D A Y - #WEOWNADVENTURE - Crossroads of the West ...

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D A Y - #WEOWNADVENTURE - Crossroads of the West ...
FIFE
 2021
  DAY
CAMPS

   #WEOWNADVENTURE
Table of Contents
Introduction to Camp .............................................................3
   Non-Discrimination Clause ............................................................................3
   Contact Us......................................................................................................3
Day Camp Programs ..............................................................4
   Tobu Landing (Zip line – Long Jump!) . . ......................................................4
   Banzai BMX Bike Course . . . ........................................................................4
   Fuji Sports Climbing (Rock wall) . . ...............................................................4
   Reeling in the Sushi (only taught on Cub Scout Days). . . .............................4
   Senbazuru – 1,000 Origami Crane Service Project (Primary Activity Days) . . .
   4
   Olympic Village (Trading Post) . . . ................................................................5
   Sensei Shooting Range (BB Guns) . . . ...........................................................5
   Samurai Archery Range . . . ...........................................................................5
   Ninja course/Imperial Palace Garden Walk (Obstacle Course and Nature Trail
   – Race Walking) . . .........................................................................................5
   Gaga Ball . . . ..................................................................................................5
   Paralympics . . . .............................................................................................5
General Information ...............................................................6
   Arriving at Camp ...........................................................................................6
   Medical Forms ................................................................................................6
   Refund Policy .................................................................................................6
   Insurance ........................................................................................................6
   Leadership Roles ............................................................................................6
   Emergency Alarm ..........................................................................................7
   First Aid ..........................................................................................................7

                                                         PAGE 1
Youth Protection .............................................................................................7
   Buddy System .................................................................................................7
   Tree Climbing ................................................................................................7
   Fire..................................................................................................................7
   Firearms, Ammunition & Archery .................................................................8
   Smoking, Alcohol & Drugs .............................................................................8
   Lost Camper Prevention ................................................................................8
   Facilities and Equipment ................................................................................8
   Phone ..............................................................................................................9
   Trading Post ...................................................................................................9
Food Service ..........................................................................10

                                                          PAGE 2
Introduction to Camp
Camp Fife offers a balanced day camp programs for Cub Scouts, Webelos Scouts,
and Primary youth.

Situated on 100 acres next to the Bear River, Camp Fife is only 1 hour north of
Ogden, Utah, and 25 minutes west of Logan, Utah.

Non-Discrimination Clause
Camp Fife does not discriminate against anyone on the basis of race, color,
national origin, religion, age, sex, handicap, or any other delineation of peoples.

Contact Us
We’re here to help your unit have the most memorable experience at camp. If you
have any questions as you prepare for your adventure, please let us know at
program.office@scouting.org.

                                        PAGE 3
Day Camp Programs
Adventures include:

Tobu Landing (Zip line – Long Jump!) . . .
Tobu in Japanese means to jump or to fly! You will experience both sensations as
you leap from the platform and soar down the zip line! It is our version of the
“Long Jump!”

Banzai BMX Bike Course . . .
“Banzai” was a cheer given by Japanese soldiers. You will also feel like cheering
with excitement as you experience the twists and turns of Camp Fife’s BMX
bicycle course! Participants will also learn all about bicycle safety as they learn new
skills!

Fuji Sports Climbing (Rock wall) . . .
Sports Climbing will make its Olympic debut in the Tokyo 2021 Olympics! You
will experience the thrill of this sport as you climb to new heights on our rock wall
while using the proper safety equipment!

Reeling in the Sushi (only taught on Cub Scout
Days). . .
Fishing is an important way of life for the people of Japan and it is a lot of fun!
Come and experience the thrill of the catch as you learn new casting skills!

Senbazuru – 1,000 Origami Crane Service Project
(Primary Activity Days) . . .
What if you could have one wish? What would it be? According to Japanese
tradition, folding 1,000 paper cranes gives you a chance to make one special wish
come true. Often cranes are folded to show support for a loved one who is ill with
cancer. At Camp Fife, we will be folding origami cranes to help encourage and
show support to children or others who have cancer.

