“Jungle Adventure”

Lone Bear District

Walking leader handbook

June 10th-14th, 2013

Artesian park

Clinton, Missouri

Lone Bear Day Camp 2013June 10th – 14th, 2013

Artesian Park, Clinton, Missouri

Camp Director: Kathy Cooper 660-647-5868

Program Director: Sarah Hasek 618-559-1631

Staff Advisor: Matt Specht 816-260-3859

EMERGENCY PHONE NUMBERS

Fire - Ambulance – Police – Sheriff 911

Golden Valley Hospital 660-885-5511

CAMP PHONESKathy Cooper 1-660-233-2994

Sarah Hasek 1-618-559-1631

Matt Specht, Sr. District Executive

1-816-260-3859

(office) 1-816-569-4961

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CAMP SCHEDULE

Monday, Tuesday, Wednesday, Thursday:

8:00 a.m. Registration & Check-in 8:30 a.m. Opening ceremony8:45 a.m. Travel Time (ALL) to next station9:00 - 9:50 a.m. Station #1 10:00 - 10:50 a.m Station #2 11:00 - Noon PoolNoon Lunch 1:00 - 1:50 p.m. Station #3 2:00 - 2:50 p.m. Station #43:15 p.m. Closing, Assemble at flagpole for closing and announcements3:25 p.m. Checkout

Friday:

8:00 a.m. Registration & Check-in 8:30 a.m. Opening ceremony8:45 - 9:25 am. Station #1 9:35 - 10:15 am Station #2 10:30 - 11:00 Card Board Boat Races at the Pool, Parents and family welcome11:00 - Noon PoolNoon Lunch 1:00 - 2:00 p.m. Station #3 2:10 - 3:10 p.m. Closing campfire, Awards, Parents welcome3:25 p.m. Checkout

TIMES ARE SUBJECT TO CHANGE AS WELL AS ACTIVITES ON THE LAST DAY.

DAILY SCHEDULESAt the beginning of the week you will be given a schedule. This schedule will indicate your walking group and what activities your pack is scheduled for the week. Please be respectful of the schedule and only attend the activity that you are scheduled to attend. We have many scouts at camp each year and this is the only way we can be sure everyone gets to experience all of the activities.

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Letter to the Packs and Walking Leaders

Remember Day Camp is a time for the boys to let go! The quality of fun the boys have at Camp will depend on our program plus you as a leader or parent. Let the boys yell, get dirty and most of all HAVE FUN! This is the time for the boys to be free from most restrictions. Have fun with them... you have a chance to be one of the kids again. Plan on getting dirty with them... no one will notice!

The 2013 Lone Bear Day Camp Theme is “Jungle Adventure”. Please plan your Den Home decorations accordingly.

Sarah has some great stations and experiences planned and, like last year we want to expose everyone to new things.

Our Camp Staff is made up of people who have volunteered their time and talent (some even have taken vacation time) to be here to help make this camp the best camp experience for you and your pack. Please be respectful and feel welcome to speak with Kathy, Sarah or Matt if you would like to share questions, ideas or concerns.

Our Junior Staff members are from Boy Scout Troops and Venture Crews. Their job is to assist the adult camp staff and leaders in the program areas and help the cubs to do their best. Hopefully, through their example, the Junior Leaders will encourage the cubs to become Boy Scouts or Venture Crew members. These Junior Staff members will be present on Sunday to help set up camp and for the most part, each day from early to late. After classes, they meet for staff meetings; clean up any areas that need it; clean bathrooms; work on any program items that may be needed for the next day; and pick packs for various awards. The Adult Staff is very appreciative for the time and talents these young people have given. If you know of a youth, In Boy Scouts or Venturing, who would make a good addition to the camp staff please let us know.

We hope you all have a GREAT time at the 2013 Lone Bear “Jungle Adventure” Day Camp.

Our Mission Statement:The mission of the Lone Bear Cub Scout Day Camp is to develop moral character and good citizenship, to encourage physical and mental growth, to provide opportunitities for advancement, to learn new skills, to share old skills, to strengthen pack and dens and to have FUN!! These goals will be accomplished in a communal outdoor living experience that is, above all, safe.

Your Cub Scout Day Camp Staff.

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BASIC CAMP INFORMATION

AWARDS:During camp, various awards may be given… including best theme decorated den home; clean sweep award and spirit award.

CLEAN SWEEP: The Clean Sweep Award is given by the Junior Staff. Inspections of your pack area will be at various times and presented to the best-kept den home.

SPIRIT AWARD: Cub Scout spirit is the enthusiastic attitude that inspires the spring in your step, the smile on your face, the sparkle in your eye and a note of confidence in your voice, which says “I will do my best today.”

