    Spine
 Throat
 Lungs                                                                             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): __________________________________________________________________________________________
______________________________________________________________________________________________________________________________________________________

I certify that I have, today, reviewed the health history, examined this person, and approve this individual for participation in:
   Hiking and camping       Competitive activities             Backpacking      Swimming/water activities                       Climbing/rappelling
   Sports                   Horseback riding                   Scuba diving     Mountain biking                                 Challenge (“ropes”) course
   Cold-weather activity (<10°F)                               Wilderness/backcountry treks
Specify restrictions (if none, so state) ____________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
Certified and licensed health-care providers recognized by the BSA to perform this exam include physicians (MD, DO), nurse
practitioners, and physician’s assistants.

 To Health Care Provider: Restricted approval includes:                         Provider printed name ______________________________________________________
 ➔ Uncontrolled heart disease, asthma, or hypertension.
                                                                                Signature _______________________________________________________________________
 ➔ Uncontrolled psychiatric disorders.
 ➔ Poorly controlled diabetes.                                                  Address ________________________________________________________________________
 ➔ Orthopedic injuries not cleared by a physician.                              City, state, zip _________________________________________________________________
 ➔ Newly diagnosed seizure events (within 6 months).
 ➔ For scuba, use of medications to control diabetes, asthma,                   Office phone __________________________________________________________________
    or seizures.                                                                Date _____________________________________________________________________________
    Height       Recommended            Allowable           Maximum                  Height       Recommended              Allowable             Maximum
   (inches)       Weight (lbs)          Exception          Acceptance               (inches)       Weight (lbs)            Exception            Acceptance
        60           97-138              139-166                166                    70              132-188              189-226                  226
        61           101-143             144-172                172                    71              136-194              195-233                  233
        62           104-148             149-178                178                    72              140-199              200-239                  239
        63           107-152             153-183                183                    73              144-205              206-246                  246
        64           111-157             158-189                189                    74              148-210              211-252                  252
        65           114-162             163-195                195                    75              152-216              217-260                  260
        66           118-167             168-201                201                    76              156-222              223-267                  267
        67           121-172             173-207                207                    77              160-228              229-274                  274
        68           125-178             179-214                214                    78              164-234              235-281                  281
        69           129-185             186-220                220                79 & over           170-240              241-295                  295
   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.

Part B          Last name: _________________________________________ DOB: ___________________
Part C
Informed Consent and Hold Harmless/Release Agreement
I understand that participation in Scouting activities involves a certain degree of risk. I have carefully considered the risk involved
and have given consent for myself and/or my child to participate in these activities. I understand that participation in these activities
is entirely voluntary and requires participants to abide by applicable rules and standards of conduct. 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.

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.

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 to the adult in charge 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, including 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.

   Without restrictions.
   With special considerations or restrictions (list) ____________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________

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 the event: (You must             Adults NOT authorized to take youth to and from the event:
designate at least one adult. Please include a telephone number.)
1. _____________________________________________________________________     1. _____________________________________________________________________
2. _____________________________________________________________________     2. _____________________________________________________________________
3. _____________________________________________________________________     3. _____________________________________________________________________
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.
Participant’s name ______________________________________________________________________________________________________________________________
Participant’s signature ________________________________________________________________________________________________________________________
Parent/guardian’s signature ________________________________________________________________________________________________________
                                                                            (if under the age of 18)
Date ________________________________________________
Attach copy of insurance card (front and back) here. If required by your state, use the space provided here for notarization.




                                                                                                                                  SKU 34605
BOY SCOUTS OF AMERICA
1325 West Walnut Hill Lane
P.O. Box 152079
Irving, Texas 75015-2079                                                                                                   7   30176 34605             2
http://www.scouting.org
                                                                                                                          34605         2009 Printing

Part C            Last name: _________________________________________ DOB: ___________________
                                                                                                                                           Rev. 9/2009
                                                                      Boy Scout Troop 183
                                                            Chartered to St. Michael’s Episcopal Church
                                                            444 South Harbour Drive, Noblesville, 46062
                                                                       www.bsatroop183.org

                                                    Vehicle, Insurance, and Driver’s License Information
                             (This information is required by the Boy Scouts of America when transporting Scouts on Troop activities.)

