Spring Ordeal at Camp Bradley

Leaving: May 31, 4:00 at Scout Office Participant: Parent: Address: Returning: June 1, 12:00 midnight at Scout office Birth: Cell: Home: Work:

[ ]Special diet [ ] Allergies [ ] Medication [ ] Chronic Recurring illness [ ] Surgery/illness this year [ ] Physical condition limitation

Hold Harmless Agreement

I understand that participation in Scouting activities involves a certain degree of risk and can be physically, mentally, and emotionally demanding. I have carefully considered the risk involved and have given consent for myself or my child to participate in this activity. I also understand that participation in this activity is entirely voluntary and requires participants to abide by applicable rules and standards of conduct. I release the Boy Scouts of America, the local council, the activity coordinators, and all employees, volunteers, related parties, or other organizations associated with the activity from any and all claims or liability arising out of this participation. In case of emergency involving my child, I understand every effort will be made to contact me. In the event I cannot be reached, I hereby give my permission to the medical provider selected by the adult leader in charge to secure proper treatment, including hospitalization, anesthesia, surgery, or injections of medication for my child. Medical providers are authorized to disclose to the adult in charge examination findings, test results, and treatment provided for purposes of medical evaluation of the participant, follow-up and communication with the participants parents or guardian, and/or determination of the participants ability to continue in the program activities. Signature: Date:

Scout Outdoor Essentials, (page 264 of the Boy Scout Manual) First aid kit (p127) Map / compass (compass only) Extra food Matches and fire starters Flashlight, w/ bulb/batteries Pocketknife & sharpener

Rain gear / Sun protection Hiking Stick Water bottles

Personal Overnight Camping Gear (pages 292-293 of the Boy Scout Manual) Backpack w/ rain cover Leather gloves (service project) Sleeping equipment& pillow Calamine lotion (or equiv) Notebook/pencil or pens Sleeping pad Clean up kit (bathroom essentials) Nylon cord, 50 Spoon, plate, bowl, cup, knife, Ground cloth Scout & Patrol leader handbook fork, spoon (page 293) Insect protection Whistle Clothing, etc. (Bring at least this amount of items) Order of the Arrow Sash 1 t-shirt Day Hike backpack (school bag) 1 pajama Full uniform 1 hat At least 1 pair of socks/unders 1 wind breaker/jacket 1 pair cotton/nylon pants Plastic bag for soiled clothes

Repair kit: thread, needles, safety pins Soap, toothbrush, toothpaste, dental floss, comb, shampoo washcloth, 1 towel

-----------------------------------------------------------------------------------------------------------------

Please bring extra equipment as you see fit for weather conditions. We will be doing a physical service project; please send your boy with a pair of work gloves and clothes. Please DO NOT pack any electronic devices. When in doubt, call your leader. Leaving: May 31, 4:00 at Scout Office
Advisor: ASM

Returning: June 1, 12:00 pm at Scout office

Steven Maschek, 735-1315, stevenemily@gmail.com