SPIRIT BEADS: As you know we love to hear the boys sing and have a good time. Key staff will have spirit beads to present to packs that are enthusiastic on their way to and from activities.

BE PREPARED FOR RAIN:Rain or wind will not keep Cubs from their assigned fun…ONLY DANGEROUS WEATHER will cause us to seek temporary shelter. Day Camp does not stop due to "drippy" conditions. Have your rain poncho handy and proceed as planned. (Hint - trash bags make great disposable ponchos).

CAMP DEN HOMES:Sunday afternoon (June 9th) camp will be open from 1:00 pm to 5:00 pm for individual packs to set up their Den Homes. Camp shirts and schedules will be distributed at this time.

Den Homes: This will be your home for the next five days. It may be decorated in whatever tasteful manner you and your pack decides using the theme of Camp. Items you should consider:

1. Tent or canopy for shelter2. Coolers with sufficient ice for storage of food3. Closable container for supplies4. Hygiene supplies (hand sanitizers, paper towels, etc.…)5. Trash bags for cleanliness (also make excellent rain coats in emergencies)6. Decorations for your den home (theme related – be sure to display pack number)7. Den Flag (don’t forget to include your pack number)8. Container for drinking water storage9. Drinking cups or water bottles10. Pack YELL or CHANT

TrashEach night please take home your trash from the den home area. PLEASE DO NOT PUT YOUR TRASH IN THE CITY PARK DUMPSTERS. The city donates the use of the park; please don't expect them to pay to haul off YOUR TRASH.

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CAMP UNIFORM – VERY IMPORTANT FOR CAMPER SECURITY

Cubs: Current Camp T-shirt, shorts or jeans, tennis shoes and socks, hat (highly recommended). Sweatshirt or jacket when needed (Keep at camp all week). NO SANDALS or WHEELED SHOES – for your safety. We are asking that Packs do NOT put the names of the Scouts permanently on the shirts. This is for safety of the Cubs while away from Camp. Removable name-tags are highly recommended.

Adults: Current Day Camp T-shirt and/or wrist band required, shorts or jeans, tennis shoes and socks, hat (highly recommended). Sweatshirt or jacket when needed (Keep at camp all week). NO SANDALS - for your safety. NO SHORT SHORTS or skimpy T’s, please.

DAILY ATTENDANCE SHEETS:These sheets are forms used for listing cubs, den chiefs and adults that are registered to be in camp. Parents or family coming for closing ceremony do not need to be listed on attendance sheet. The cubs and adults are to be listed on separate sheets. Please neatly print names on the appropriate attendance sheet. When completed, make 1 copy to use during the week and return the original sheet into the registrar. Every day at check-in mark the appropriate column for all boys and adults in attendance. If a boy or adult is not present, you need to know why they aren’t in attendance. DO NOT LEAVE TOWN OR YOUR MEETING AREA WITHOUT KNOWING WHERE EVERY REGISTERED BOY IS. If cub or adult leader can’t attend, mark the day accordingly. Adult leaders, den chiefs, cubs and visitors are REQUIRED to check-in every day upon arrival and checkout every day before departing camp. PLEASE! Check in and CHECK OUT! We may have to give a special something to those who follow the request every day!

Every morning the attendance information MUST be presented to the Registrar at Headquarters for each attending pack prior to the opening flag ceremony.

DAILY CHECKLISTSLeaders daily checklist:

1. Sack lunch2. Daily check-in sheet3. Cooler4. Ice5. Daily Schedule6. Scout/camp shirt7. Walking Leader Guide book with copies of all health forms8. Rain gear (watch weather forecast)

You may also want a hat, sunscreen, bug repellent and some type of game or activity for your free time.

Cub’s daily checklist:1. All cubs MUST wear their clean camp shirt every day2. Sack lunch3. Rain gear4. Hat5. Money for trading post items6. Sun block or lotion7. Jacket (depending on weather)

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EARLY RELEASE PROCEDURES:If a child needs to leave before the end of that day’s camp, the Early Release Form must be filled out and turned in the day before and must be on file at Headquarters. The form will include the time and date of early departure and the name and relationship of the person the cub will be leaving with. When the authorized individual arrives at camp they must check-in with the registrar at the Administration Headquarters Pavilion, produce a picture ID, even if they are the parent or guardian, and wait for the cub to be brought forward. When the cub is ready to check out, the designated pick-up person will accompany him to the Camp Registrar’s table along with an adult leader from the pack. Signatures will be required by the Authorized Individual, the Unit Leader, and the Camp Director or the Sr. District Executive. The Early Release Form must be filled out in its entirety. If this fails to happen the cub will not be allowed to leave and the situation will be handled in the appropriate manner. The above steps are NOT an option. It is an absolute requirement. It is our duty to provide a safe experience for all those involved.