                                                 (This form is required annually with the Scout’s annual registration.)


                    Date:

                                                                                            Parent / Adult
         Scout's Name:
                                                                                                Sponsor:

                 Address:                                                                              City:

                    State:                                                                       Zip Code:

          Home Phone:                                                                        Work Phone:

               Cell Phone:                                                                           Email:

      INSURANCE - All vehicles MUST be covered by a public liability and property damage liability insurance policy. The amount of this coverage must meet or
      exceed the insurance requirement of the state in which the vehicle is licensed. (It is recommended, however, that coverage limits are at least $50,000/ $100,000/
      $50,000 or $100,000 combined single limit.)

                                                                                                                         Public Liability Insurance Coverage
         Vehicle Year,           No. of                              Driver's License       No. of Seat                   Public Liability
                                                 Owner's Name                                                                                             Property
         Make, Model           Passengers                                   No.               Belts
                                                                                                                   Each Person      Each Accident        Damage

                                                                                                               $                   $                   $

                                                                                                               $                   $                   $

                                                                                                               $                   $                   $




Revision 1.0                                                                                                                                                      Approved 11/02/10
                                           Boy Scout Troop 183
                                 Chartered to St. Michael’s Episcopal Church
                                 444 South Harbour Drive, Noblesville, 46062
                                            www.bsatroop183.org

                      Annual Vehicle Inspection Report and The Driver’s Pledge
 (This form is required annually with the Scout’s annual registration for each vehicle. Reproduce as necessary.)

Owner’s name ___________________________________________________________________________________
Address ________________________________________________________________________________________
City, state _________________________________________________________ Zip __________________________
Driver’s license No. _______________________________________________ Renewal date ____________________
Telephone ( _________ )_____________________________
Insurance company _______________________________ Amount of liability coverage $________________________
Other drivers of same vehicle (this trip only) and driver’s license numbers:
______________________________________________ _________________________________________________
______________________________________________ _________________________________________________
Make of vehicle _________________________________ Model year ________________________________________
Color _________________________________________ Auto license No. ____________________________________


Basic Safety Check                                                Additional Safety Check
1. Seat belts for every passenger? ___________                    1. Flares for emergencies? ___________
2. Tire tread OK? ___________ Spare? ___________                  2. Fire extinguisher? ___________
3. Brakes OK? ___________                                         3. Flashlight? ___________
4. Windshield wipers operate? ___________                         4. Tow chain or rope? ___________
5. Current inspection sticker? ___________                        5. First aid kit? ___________
6. Headlights and turn signals operating? ___________
7. Rearview mirrors? ___________
8. Exhaust system OK? ___________




               The Driver’s Pledge

               I will not drive when I feel fatigued. I realize that when I am fatigued, I process information
               more slowly and less accurately and this impairs my ability to react in time to avoid
               accidents.

               I will arrange my schedule so that several days before a Boy Scout "driving trip," I will get
               a good night's sleep every night to avoid the cumulative effect of not getting enough
               sleep.

               I will make trip preparations far enough in advance so that last-minute preparations don't
               interfere with my rest.

               I will make travel plans that take into account my personal biological clock and only drive
               during the part of the day when I know I will be alert.

               I will be smart about engaging in physical activities during Scouting outings and will make
               sure that I will be ready to drive alertly.




Revision 1.0                                                                                                     Approved 11/02/10
                                               Boy Scout Troop 183
                                     Chartered to St. Michael’s Episcopal Church
                                     444 South Harbour Drive, Noblesville, 46062
                                                www.bsatroop183.org


                                                   Obstacles to Learning

Dear Troop 183 Family,

Thank you in advance for helping us so that we can best serve your Scout. Please answer the following confidential
questions, sign this form, and return it confidentially to Troop 183’s Scoutmaster. This information is very important and
will only be revealed to the necessary troop adult leadership team so that we can provide a safe and productive
experience for your son and all the boys in the troop.

There are occasions when a Scout will qualify for an adapted Scouting program depending on his circumstances. If this is
found to be the case, medical information from the Scout's doctor and other health care professionals will be required and
then turned into Council for review.