                                        PAGE 4
Olympic Village (Trading Post) . . .
Come get refreshed from the day at the Olympics with our well-stocked watering
hole, and gift shop. You will find such items as drinks, snacks, toys, and other
souvenirs to take home with you to remember your time at Camp Fife!

Sensei Shooting Range (BB Guns) . . .
Sensei is the Japanese word for a teacher or a master of a skill. Come and learn
from our sensei of BB Guns! Obtain new shooting skills and prepare for the
Olympics in the future! This will be an unforgettable experience!

Samurai Archery Range . . .
Skilled in swordsmanship and archery, the Samurai were fierce Japanese warriors.
Practice your Samurai skills with Camp Fife’s archery range! This is always a
favorite!

Ninja course/Imperial Palace Garden Walk (Obstacle
Course and Nature Trail – Race Walking) . . .
Practice your Ninja skills while experiencing out obstacle course! Then learn how
to identify plants and animals while “race walking” along the beautiful banks of the
Bear River! There will be lots of exploring in this area. Participants will learn
about birds, reptiles, and all sorts of crawly creatures!

Gaga Ball . . .
Although Gaga Ball is not an official sport of the 2021 Olympics, we feel like it
should be! Gaga Ball is a fast paced, high energy version of Dodgeball! It combines
so many of the skills that make Olympic sports exciting–jumping, dodging,
swinging, kicking! We are sure you will love this!

Paralympics . . .
Held in conjunction with the Olympics, are the Paralympics. This is a sporting
event for those athletes who have some disabilities. They are some of the best
athletes in the world. Experience some of the challenges that those who have
disabilities may face!

                                       PAGE 5
General Information
Please understand that the purpose of camp rules is to insure the safety and
convenience of all those who will be living together here at Camp Fife. These rules
make it possible for us to safely do things we would otherwise never attempt. In a
very real sense, these rules set us free.

Arriving at Camp
Plan to arrive at camp no later than 7:30am. This will allow your group to
check in, find a picnic spot, and attend flag ceremony.

Medical Forms
All participants (youth & adults) must complete parts A & B of the BSA health
form. Bring these forms with you and turn them in at check in.

Refund Policy
A complete list of required deposits, fee schedules, and information about refunds
is available online at www.utahscouts.org/refund.

Insurance
• Each group is required to carry adequate and proper liability insurance.
• Cub Scout packs registered in the Crossroads of the West Council are already
  insured - so nothing is required.
• Primary Youth Groups will be required to provide proof of insurance. Step by
  step instructions are included in this guide.
• Please prepare to verify that each camper is protected with personal health
  insurance - ensure that policy numbers are listed on each medical form.

Leadership Roles
All groups are required to maintain 2 adult leaders at camp during all times. One
additional adult is required for every 10 youth.

                                       PAGE 6
Emergency Alarm
As part of our flag ceremony, we will demonstrate the camp’s emergency alarm.
Any other alarms during the activity will be real. If you hear the alarm, walk to
the flag pole, join with your group, and ensure all are accounted for. Further
instructions will be presented at the flag pole.

First Aid
Our Health Lodge is designed to meet the emergency needs of our campers. All
injuries must be reported and properly recorded. We are ready with emergency
support and will make necessary contact with local Emergency Medical Services.
We will store all medications that require refrigeration and will assist with
dispensing if needed.

Youth Protection
The Boy Scouts of America is a leader in the fight against child abuse. We must do
everything in our power to prevent physical, emotional, and sexual abuse. To
protect youth and adults we must be extremely careful to follow the BSA TWO-
DEEP LEADERSHIP policies. The BSA cannot tolerate any activity that can, in
anyway, be interpreted as abusive. If you are aware of anything questionable,
please report it at once to the Camp Director. Do not become directly involved
unless there is an immediate physical threat.