EVALUATION SHEETS:Evaluation forms will be handed out during the week. Please take a moment and help us make next year’s Day Camp even better! We value your opinion and ask for your honest evaluation of our time at camp. Unfortunately, we cannot control the weather, bugs, or Mother Nature. Sorry! Please ask the Cubs for their opinion, too. Return the forms when you pick-up your packets on Friday. FIRST AID:The First Aid station will be located in the Headquarters area. ALL injuries and illnesses must be reported to the First Aid station as soon as possible. The camp nurse/doctor will remove any ticks while day camp is in session. Parents should be made aware of the need to check their cub scout for ticks after returning home every day. Poison Ivy is also present, so the necessary precautions should be taken.

HEALTH FORMS:EVERYONE attending day camp, no matter how long their stay, must have a completed health form on file. This includes every cub, den chief, staff, visitors, and all walking leaders. All lines on health forms MUST be filled out. Make sure birth date, pack number and all emergency contact information is completed. It is imperative that we be able to contact someone in the event of emergency or camp cancellation. Mark down all medical conditions – we don’t want any surprises. Leaders need to know about all special health needs as well as the camp staff. The form must be signed and dated. The health form changed in 2011 and the Annual Health and Medical record, Parts A and B, is the only form acceptable in 2013. Please fill out the parts completely in order to be accepted. (Forms online and attached)

DO NOT SEND HEALTH FORMS TO THE COUNCIL OFFICE!!! Health forms need to be sent to the camp director as soon as possible, either at Roundtable or at the following address: Kathy Cooper 1019 NE 800 Windsor, MO 65360

INFORMATION BOOTH:Please check registration for any needed information. Take your questions to the Information booth for pack location, lost and found, and daily schedules. Any information needed will be found there!

LOST AND FOUND:Unfortunately, all sorts of things will lose their owners during the week. So be sure to have everything marked with your name and/or pack number. Any found items will be kept at registration during the week. Please check there.

MEDICATION:We need to be aware of all medications taken, whether taken at camp or not. Walking Leaders will be responsible in dispensing medications. The parent or guardian must send a note stating the purpose of the medication as well as the time it needs to be taken. ALL medication must be in its regular container. Walking Leaders may also carry individual inhalers but MUST record them with the First Aid Officer. Forms will be given to the Walking Leaders so they can record all medications given or inhaler use. These forms MUST be turned in daily to First Aid.

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PACK COORDINATORS:The pack coordinators for day camp are responsible for communications between camp staff and the pack. Coordinators need to be aware that all leaders, except Den Chiefs, have to be 18 years old or older and at least one must be a registered member of the Boy Scouts. All adults must have Youth Protection.

NO TAG ALONGS WILL BE PERMITTED!!!

PARKING:Please park ALL vehicles in the designated parking in front of the American Legion building or the Den Home Area. A staff member will be assisting with the parking so we can utilize limited space, please try to car pool.

PHOTOGRAPH RELEASE:The “Picture Release” Form must be submitted along with the Health Form. The parent(s) or guardian of the Cub Scout must complete form giving their consent. Walking Leaders will be responsible in seeing that their wishes are adhered to.

REGISTRATION AND INSURANCE COVERAGE:Only Cub Scouts, Boys Scouts, Venture Crew members and registered adult leaders are covered by the Boy Scouts of America’s general accident and liability insurance policies. As a result of the ONLY REGISTERED SCOUTS will be allowed to attend day camp.

We will NOT register entire packs until all other packs have been checked on the first day. IF ALL THE BOYS ATTENDING DAY CAMP FOR YOUR PACK ARE NOT YET REGISTERED, DO SO ASAP!!!

LEAVE NO TRACE:It's your camp - be proud of it!! Help keep it clean. Have a trash sack at your den home site. Trash bags will be available at activity areas. Please police each area after you are finished and dispose of any trash found.. Please do not leave your trash, it needs to be packed out with you. REMEMBER: A SCOUT LEAVES THE AREA BETTER THAN HE FOUND IT!

TRADING POST:The Trading Post will be open at various times Monday through Thursday. Times will be posted and shared daily at the walking leader meeting announcements in the mornings. Plan some time for your Cubs to visit the trading post.

YOUTH PROTECTION:The BSA policy states that the Scout Executive of each council and key members of professional and volunteer staffs be familiar with child abuse as well as all of its manifestations. Youth protection is expected from ALL adults at camp. It is available online and parents can take it without being registered. Please bring proof for any non registered adult present.

