Denver Area Councilboy Scouts of America

DENVER AREA COUNCILBOY SCOUTS OF AMERICA

Peaceful Valley Scout RanchRange Reservation Form

Volunteer Program for Use of

Peaceful Valley Shooting Sports Areas

The shooting ranges at Peaceful Valley Scout Ranch may be made available to Boy Scout Troops, Varsity Scout Teams, Explorer Posts, and Venturing Crews upon prior request (minimum 3 weeks) when all BSA standards can be met.

Note: Cub Scouts may only shoot archery and BB Guns at Council or District approved programs.

Cub Scout Packs are not approved to run shooting events. Please contact your District Shooting Sports

Coordinator if you would like to plan an event.

Basic standards are in the BSA Shooting Sports Manual.

Please review all BSA levels 1 thru 5. In the document above. Choose and study the requirements for the level best describing your event. Questions can be simply directed to your Coordinators or Chairman.

Many documents and charts can be found at:

Other resources are: Guide to Safe Scouting, & Camp Programs and Property Management. Shooting Sports Section.

All equipment and ammunition must be approved for use by a Denver Area Council Representative before range use. For information see DAC Standard Operating Procedure also found at

We realize that many units will not have proper equipment and properly certified Instructors/ Range Officers required for Scouts to shoot. Please send an email to your District Coordinator outlining your event plan. Emails can be sent directly from

Range reservations are on a 1st Come 1st Served basis. Reservations are handled thru the CAMPING Dept. at Council office. When your unit has a confirmed reservation please contact your District Shooting Sports Coordinator via email. Coordinator or committee person will contact and assist you in planning. Please keep in mind ALL NRA Instructors and RSO’s within DACSS are VOLUNTEERS and are also active in other Scouting roles. We can not always guanantee availability of Instructors & RSOs.

Consider Training to become a NRA or NAA Certified Instructor. Check websites for dates& times.

Camp shooting equipment will be made available to Council approved Instructors for their use in operating the ranges. Council maintenance fees for the range equipment have been calculated into

your range fees and consumables. All guns must be returned CLEANED to QM.

Range Boxes must be returned organized. Please fill out refill list and leave in pouch inside tote.

CLEANING FEE will be charged at a rate of $____.____ for any gun returned uncleaned.

We provide “shared” eye and hearing protection when requested.

However, on a personal level we strongly recommend ALL participants bring their own shatter proof EYE protection and over ear HEARING protection.

UNIT # / DATE / DISTRICT / NAMES / NRA CERT. # / CELL # / E-MAIL
UNIT CONTACT
INSTRUCTOR
RSO

Range Safety Officer and the Discipline’s Instructor must be two separate individuals who are BSA, NRA, or NAA Certified* and DAC- SOP Trained for the range operations. DACSS ID badge must be presented to Rangers upon Check-in. Please make sure you have your credentials with you.

RANGE REQUEST
Ranges Below Lay West to East
(Circle Ranges Needed) / DATE REQUEST
FRI. SAT. or SUN
(Circle Days Enter Dates) / TIME SLOT REQUEST
AM 9-12 PM 1-4
(Circle, Count, & Enter Below) / ASSIGNMENT
OFFICE USE
TRAVIS RANGES PV / FRI. SAT. SUN.
SHOTGUN S1 (Future ) / AM PM AM PM AM PM
SHOTGUN S2 (Manual thrower) / AM PM AM PM AM PM
SHOTGUN S3 (Manual thrower) / AM PM AM PM AM PM
SHOTGUN S4 (Pro-matic ) / AM PM AM PM AM PM
RIFLE R1 (8 Lanes ) / AM PM AM PM AM PM
RIFLE R2 (8 Lanes) / AM PM AM PM AM PM
MULTI-USE V 1 (Volunteer Range) / AM PM AM PM AM PM
ARCHERY / AM PM AM PM AM PM
WINCHESTER BB AIR ASOFT / AM PM AM PM AM PM
MAGNESS RANGES
ARCHERY / AM PM AM PM AM PM
BB AIR RIFLE R1 / AM PM AM PM AM PM
BB AIR RIFLE R2 / AM PM AM PM AM PM

RANGE FEES

TRAVIS RANGES PV / COSTS / Enter Circled Slots From Above / Sub Total Here
SHOTGUN S1 (Future)
SHOTGUN S2 w/ Manual Thrower / auto / $35.00 / $45.00 / X
SHOTGUN S3 w/ Manual Thrower / auto / $35.00 / $45.00 / X
SHOTGUN S4 w/ Pro-Matic Thrower / $45.00 / X
RIFLE R1 / $35.00 / X
RIFLE R2 / 435.00 / X
MULTI-USE / $35.00 / X
ARCHERY / $35.00 / X
WINCHESTER BB AIR ASOFT / $35.00 / X
MAGNESS RANGES
ARCHERY / $25.00 / X
CUB BB WEBELO AIR RIFLE R1 / $25.00 / X
CUB BB WEBELO AIR RIFLE R 2 / $25.00 / X
Total Here
DAC APPROVAL / DATE

UNIT TO FILL OUT

AMMUNITION REQUEST (NO REFUNDS ON UNUSED AMMUNITION)