Buddy System
All campers should use the buddy system at ALL times in camp.

Tree Climbing
Camp Fife has a strict no tree climbing policy. Participants (youth or adult) that are
discovered to be climbing trees will be sent home.

Fire
The smallest spark is a deadly threat to wildlife and campers. No fireworks are
allowed in camp. All fires must be confined to the designated fire pits in each
campsite.

                                        PAGE 7
Firearms, Ammunition & Archery
Camp Fife has adequate equipment and so it is required that no personal firearms,
archery equipment or ammunition be brought to camp.

Smoking, Alcohol & Drugs
All buildings and tents are smoke-free. There are designated smoking areas for
those who smoke. As a facility of the Boy Scouts of America, possession or
consumption of alcoholic beverages is not permitted on the property. Possession of
unprescribed drugs, or abuse of prescribed drugs, are expressly prohibited at camp.
Individuals or groups found in violation of this policy will be sent home
immediately.

Lost Camper Prevention
One should never go where they do not know and one should always take a buddy.
Stay on trails, in camp, or with an experienced staff guide. No one should ever go
anywhere without telling group leaders where they are going and when they intend
to return. Always be prepared with water and proper clothing.

Group leadership should report immediately if someone does not show up when
and where they should. Please instruct all scouts and leaders to stop and stay put,
“hug a tree”, the moment they realize they are lost.

Facilities and Equipment
Camp Fife provides all groups with the opportunity to avail themselves of literally
hundreds of thousands of dollars’ worth of program equipment during a week of
camp. Normal “wear and tear” of equipment is expected; however, careless or
intentional mistreatment of equipment is not permitted. All campers should take
care of, and have respect for, all camp wide equipment and facilities including: All
shower and restroom facilities, camp wide buildings and structures, personal camp
equipment belonging to others, program equipment.

Camp Fife is proud of its equipment and facilities. All campers are politely asked
to use the equipment as intended and to have a great time in doing so.

                                       PAGE 8
Phone
There is no public phone available; however, there is cellular service at Camp Fife.

Trading Post
Camp Fife has a great store, which provides camp gear, snacks, souvenirs, and
program supplies. Some other items available are soda, treats, and camp
memorabilia.

                                       PAGE 9
Food Service
Youth and leaders will need to bring a sack lunch and a water bottle to camp.
Please bring them in a cooler and you can put them on a picnic table in the
morning before registration. There are multiple trash cans placed around camp for
garbage. Please remember to practice Leave No Trace and leave the camp better
than you found it.

                                     PAGE 10
Camp Fife 2021 – Cub & Primary Activity Days Schedule
            Catch the Olympic Spirit – Day Camp
7:30 AM – 8:20 AM     Leader Check-in at Lodge & Scout Games in Field
8:20 AM – 8:35 AM     Opening Flag Ceremony
8:40 AM – 9:20 AM     Station 1
9:20 AM – 10:00 AM    Station 2
10:00 AM – 10:40 AM   Station 3
10:40 AM – 11:20 AM   Station 4
11:25 AM – 12:05 PM   Lunch
12:05 PM – 12:20 PM   Midday Program
12:25 PM – 1:05 PM    Station 5
1:05 PM – 1:45 PM     Station 6
1:45 PM – 2:25 PM     Station 7
2:30 PM – 2:50 PM     Closing Flag Ceremony

                          See you next year. Safe Travels!