WALKING GROUPSWe recommend that there be one leader for every 5 boys. Two adult leaders are required with your group at all times. All adult leaders MUST have youth protection training.

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CAMP RULES

1. The buddy system WILL be in effect at all times. The cubs are not to go anywhere without their buddy. They are not allowed to cross any barrier, fence or gate. All off-limit areas will be plainly marked. The playground equipment is also off limits for the boys, during day camp hours.

2. Smoking or tobacco of any sort will not be permitted on campgrounds.3. There are designated parking areas.4. Alcoholic beverages of any sort will not be permitted. Any violators will be asked to leave the premises

immediately and any other action will be taken as we see fit.5. Each leader will be responsible for their pack. Know where your cubs are at all times. We don’t want

any “lost” cubs.6. Cubs should not bring knives (pocket or sheath) to camp. If they are caught with a knife of any sort it

will be taken and the cub will have to get his walking leader to accompany him to Headquarters at the end of camp for its return.

7. No running is allowed in camp.8. The quiet sign will be used and needs to be acknowledged during opening, closing and any special

activities. Unless the quiet sign or Cub Scout sign is displayed, CUB SCOUT SPIRIT will be the order of the day.

9. Each camper is required to wear a clean camp T-shirt daily. The camper should be clean, wearing clean jeans or shorts (without holes) and comfortable shoes and socks daily. NO SANDALS.

10. No short shorts, swimsuit tops or halter tops. Proper supporting undergarments will be worn. Anyone in violation of this request will be asked to leave camp to get properly dressed.

11. Please instruct everyone in attendance to use the bathroom designated for his or her gender. Do not waste water or bathroom tissue.

12. All cubs must be transported in a vehicle with a seat belt worn. NO cub scout will be transported in the back of a pick-up truck.

13. Lost and found items will be kept at Headquarters until the end of camp.14. ALL injuries must be reported to First Aid as soon as possible.15. Put all litter in its proper place.16. Water will be made available at water fountain near tennis courts and administration headquarters. You

must provide the cooler. Ice will also be made available for water coolers. Each participant must have easy access to water. We suggest water bottles, canteens, camel packs or something similar to have water close at hand.

17. Use only your pack cooler to store your items in.

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EMERGENCY/SECURITY PLANS

ANIMALS: Keep Cubs away from any animals and notify Administration immediately. No Pets are to be in camp.

CAMPER NO SHOW: If a pack shows up without a Cub, they will be responsible to be able to report to the Registrar why the Cub is not at camp. If the pack leaders don’t know, where the Cub is, they will be responsible to call the parents of the Cub and find out where he is or why he is not at camp.

COMMUNICATION SYSTEM: An Air Horn will be located at the Administration Headquarters to alert campers. Also, cell phones will be at the Administration Headquarters for any emergency phone calls in or out of camp.

EARLY CAMPER RELEASE: If a Cub Scout needs to leave before the end of that day’s camp, an early release note from the parent or guardian MUST be turned in to the Camp Registrar that morning at check-in. The note should include the time, date of early departure and the name and relationship of the person the Cub will be leaving with. When the pick-up person arrives at Camp, they must check-in with the Camp Registrar and have proper identification. The Camper Departure Notice must be filled out in its entirety. If this fails to happen the Cub will not be allowed to leave and the situation will be handled in the appropriate manner.

EMERGENCY TRANSPORTATION: There will be a vehicle at the Administration Headquarters area for emergency transportation.

FATALITY: Institute Crisis Communication Plan by the District Executive.

FIRE: In the event of a fire the immediate area will be evacuated. If the fire poses a threat to the entire camp a warning of three (3) long air horn blasts will be sounded and the complete camp area will be evacuated to the parking lot. The entire group will stay together. The adult for each pack will take a roll call and report to the Camp Registrar ASAP.

FIRST AID: A Health Officer will be on duty during Day Camp hours. Bring all health related issues to the Medical Station.

HEAT: Everyone should drink ample amounts of water to keep hydrated. Avoid drinking sugary drinks or soda. Each pack should have the necessary supply of coolers and ice. If someone becomes over heated get them in the shade and apply cool damp cloths to the back of their necks. They should slowly sip water. If they are not feeling better within 15 minutes or start to vomit, accompany them to the First Aid Station. Remember to apply sunscreen and wear a hat.

INJURIES AND ACCIDENTS: Bring all injured people to the First Aid Station located at the Admin Headquarters. If you feel the injury is serious enough that moving the injured person should be avoided, send someone to the Headquarters immediately to report the situation. Please keep the emergency area clear for all emergency vehicles and staff to work.