My son’s name is: _________________________________________________________________

Please check any of the following cases that apply to your Scout.

… Has learning challenges (i.e. as identified at school by the use of an IEP (Individual Education Plan)
… Takes prescribed medications for behavioral disorders (ADHD, Depression . . . )
         o     Please list the medication below:
                   ƒ
                   ƒ
… Has mental challenges (Please describe):_________________________________________________________
… Has physical challenges (Please describe):________________________________________________________
… Has been diagnosed with _____________________________________ which causes the Scout to need special
    supervision or guidance.
… Requires full-time 24/7 adult supervision because:
    __________________________________________________________________________________________
    __________________________________________________________________________________________.
… May be a danger to himself or other Scouts because:
    __________________________________________________________________________________________
    __________________________________________________________________________________________
… Has another situation not mentioned above that I will describe here:
    __________________________________________________________________________________________
    __________________________________________________________________________________________




__________________________________                 __________________________________         ____________________
Print Parent or Guardian Name                      Signature                                  Date




Revision 1.0                                                                                                 Approved 11/02/10
                                             Boy Scout Troop 183
                                   Chartered to St. Michael’s Episcopal Church
                                   444 South Harbour Drive, Noblesville, 46062
                                              www.bsatroop183.org

                                       Uniform Components & Information

The uniform makes the Scout troop visible as a force for good and creates a positive youth image in the community. Boy
Scouting is an action program, and wearing the uniform is an action that shows each Scout's commitment to the aims and
purposes of Scouting. The uniform gives the Scout identity in a world brotherhood of youth who believe in the same
ideals. The uniform is practical attire for Boy Scout activities and provides a way for Boy Scouts to wear the badges that
show what they have accomplished.

Troop 183’s uniform policy supports the aims and methods of Scouting. All Scouts and Registered
Adults are strongly encouraged to wear the complete BSA Uniform as listed below.

All uniform items may be purchased at www.scoutstuff.org or at the Indianapolis Scout Shop located
at 7125 Fall Creek Road North, Indianapolis, IN 46256. www.crossroadsbsa.org (317) 813-7070.
Scout Shop hours are generally 8:30AM-7:00PM Mon-Fri and 9:00AM-3:00PM Sat.

                                                                                                         Cost
                                                 Item                                               (Approximate -
                                                                                                   not guaranteed)
     When you purchase your New Scout’s uniform be sure that you purchase all new style uniform parts and pieces.
 Boy Scout Handbook
   (Must be 2010 Requirements version)                                                                      $9.99
   (These are provided to Webelos Crossing Over into T183)
 Boy Scout Shirt (Not cotton) – Khaki                                                                       $39.99
   (Short Sleeve & 1 size too large Recommended)
 Forest Green Boy Scout Synthetic Switchback Trousers (not the canvas model)                                $49.99
   (Do not buy the cotton canvas uniform pants, get the synthetic)
 Forest Green Boy Scout Web Belt                                                                        $10.99-12.99
 3-4 Pairs of Boy Scout Socks (1 is not enough for campouts)                                             $5.99/pair
 World Scout Crest Emblem (Purple)                                                                         $1.49
 Council Shoulder Patch                                                                                    $2.20
 Forest Green Shoulder Loops                                                                                $2.49
   (These are provided to Webelos Crossing Over into T183)
 Neckerchief (red with yellow stitched edge and BSA emblem)                                                 $8.99
   (These are provided to Webelos Crossing Over into T183)
 Neckerchief slide (Scout version)                                                                          $3.99
   (These are provided to Webelos Crossing Over into T183)
 Unit Numerals – Provided by troop                                                                          $3.57
   (These are provided to Webelos Crossing Over into T183)
 Patrol Emblem – As assigned by troop                                                                       $1.99
 Boy Scout T-Shirt
   (part of annual registration fee, group order, delivered in May)                                        $12-15
   (additional shirts $12-15)
 Large Forest Green Merit Badge Sash
 (After a Scout has earned 5 or more merit badges the merit badge sash is required for                      $6.99
 Scoutmaster Conferences, Boards of Review and formal occasions. The boys want to wear the
 sash when they have received their 1st or 2nd merit badge!)