COUNT / AMMUNITION / PRICE / QTY REQUEST / SUB TOTAL
100 / .22 CAL. LR / X
250 / .22 CAL. LR / X
500 / .22 CAL.LR / X
720 / .22 CAL. LR ½ BUCKET / X
1440 / .22 CAL. LR BUCKET / X
25 1BOX / 12GA. LIGHT / X
250 1CASE / 12GA. LIGHT / X
25 1BOX / 12GA. X-LIGHT / X
250 1CASE / 12GA. X-LIGHT / X
25 1BOX / 20GA. LIGHT / X
250 1CASE / 20GA. LIGHT / X
500 / BB’S / X
500 / .177 PELLETS / X
CO2 CARTRIDGE
AIR SOFT PELLETS
50 CAL. BALLS
PYRODEX
PATCHES

UNIT TO FILL OUT

TARGET REQUEST

COUNT / TARGETS / PRICE / QTY REQUEST
135 BOX / CLAY TARGETS SHO / X
90 BOX / CLAY TARGETS SHO / X
TEXAS STAR SHO / X
RABBITS SHO / X
MINI SHO / X
BATTUE SHO / X
1 BULL TARGET RIF / X
10 BULL TARGET RIF / X
TARGET BACKER RIF / X
PLATE RACK RIF / X
CHAINED PLATES RIF / X
DUALING TREE RIF / X
SELF SEAL TARGET RIF / X
SINGLE PLATE AUTO RIF / X
MZL GONGS / X
AIRSOFT SINGLE PLATE / X
AIRSOFT DUALING TREE / X
AIRSOFT TEXAS STAR / X
AIRSOFT PLATE RACK / X

UNIT TO FILL OUT

FIREARMS LOG CHECK OUT / CHECK IN

SHOTGUN RANGE #S1 (future)

SHOTGUNS
PER RANGE
(is 3) / SERIAL #
(last 5 digits) OR
LOCATION ID / OUT
RSO
(initals) / IN
RSO
(initals) / CONDITION RETURNED / MALFUNCTIONS?
(indicated here)
870 PUMP
870 PUMP
870 PUMP
SEMI AUTO
SEMI AUTO
SEMI AUTO
RANGEBOX

SHOTGUN RANGE #S2 (West) A

SHOTGUN RANGE #S3 (Middle Manual) Auto Thrower Optional

SHOTGUN RANGE #S4 (Pads & Auto Thrower)

RANGERS TO FILL OUT

RIFLE RANGE #R1

RIFLES
PER RANGE
(is 9) / SERIAL #
(last 5 digits) OR
LOCATION ID / OUT
RSO
(initals) / IN
RSO
(initals) / CONDITION RETURNED / MALFUNCTIONS?
(indicated here)
SAVAGE
SAVAGE
SAVAGE
SAVAGE
SAVAGE
SAVAGE
SAVAGE
SAVAGE
SAVAGE
RANGE BOX

RIFLE RANGE #R2

RIFLES
PER RANGE
(is 9) / SERIAL
(last 5 digits) OR
LOCATION ID / OUT
RSO
(initals) / IN
RSO
(initals) / CONDITION RETURNED / MALFUNCTIONS?
(indicated here)
SAVAGE
SAVAGE
SAVAGE
SAVAGE
SAVAGE
SAVAGE
SAVAGE
SAVAGE
SAVAGE
RANGE BOX

VOLUNTEER RANGE MULTI-USE RANGE

GUNS
REQUESTED
(indicate here) / SERIAL NUMBER
(last 5 digits) OR
LOCATION ID / OUT
RSO
(initals) / IN
RSO
(initals) / CONDITION RETURNED / MALFUNCTIONS?
(indicated here)

RANGER TO FILL OUT

ARCHERY RANGES Dobbins or Magness (circle choice)

BOWS
PER RANGE (is 9) / SERIAL NUMBER
(last 5 digits) OR
LOCATION ID / OUT
RSO
(initals) / IN
RSO
(initals) / CONDITION RETURNED / MALFUNCTIONS?
(indicated here)

AIR-RIFLE RANGES Winchester or Magness #1 (circle choice)

RIFLES PER RANGE
(is 9) / SERIAL NUMBER
(last 5 digits) OR
LOCATION ID / OUT
RM
(initals) / IN
RM
(initals) / CONDITION RETURNED / MALFUNCTIONS?
(indicated here)

AIR-RIFLE RANGES Winchester or Magness #1 (circle choice)

RIFLES PER RANGE
(is 9) / SERIAL NUMBER
(last 5 digits) OR
LOCATION ID / OUT
RM
(initals) / IN
RM
(initals) / CONDITION RETURNED / MALFUNCTIONS?
(indicated here)

RANGER TO FILL OUT

ACTUAL NUMBER OF PARTICIPANTS

Number of Scouts:______Number of Adults: ______Shoot Date ___/____/______

(circle) Actual Number Shooters

Shotgun Range 1 2 3 4
Rifle Range 1 2
Volunteer Range 1
Archery Range 1
Magness BB 1 2 3
Magness Archery 1
UNIT LEADER SIGNATURE / RSO SIGNATURE / RANGER SIGNATURE

NOTE: Replacement cost will be applied to lost or damaged equipment

ADDITIONAL FEES & MATERIALS USED / QUANTITY / COST

RANGER TO FILL OUT

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