INTRUSION PLANNon-Aggressive intruder: The person should be escorted to the Administration Headquarters and their reason for being in camp should be questioned. After the Camp Director and Program Director are satisfied, the person may be allowed to stay or asked to leave camp. They may be an unaware visitor wanting to use the area.

Aggressive intruder: If an aggressive person enters camp with or without a weapon, the camp staff will sound 1 short horn and then immediately call 911. All leaders and scouts are to scatter in all directions as fast as they can. This makes a much more difficult target. The Director, Program Director and adult staff will ensure safety until law enforcement arrives. After the emergency has subsided, five (5) short blasts will be sounded on an air horn and everyone should gather at the Administration Headquarters. Leaders will take roll and report to the Camp Registrar.

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LIGHTNING: In the event of a lightning storm we will go to National Guard Armory or American Legion building and continue plan b or c in side until the storm is over, or the all clear of lightening has been announced. The pack leader will need to take roll call and check in with the Camp Registrar ASAP.

LOST CHILD: If a child becomes lost, the adult leader must report to the Administration Headquarters immediately. The Day Camp staff will begin a search of the entire area. Individual packs will not search for anyone.

NAMETAGS: EVERYONE involved with or attending camp will be required to wear a nametag at all times. Leaders should collect nametags before departing camp for the day (this is a good way to take roll) and hand them out every morning before camp (also a great way to take roll.) This will help prevent lost tags. If you see someone without a nametag please report it to the Administration Headquarters immediately.

Adult leaders will be issued a colored wristband that must be worn on the designated wrist all day. A new color will be used each day.

RAIN: In case of rain, camp will go on as planned. Please dress appropriately to be out in it to go to classes. We will move some classes under shelter and go on as scheduled.

SEVERE THUNDERSTORMS: In the event of a severe thunderstorm with high winds and lightening a warning of two (2) long air horn blasts will be sounded and the entire camp will gather at the National Guard building. The adult leader of each pack will take roll call and report to the Camp Registrar ASAP.

SEXUAL HARASSMENT: Sexual harassment is not allowed at camp!This will include:

1. Jokes that may warrant sexual comments.2. Actions that are sexual.

If you see or suspect sexual harassment towards any staff or Jr. Staff you need to report it to the Director/Program Director/or SDE. The proper treatment and investigation will take place.

SICKNESS: If anyone becomes sick at Day Camp, they should report to the First Aid Station with a leader. If designated emergency contact needs to be called, the Registrar will call them.

TORNADO WATCH: If a tornado watch is issued for our area, camp will still be in session and the Camp Director will be notified of the changing weather conditions.

TORNADO WARNING: BEFORE CAMP – If a tornado warning has been issued before camp has started, walking leaders should call Matt Specht’s phone to check for instructions DURING CAMP – If a tornado is approaching or a warning has been issued, ONE (1) LONG air horn blast will be sounded. All in attendance at camp will quickly and calmly go to the National Guard Armory. The adult leader of each Pack will do a roll call and report to the Camp Registrar ASAP. Stay calm!

WEATHER HAZARDS: We have the Thunderbolt system which will help in detecting any lightning and severe weather headed our way. Training for weather can be done online just go to the HOAC/BSA website.

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Ten Youth Protection Policies

After selecting the best possible leaders, further protection for children are structured into the program. The following policies have been adopted to provide additional security for youths in the program. In addition, they serve to protect adult leadership from situation in which they are vulnerable to allegations of abuse.

1. Two-deep leadership. Two registered adult leaders or one registered adult leader and a parent of a participant, one of whom must be 21 years of age or older, are required on all trips and outings. The chartered organization is responsible for ensuring that sufficient leadership is provided for activities of the Order of the Arrow as well as provisional unit activities.

2. No one-on-one contact. One-on-one contact between adults and your members is not permitted. In situations that require personal conferences, such as a Scoutmaster’s conference, the meeting is to be conducted in view of other adults and youths.

3. Respect of Privacy. Adult leaders must respect the privacy of youth members in situations such as changing into swimming suits or taking showers at camp and intrude only to the extent that health and safety requires. They also need to protect their own privacy in similar situations.

4. Separate accommodations. When camping, no youth is permitted to sleep in the tent of an adult other than his own parent or guardian. Councils are strongly encouraged to have separate shower and latrine facilities for females and when separate facilities are not available, times for male and female use should be scheduled and posted for showers.

5. Proper preparation for high-adventure activities. Activities with elements of risk should never be undertaken without proper preparation, equipment, clothing, supervision, and safety measures.

6. No secret organizations. There are no “secret” organizations recognized by the Boy Scouts of America. All aspects of the Scouting program are open to observation by parents and leaders.

