Equipment Checkout Form Troop 1127

Revised Septembe r25, 2005

This form is to be filled out by individuals or patrols who check out equipment from the Troop Supply Room

The troop quartermaster should be present to assist checking out equipment

All equipment that is returned must be checked by the quartermaster for breakage and cleanliness Before being returned.

Date items checked out______

Date items returned ______

Patrol Name ______

Individual(s) checking out equipment ______

Quartermaster present (YES) (NO) Name of quartermaster ______

Reason for checking out equipment (Camporee, personal outing etc ) ______

Quartermaster signature when items checked out ______

Quartermaster signature when items returned in proper condition ______

Notes: ______

Check if item checked out by patrol or individual. Quartermaster should initial OK when item is returned in proper condition

Kitchen Items- Food Preparation/Serving

( )Patrol Box # ______

() ( No._____) Water Jug Size (______)

()Nesting Cook Kit (check to see if lids or pots are missing) (usually no cups/plates are in them)

() ( No._____) Cups

() ( No._____) plates

() ( No._____) Bowls (for cereal, oatmeal etc)

() ( No._____) Small Square Bowls

() ( No._____) Griddle

() ( No. ____ ) Large Round Frying Pan

()Additional pots

()Sieve for spaghetti etc

( ) ( No._____) Kettle for hot water etc

()Coffee pot (check if complete)

() ( No._____) Cool Aid Pitcher

() ( No._____) spoons

() ( No._____) forks

() ( No._____) knives

() ( No._____) Spatula

() ( No._____) Large mixing spoon

() ( No._____) Soup Ladle

() ( No._____) Sharp Cutting Knives

() ( No._____) Tongs

() ( No._____) Can Opener

() ( No._____) Pudgy Pie Maker

() ( No._____) Toaster

() ( No._____) Dutch Oven

() ( No._____) Pliers for Dutch oven

() ( No._____) Mittens/ Hot Pads

() ( No._____) Mixing Bowl

() ( No._____) Rubber Spatula

() ( No._____) Prayers Before Meals Sheet

() Oddball stuff ______

() Spices ______

()No- Stick Spray for pans if needed

() Sugar/ cinamom sugar/ coffee mate, ketsup, mustard

() ( No._____) LP Gas Stove (What Kind ______) Be sure to have correct LP gas line

() ( No._____) Wrench for gas line

()Pliers, duct tape

() ( No._____) LP Tank Size ( 5, 10, or 20 # tank ______)

() ( No._____) Camp Stove Stand

() ( No._____) Charcoal Grill

() ( No._____) Shovel or Trowel for handling charcoal

() ( No._____) Grill for use over wood fire

()Matches

()Bucket of charcoal/ Lighter Fluid or fire starter

() Reflector Oven

() ( No._____) ______

Cleanup Equipment

() ( No._____) Rubbermaid Dish Pans

() ( No._____) Dish Soap

() ( No._____) Bar Soap

() ( No._____) Dish Rags

() ( No._____) Scrubbing pad (Steel or Copper)

() ( No._____) Net Bag for drying dishes

() ( No._____) Cloth Dish Towels

() ( No._____) Garbage Bags

Shelter etc

()Large Blue Plastic Tarp in green canvas bag

()Aluminum Poles (3 bundles-7 ft, 5ft, 3ft)

()Bucket of metal ‘spiders’

()Bucket of stakes

()bag of foam padding

()3 + pieces rope (looks like clothesline)

()Bungee cords

()Instructions

If taking end panels for shelter

()2-large PVC tubes containing poles (1 set for each end)

()bucket of metal “spiders’ (some flourescent pink, some gold)

()bungee cords with plastic balls, 2-25't pieces 1/4" rope

()clear pieces of plastic in green canvas bag

( )White Shelter (pole bag) (large container with plastic & fittings

Misc.

() ( No._____) Lanterns (What Kind LP, Coleman fuel etc ______)

()1# LP bottles, fuel bottles, funnel

() ( No._____) First Aid kit (Which one)______

() ( No._____) Paper Towels

() ( No._____) Toilet Paper

() ( No._____) Reflector Oven

() ( No._____) Large Rubbermaid Food Containers

() ( No._____) Small Rubbermaid Food Container

() ( No._____) Rubbermaid Container for serving/eating utensils

() ( No._____) Troop Flags______

() ( No._____) Flag holders______

() ( No._____) lantern stands______

() ( No._____) rakes, shovel ______

() ( No._____) bucket for fires ______

() ( No._____) bulletin board, tacks______

() ( No._____) bucket of twine______

() ( No._____) ______

() ______