                              Rotation Schedule by Group

      Team USA          Team Canada              Team Japan             Team Australia
      BB Range             Archery                   BMX                Obstacle/Nature
       Archery               BMX                Obstacle/Nature            Zip Line
         BMX            Obstacle/Nature            Zip Line                Rockwall
    Obstacle/Nature        Zip Line                Rockwall              Trading Post
       Zip Line            Rockwall              Trading Post             BB Range
       Rockwall          Trading Post             BB Range                 Archery
     Trading Post         BB Range                 Archery                   BMX

     Team Russia        Team Jamaica             Team France
       Zip Line            Rockwall              Trading Post
       Rockwall          Trading Post             BB Range
     Trading Post         BB Range                 Archery
      BB Range             Archery                   BMX
       Archery               BMX                Obstacle/Nature
         BMX            Obstacle/Nature            Zip Line
    Obstacle/Nature        Zip Line                Rockwall
Camp Fife 2021 – Webelos Schedule
                      Catch the Olympic Spirit – Day Camp

7:30 AM – 8:20 AM          Leader Check-in at Lodge & Scout Games in Field
8:20 AM – 8:35 AM          Opening Flag Ceremony – Olympic Stadium
8:40 AM – 9:20 AM          Station 1
9:20 AM – 10:00 AM         Station 2                    At the Adventure Station we offer two classes. Please pick
                                                                    one of the two classes to attend.
10:00 AM – 10:40 AM        Station 3
10:40 AM – 11:20 AM        Station 4                  Adventure 1
                                                      Castaway – Elective (Pavilion west of the lodge)
11:25 AM – 12:05 PM        Lunch
                                                      Engineer – Elective (Trading Post)
12:05 PM – 12:20 PM        Midday Program
                                                      In order to offer more Webelos requirements at camp,
12:25 PM – 1:05PM          Station 5                  Trading Post on Webelos days will be opened at lunch and
1:05 PM – 1:45 PM          Station 6                  after camp.
1:45 PM – 2:25 PM          Station 7
2:30 PM – 2:50 PM          Closing Flag Ceremony

                                       See you next year. Safe Travels!

                                       Rotation Schedule by Group

          Team USA             Team Canada                   Team Japan               Team Australia
           BB Range                Archery                       BMX                Into the Woods/Wild
            Archery                 BMX                  Into the Woods/Wild               Zip Line
             BMX            Into the woods/Wild                 Zip Line                  Rockwall
     Into the Woods/Wild           Zip Line                    Rockwall                 Adventure 1
            Zip Line              Rockwall                   Adventure 1                  BB Range
           Rockwall             Adventure 1                    BB Range                    Archery
         Adventure 1              BB Range                      Archery                     BMX

        Team Russia           Team Jamaica                  Team France
            Zip Line             Rockwall                    Adventure 1
           Rockwall            Adventure 1                     BB Range
         Adventure 1             BB Range                       Archery
           BB Range               Archery                        BMX
            Archery                BMX                   Into the Woods/Wild
             BMX           Into the Woods/Wild                  Zip Line
     Into the Woods/Wild          Zip Line                     Rockwall
Fife – 2021 Cub Scout Day Camp
Note: Items that are struck through need to be accomplished at home.

Below is a list of what could be done during Day Camp this year – sometimes due to time or
other reasons they may not all be done so please keep track of what is accomplished at each
station.

Make sure each participant DID these before you sign them off. Leaders please help out as
much as possible at each station. This is your chance to make sure they are able to pass things
off.

You are the leader; you will need to help the participants during each station. Be involved in the
experience, help out where and when needed.

Station 1: Sensei Shooting Range – (BB Gun Range)
Station 2: Samurai Archery Range/Gaga Ball
Station 3: Banzai BMX course
Station 4: Ninja Course/Imperial Palace Garden Walk – (Obstacle Course & Nature Trail)
Station 5: Tobu Landing – (Zip-Line (Long Jump))
Station 6: Fuji Sports Climbing – (Rockwall)
Station 7: Olympic Village/Fishing– (Trading Post)