7. Appropriated attire. Proper clothing for activities is required – for example, skinny-dipping is not appropriate as part of Scouting.

8. Constructive discipline. Discipline used in Scouting should be constructive and reflect Scouting’s values. Corporal punishments are never permitted.

9. Hazing prohibited. Physical hazing and initiations are prohibited and may not be included as part of any Scouting activity.

10. Junior leader training and supervision. Adult leaders must monitor and guide the leadership techniques used by junior leaders and see that BSA policies are followed.

These policies represent the long-standing commitment that the Boy Scouts of America use in ensuring the protection of our youth. Adherence to them greatly minimizes the opportunity for abuse to occur within the BSA program.

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STRESS AND SIGNS OF STRESS

Signs and symptoms of stress:· Over Tiredness· Bad Temper· Crying, yelling· Extremely hungry· Irritable· Swearing· Throwing things· Hitting things or people· Withdrawal

If you are feeling STRESSED· Time out period· Buddy or assistant· Advice from leadership

The role of the Unit Leader

The unit leader is expected help with the activities, with the boys and keeping them under control. All the adults need to be guided to help as well. If you are having problems with one of the boys from a different unit, then ask the Director/Program director to talk with the leader of that boy.

Positive attitude

A positive general atmosphere seems to assist in stress management

· Smile and be friendly· Use positive cheers, skits, and songs· Encourage positive comments in teaching skills· Avoid any negative comments or looks· Build teamwork with other adults and units

LET’S HAVE FUN

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AppendixForms Included:

Health FormEarly Release Daily AttendanceParent’s NotePermission slipFirst Aid LogAuthorization to Administer MedicationsMap of Artesian Park

Walking Leader Job Description

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Part BInformed Consent and Hold Harmless/Release AgreementI understand that participation in Scouting activities involves a certain degree of risk and can be physically, mentally, and emotionallydemanding. I also understand that participation in these activities is entirely voluntary and requires participants to abide by applicablerules and standards of conduct.

In case of an emergency involving me or my child, I understand that every effort will be made to contact the individual listed as theemergency contact person. In the event that this person cannot be reached, permission is hereby given to the medical providerselected by the adult leader in charge to secure proper treatment, including hospitalization, anesthesia, surgery, or injections ofmedication for me or my child. Medical providers are authorized to disclose protected health information to the adult in charge, campmedical staff, camp management, 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 IdentifiableHealth 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 participantʼsparents or guardian, and/or determination of the participantʼs ability to continue in the program activities.

I have carefully considered the risk involved and give consent for myself and/or my child to participate in these activities. I approvethe sharing of the information on this form with BSA volunteers and professionals who need to know of medical situations that mightrequire special consideration for the safe conducting of Scouting activities.

I release the Boy Scouts of America, the local council, the activity coordinators, and all employees, volunteers, related parties, or otherorganizations associated with the activity from any and all claims or liability arising out of this participation.

Without restrictions.With special considerations or restrictions (list) :_____________________________________________________

_____________________________________________________________________________________________TALENT RELEASE AGREEMENTI 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 herebyrelease the Boy Scouts of America, the local council, the activity coordinators, and all employees, volunteers, related parties, or otherorganizations 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 EVENTS:You must designate at least one adult. Please include a telephone number.1. Name_________________________________________ Telephone _______________________________________2. Name_________________________________________ Telephone _______________________________________3. Name_________________________________________ Telephone _______________________________________Adults NOT authorized to take youth to and from events:1. Name____________________________________________________________________________________________________2. Name____________________ _______________________________________________________________________________3. Name_____________________________________________________________________________________________________

I understand that, if any information I/we have provided is found to be inaccurate, it may limit and/or eliminate the opportunityfor participation in any event or activity.The participant has permission to engage in all high-adventure activities described, except as specifically noted by me or thehealth-care provider.

Participantʼs name __________________________________________________Date___________________________________Participantʼs signature _______________________________________________ Date _____________________________Parent/guardianʼs signature ___________________________________________Date _____________________________ (if participant is under the age of 18)

Second parent/guardian signature _________________________________ Date _____________________________ (if required; for example, CA)

This Annual Health and Medical Record is valid for 12 calendar months.

Part B Full name: ___________________________________ DOB: __________________

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Early Release FormLone Bear Day Camp 2013

My son, , will need to be released early on . He will be picked up at am/pm. I authorize the following individual to pick up my son: . Their relationship to my son is .

I understand that the named individual will be the only one allowed to remove my son from the camp environment and that they will need a picture identification and that my son will know and agree to go with the named individual.

