/ ACTIVITY CHECKLIST/SIGNUP FORM
TROOP 008 - BOY SCOUTS OF AMERICA
WESLEY CHAPEL UMC, MARIETTA, GEORGIA /
Beach Camping at Ft Pickens, Pensacola Beach FL
January 13-15, 2018
SCOUT
LEADERSHIP: / TBD / ADULT
LEADERSHIP: / David Ayers 678-507-9595
ACTIVITY
LOCATION: / Ft Pickens, Pensacola Beach, FL / MEET TIME: / 7:30 AM Saturday 1/13/2018
ACTIVITY
DATE(S): / 1/13/2018 – 1/15/2018 / DEPARTURE
LOCATION: / Wesley Chapel UMC
OTHER INFO: / RETURN TIME: / 5:00 PM Monday, 1/15/2018
Cost Per Person: / $45 / Activity fee for camping, food, and gas
$15 / Lunch money to bring for road meals (2 lunches)
EVENT DETAILS
Saturday morning, January 13, we drive down (6-7 hr drive). Each car will stop for lunch on the way. Please eat breakfast before arriving at WCUMC. We will arrive at the campground around 2PM Central time.We will spend the afternoon setting up camp and preparing Saturday dinner. We may also take a hike, time permitting.
On Sunday, we will tour Ft. Pickens in the morning. We will visit the main site as a troop, then scouts may tour the surrounding areas in smaller groups, returning to the campsite for lunch. Scouts will have a couple hours of free time after lunch to explore the beach, hike, fish, etc. We will spend the remainder of Sunday afternoon going over cooking requirements (rank requirements and MB). Other activities TBD.
On Monday, we will have a light breakfast, then leave by 9AM Central time for the drive back to Atlanta. Each car will stop for lunch on the way. We will be returning around 5PM on Monday.
We will be staying at the Ft Pickens Campground, Pensacola Beach, FL
1463 Fort Pickens Rd
Pensacola Beach, FL 32561
Map:
·  Google: https://goo.gl/maps/H2bCxRZFH9B2
REMEMBER TO BRING
Tent or have a tent buddy. No trees at campsite, so NO HAMMOCKS / Dress in layers (it will be cold in the morning, warming up in the day)
Sleeping Bag / pillow / 10 Essentials
Flashlight / Headlamp / Water bottle, must be carried at all times
Fishing pole/tackle box (if you plan to fish) / Extra shoes/Water shoes for walking on the beach
OTHER REMINDERS
Wear Class A shirts on the drive (both ways) and the class B Troop T-Shirts while camping/caving
Drivers, you may be able to drive to and unload gear at the campsite but plan immediately to return your vehicle to the parking area when unloading is complete. NO CARS OR TRUCKS WILL BE ALLOWED TO PARK IN THE CAMPSITES. The Troop trailer will be allowed to remain.


Permission Slip – Must be completed and returned with payment to participate

My son/sons, , has/have permission to participate in this activity with Troop 008 on October 6, 2017, and will be in complete uniform. The person herein described has permission to engage in all prescribed activities, except as noted by me. To participate in this activity, I hereby release and discharge the Wesley Chapel UMC, the Boy Scouts, and its volunteer leadership, their heirs, executors, and administrators from all liability of any kind which might be asserted in behalf of said minor(s) or myself against the aforementioned church, scouts, or volunteers absent of gross negligence or willful and wanton misconduct. In the event of an accident or illness, if the said volunteers are unable to contact me as a parent or guardian, or if I, being over the age of 18, am unable to make needed cognitive decisions, hereby grant permission to said volunteers to administer necessary first aid, and/or to take the said minor or myself to a medical facility for additional medical treatment, to hospitalize, to provide or secure appropriate emergency care including but not limited to injections, diagnostic procedures, proper anesthesia, and emergency surgery.

Informed Consent, Release Authorization and Authorization:

I understand that participation in Scouting activities involves the risk of personal injury, including death, due to the physical, mental, and emotional challenges in the activities offered. Information about those activities may be obtained from the venue, activity coordinators, or local council. I also understand that participation in these activities is entirely voluntary and requires participants to follow instructions and abide by all applicable rules and the standards of conduct.

In case of an emergency involving my child, I understand that efforts will be made to contact me. In the event I cannot be reached, permission is hereby given to the medical provider to secure proper treatment, including hospitalization, anesthesia, surgery, or injections of medication for my child. Medical providers are authorized to disclose protected health information to the adult in charge and/or any physician or health care provider involved in providing medical care to the participant. Protected Health Information/Confidential Health Information (PHI/CHI) under the Standards for Privacy of Individually Identifiable Health Information, 45 C.F.R. §§160.103, 164.501, etc. seq., as amended from time to time, includes examination findings, test results, and treatment provided for purposes of medical evaluation of the participant, follow-up and communication with the participant’s parents or guardian, and/or determination of the participant’s ability to continue in the program activities.

With appreciation of the dangers and risks associated with programs and activities including preparations for and transportation to and from the activity, on my own behalf and/or on behalf of my child, I hereby fully and completely release and waive any and all claims for personal injury, death, or loss that may arise against the Boy Scouts of America, the local council, the activity coordinators, and all employees, volunteers, related parties, or other organizations associated with any program or activity.

Signature of Parent/Guardian ______Date ______

NOTE: The Boy Scouts of America and local councils cannot continually monitor compliance of program participants or any limitations imposed upon them by parents or medical providers. List any restrictions imposed on a child participant in connection with programs or activities below and counsel your child to comply with those restrictions.

Scout Restrictions: ______

______

Payment of $______via q Check, q Cash, or q Scout Account, provided q with permission slip or q at departure

I can help with transportation (check appropriate): q to, q from, or q both, for ____# Scouts, if needed.

Name(s) of parent(s) coming on this trip:

Emergency numbers during the activity:

Name of Scout(s) coming on this trip: