HORSESHOE SCOUT RESERVATION

CHESTER COUNTY COUNCIL BOY SCOUTS OF AMERICA

To be submitted to the Ranger or Campmaster upon the unit’s check-out

"CHECK OUT CERTIFICATION"

[ ] CAMP HORSESHOE / [ ] CAMP WARE / [ ] EQUIPMENT
Troop#
Pack #
Crew# / of the ______
District / ______
Council
Used the / ______
Lodge / Adirondack / Stockade / Tent / sites
On the following dates: / From
Month - Day - Year / To
Month - Day - Year
A SCOUT IS CLEAN & TRUSTWORTHY
◊ / We have thoroughly cleaned the building inside / [ ]
◊ / We have policed the area and removed all trash or litter from the grounds outside / [ ]
◊ / We have thoroughly cleaned the latrine we used / [ ]
◊ / We have left a good supply of firewood for the next unit / [ ]
◊ / We have not damaged or defaced the building, site or equipment / [ ]
◊ / We have not cut or burned letters or symbols in any building or structure / [ ]
◊ / We have properly disposed of our trash in the receptacles provided / [ ]
◊ / We have endeavored to leave the camp in better condition than when we arrived / [ ]
ON OUR HONOR….WE HAVE DONE OUR BEST

This certification is to be completed and returned to the Ranger or Campmaster
prior to your unit’s departure from camp.

______Leader in Charge / ______Ranger or Campmaster
______
Date / ______
Date

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