The authorized individual must report to the Administration Headquarters Pavilion to pick up the scout. The Scout will be brought to the pavilion by the unit leader to be signed out. The Camp Director or Sr. District Executive must be present to sign them out also.

Your signature must be on the form when it is turned in. The form must be to the registrar the day before early release requested. All other signatures will be done at checkout.

Parent/Guardian Signature: Date:

Authorized Individual:

Unit Leader:

Camp Representative:

Time and Date:

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CUB SCOUT DAY CAMPDAILY ATTENDANCE SHEET

Time In

Time Out

= EXAMPLEDISTRICT ______________________ PACK # ___________

SCOUT’S REGISTERED NAME PictureRelease

Health Form MON TUE WED THUR FRI

1234567891011121314151617181920DAILY TOTALS

If a boy listed on this roster is not in attendance, cross off his name, or your pack will be charged for him.No shirt will be issued until a completed health form has been turned in to the District Day Camp Representative.

*T- Shirts were ordered well before this information was received. We will “do our best” to honor all requests.CubScout …Forms:Daily Attendance Sheets:las 12/9/10

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CUB SCOUT DAY CAMPADULT AND DEN CHIEF

DAILY ATTENDANCE SHEET Time In

Time Out

= EXAMPLEDISTRICT ______________________ PACK# _________________

DEN CHIEF’S REGISTERED NAMETroop

#Health Form MON TUES WED THUR FRI

1

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LEADER’S REGISTERED NAMEYouth

Protection Trained YES/

NO

Health Form MON TUES WED THUR FRI

123456789101112131415

CubScout …Forms:Daily Attendance Sheets:las 12/9/10

PARENTS NOTE

Dear Parents:

Day Camp is just around the corner and I know your son is looking forward to five days of fun and adventure. So that camp will be a time to remember, I would like to share some thoughts with you.

1. We will leave each day from ________________________at ______am. We will return around ______ pm at__________________________________. If your son cannot attend camp on any day, please call ________________. The camp emergency phone number is 816-260-3859 or 660-233-2994. Be aware that this is to be used ONLY for emergencies. Be sure your son's health form has been completed, signed and returned to me by __/__/__.2. Your son will need to bring daily:

a. 1 canteen or bottle of water (purchased or homemade - you may want to freeze water in it nightly.)b. Sack lunch - a cooler will be provided for storage, but do not send mayonnaise, fish or other items thatspoil easily. Please do not send pop/soda to drink. Water or Gatorade works best for this type of outing.c. Whatever the weather, your son might get wet during the activities at camp, so please send a towel and/ordry clothes.

3. Camp uniform will consist of the Day Camp T-shirt and coup, jeans or shorts, sturdy shoes (tennis shoes) and socks. NO SANDALS. Since we will be in the sun, you may want to send a hat. Be SURE your son's name and our pack number is on all items that can be separated from him.4. ABSOLUTELY NO KNIVES OR ANY KIND OF WATER GUNS5. Rain gear should be sent upon need. A garbage bag makes a great disposable raincoat. It is your decision whether or not your son attends camp on rainy days - camp will not be canceled due to rain.6. Any medication should be sent to camp with a walking leader, along with written instructions in the original prescription bottle. The medication can be dispensed by the Walking Leader. Immediate need medications (Inhalers, bee sting kits, etc…) must be maintained with the walking group. A medical log will be kept by each unit detailing any and all medications (prescription or “Over the Counter”) that are dispensed.7. A list of achievements that your son has earned at camp will be sent home for you to record in his book at the end of Day Camp.8. There will be items for sale at the Trading Post, so you might want to send some money for purchases.9. Your son will be in the GREAT OUTDOORS all day and might come in contact with poison ivy. You may want him to bathe immediately upon arriving home using Fels Naphtha Soap or Tecnu, which is best for removing ivy oils. Washing his clothes immediately also prevents poison ivy from spreading.10. Check for chigger bites and ticks daily. Apply bug repellent each morning thoroughly around tight places in clothing (socks, waistbands, etc.)11. If for any reason your child must be picked up at camp by you or someone you designate, a signed note from home must be sent the morning (or earlier) of the event. Please identify who will be picking up the child and at what time. (Arrangements must be made with the pack for the details of the pickup.) The person (even if it is a parent) will be asked to present picture identification to the camp director before your child is released. Any child leaving early must be checked out by 2:00 in the afternoon, no later and no exceptions.12. Any child repeatedly causing problems will be sent home. With your help and cooperation, Day Camp will be a Fun experience he will always remember.