Revision 1.0                                                                                               Approved 11/02/10
                                           Boy Scout Troop 183
                                 Chartered to St. Michael’s Episcopal Church
                                 444 South Harbour Drive, Noblesville, 46062
                                            www.bsatroop183.org

                        Recommended Personal Gear & Clothing for Campouts
                                         (or, The New Scout’s Necessities)

Scouts and adults should strive to bring the minimum personal gear. All Personal gear except tent must fit in
one backpack or duffle bag so that the Scout may carry all personal gear in one trip from trailer or parking lot to
campsite and from campsite back to trailer or parking lot.

… Full Class A Scout uniform
… Minimum 2 pairs of Scout socks – 1 for Friday night & 1 for Sunday
… Waterproof Breathable Rain Jacket & Pants (Plastic or PVC are strongly discouraged as they are not durable –
  rain ponchos can restrict movement)
… High Quality major brand 0-degree to 20-degree Sleeping bag (NOT a department store sleeping bag) (See notes
  below on sleeping bags.)
… Insulated Sleeping pad (closed cell foam pad is best)
… Duffle bag or backpack. Except for tent, all personal gear should fit in one bag. (Scout should be able to carry his
  gear in one trip from the trailer to the tent.)
… Reusable cup, bowl, fork & spoon – Plastic or Lexan is recommended (traditional metal mess kits are not
  recommended, except possibly for backpacking) (troop does not use paper, plastic or Styrofoam products)
… Waterproof ankle high boots are strongly recommended – hiking type recommended
… Extra pair of shoes
… Boy Scout Handbook, notebook and pen
… Small towel & toiletries (toothbrush, toothpaste, soap & shampoo)
… 2-3 Pairs synthetic or wool hiking socks
… 2-3 pairs of 100% synthetic sock liners strongly recommended
… 2-3 Synthetic t-shirts and underwear (polyester or nylon)
… 1 Pair synthetic or wool long underwear (pants and shirt/top)
… 1 Pair of synthetic long pants & 1 synthetic long sleeve shirt (Scout pants are excellent outdoor wear)
… 1 Heavy weight synthetic fleece
… 1 Winter weight hat that covers ears and neck (not a baseball type hat)
… 1 Extra change of synthetic clothes (underwear, t-shirt, long sleeve shirt, long pants)
… Folding knife – should fit in Scout’s hand and blade cannot be longer than 4” (Scout must have Totin’-Chip to carry
  knife.)
… Personal first aid kit – See Boy Scout Handbook
… 32 oz Reusable and refillable wide mouth water bottle (Camelback-type hydration packs are not needed and
  discouraged for new Scouts)
… Headlamp - Small headlamp (2-3 AAA battery-size) recommended (waterproof preferred) -- handy for hands free work
  around camp
… Matches & Fire starting kit (Scout must have Firem’n Chit to carry matches and fire starter kit.)
… Compass (maps provided by troop as needed)
… Whistle
… “Car bag” – duffle or other bag with extra set of clean clothes and shoes for ride home from outings

Parents’ Important Message -- Cotton clothing, especially denim, is a very poor choice for camping and outdoor
adventures as cotton is bulky, cold, and slow to dry when wet. Two to four layers, depending on the weather,
made of fast drying synthetic materials should be worn. More information on gear will be provided at troop
meetings and from the Scoutmaster!


Sleeping Bag Notes: Every individual sleeps differently from another in terms that can only be described as
sleeping “warm” or “cold”. For this reason, not every sleeping bag will work for every individual. Some sleepers
          o                                o                                                             o
need a 20 bag to feel comfortable on a 35 night. Likewise, some sleepers might feel comfortable in a 35 bag on
    o
a 20 night. Finding the right sleeping bag for you may therefore take some experimentation. You might start
         o     o
with a 30 or 35 bag that will be suitable for all camping situations except winter camping. For winter camping,
                                                    o
you can then add a sleeping bag liner (can add 10 ), or perhaps invest in a cold-weather bag.

Revision 1.0                                                                                           Approved 11/02/10

				
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