Pack Day Camp Coordinator __________________ phone _______

Pack Walking Leader ________________________ phone _______

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2013 CUB SCOUT DAY CAMPPERMISSION SLIP

I, parent/guardian, for my son __________________________, give him permission to go to the Cub Scout Day Camp held at Artesian Park in Clinton, Missouri from June 10 - 14, 2013. I understand that he will be riding in cars with the adult leaders of Pack ____. I understand that my son must meet the pack at __________________ at __:__ a.m. Monday through Friday. I understand that I will need to pick him up each day at the morning site at : p.m. On Thursday I will notify you if I will be attending the family Campfire/Awards Ceremony, and taking my son home from there. If I am not I will meet the Pack at ________________ at __:__ p.m. Friday. I will notify the Day Camp Coordinator if my son is unable to attend camp on any given day.

Parent Signature____________________________

Date________________________________________

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FIRST AID LOGAll entries should be made in ink.

Time

(24:00)

Print Name

Last First

Unit No./Age

Complaint /Type of Injury/Activity/Location

and Examination Last First of Findings

Date: ________________ to _________________ Activity/event:

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Authorization for Administering of Medications

Name: Unit:

Instructions:

1. All Participants must complete and submit a signed copy of this form even if no medications are provided.

2. Medications (prescription and Over-the-Counter must be in ORIGINAL labeled container and placed in a

zip-lock type bag identified with Scout's name.

3. Any Medications unclaimed at the conclusion of the event will be destroyed.

Check One:

No Medications are to be given (including Over-the-Counter).

Authorize Administration of medication as indicated.

Signed: Parent or Guardian Date

(note: Good for one year from signature date)

Over-the-Counter Medications: circle what applies or add to list for balance

Ibuprofen Calamine

AcetaminophenAcetaminophen Cold Meds

Antacid Cough syrupCough syrup

Decongestant AntihistimineAntihistimine

Strength, age/weight appropriate:

Frequency, as directed by manufacturer:

Any special reason to take this medication:

Prescription Medication: Prescription Medication:

Strength: Frequency: Strength: Frequency:Frequency:

Reasons for Medication:Reasons for Medication: Reasons for Medication:Reasons for Medication:

Approximate Date Started:Approximate Date Started: Approximate Date Started:Approximate Date Started:Approximate Date Started:

Temporary: Permanent: Temporary: Permanent:Permanent:

Side effects: Side effects:

Storage Instructions:Storage Instructions: Storage Instructions:Storage Instructions:

Prescribing Physician:Prescribing Physician: Prescribing Physician:Prescribing Physician:

Physician's phone:Physician's phone: Physician's phone:Physician's phone:

Prescription Medication: Prescription Medication:

Strength: Frequency: Strength: Frequency:Frequency:

Reasons for Medication:Reasons for Medication: Reasons for Medication:Reasons for Medication:

Approximate Date Started:Approximate Date Started: Approximate Date Started:Approximate Date Started:Approximate Date Started:

Temporary: Permanent: Temporary: Permanent:Permanent:

Side effects: Side effects:

Storage Instructions:Storage Instructions: Storage Instructions:Storage Instructions:

Prescribing Physician:Prescribing Physician: Prescribing Physician:Prescribing Physician:

Physician's phone:Physician's phone: Physician's phone:Physician's phone:

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Pool

Armory

Am Legion

HQ

Arts/Crafts

Tennis

Courts

Archery

BB

Den Home Area

Park

ing

Parking

Parking

#2

Amphitheater

Games

Games ´

0 350 700175 Feet

Shelter Houses

Porta Potties/Bathrooms

HQ = Admin/ Registration

Arts / Crafts

#2 = Cooking or Shelter

Legend

Lone Bear Day Camp Artesian Park

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WALKING DEN LEADER

Job Description / Day Camp Volunteer Agreement

The Walking Den Leader shall:

· Be a person 21 years of age or older. Current registration in the Boy Scouts of America is preferred.

· Observe camp rules and regulations.· Be youth protection trained.· Control/discipline your den at all times.· Attend district walking leader orientation training.· Serve as an assistant when at the activity.· Complete daily attendance and report to registrar.· Have the Scouts at their activity on time.· See that Scouts follow the Cub Scout promise to “Do Your Best.”· Build den spirit through songs, yells. Etc.· Notify the camp directors of any problems.· Be an example of the “Cub Scouting Way.”· Accompany camper to first aid station for any medications.· Report any injuries to First Aid immediately.· Insure that none of your boys are carrying knives or matches.· Always have at least 1 youth protection trained adult at camp daily, and insure two-deep

leadership at all times.· Have completed health form on file.

__________________________________________ Signature/Date

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Lone Bear Day CampWrist Band Request

Monday

PACK # __________

# Wrist Bands Needed

Emergency ResponderBands Needed:

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