Pre-Camp (Completed by the Pack)
Lion:
   • Mountain Lion
          o REQUIREMENT 1. Gather the outdoor items you need to have with you when you
             go on an outdoor adventure, and understand how they are used. Also
             understand and commit to practicing the buddy system.
   • Lion’s Honor
          o REQUIREMENT 5: Participate in an outing.
Wolf:
   • Call of the Wild
         o REQUIREMENT 1C. Attend day camp
         o REQUIREMENT 2. List possible weather changes, and how to be prepared for
              each.
Bear:
   • Bear Necessities
         o REQUIREMENT 1C. Attend day camp
         o REQUIREMENT 2. Make a list of items you should take along on the activity
              selected in Requirement 1.
         o REQUIREMENT 3. Make a list of equipment that the group should bring along in
              addition to each Scout’s personal gear for the activity selected in Requirement 1.
During-Camp (Completed by the Pack)
Wolf:
   • Paws on the Path
         o REQUIREMENT 2. Tell what the buddy system is and why we always use it in Cub
             Scouting. Describe what you should do if you get separated from your group
             while hiking.
         o REQUIREMENT 5. Go on a 1-mile (you and your Scouts will walk a mile plus while
             at camp) hike with your den or family. Find two interesting things that you’ve
             never seen before and discuss with your den or family.
         o REQUIREMENT 6. Name two birds, two insects, and/or two other animals that
             live in your area. Explain how you identified them.
Bear:
   • Fur, Feathers, and Ferns
         o REQUIREMENT 1. While walking a mile (you and your Scouts will walk a mile plus
             while at camp) identify six signs that any mammals, birds, insects, reptiles or
             plants are living near the place where you choose to hike or walk.
   • Paws in Action
         o Requirement 4A. Do a cleanup project that benefits your community (clean up
             liter found while walking at camp) .

During-Camp (Led by the Camp Fife staff)

Station: BB Guns
Wolf:
    • Cubs Who Care
           o REQUIREMENT 1. With other members of your den, try using a wheelchair or
              crutches, and reflect on the process.
           o REQUIREMENT 2. With other members of your den, try using a wheelchair or
              crutches, and reflect on the process.
           o REQUIREMENT 3. With other members of your den, try using a wheelchair or
              crutches, and reflect on the process.
Station: Archery
Lions:
    • Rumble in the Jungle
           o REQUIREMENT 1. Play a game with rules; indicate an understanding of the rules
              and why it is important to follow the rules while playing the game.
Tiger:
    • Earning Your Stripes
           o REQUIREMENT 5. Play a game with your den. Then discuss how your den played
              politely.
Wolf:
    • Running with the Pack
           o REQUIREMENT 4: Play a sport or game with your den or family, and show good
              sportsmanship.
Station: BMX
Tiger:
    • Rolling Tigers
           o REQUIREMENT 1. With your den or with your parent, guardian, or other caring
              adult, try on safety gear you should use while riding a bike. Show how to wear a
              bicycle helmet properly.
           o REQUIREMENT 2. With your den or with your parent, guardian, or other caring
              adult, learn and demonstrate safety tips to follow when riding a bicycle.
           o REQUIREMENT 3. Learn and demonstrate proper hand signals.
           o REQUIEMENT 5. With your den or family, go on a bicycle hike wearing your
              safety equipment. Follow the bicycling safety and traffic laws.
           o REQUIREMENT 6. With your den or with your parent, guardian, or other caring
              adult, discuss two different types of bicycles and their uses.
           o REQUIREMENT 7. Learn about a famous bicycle race or famous cyclist. Share
              what you learn with your den.
Station: Obstacle Course/Nature:
Lions:
    • On Your Mark
           o REQUIREMENT 2. Participate in an obstacle course relay.
    • Mountain Lion
           o REQUIREMENT 2. Learn what SAW (Stay, Answer, Whistle) means. Demonstrate
              what you can do to stay safe if you become separated from the group when you
              are outdoors.
           o REQUIREMENT 3. Demonstrate an understanding of respect for animals and
              nature when participating in a learning hike.
Tiger:
    • My Tiger Jungle
           o REQUIREMENT 1. With your parent/guardian or other caring adult (referred to in
              the handbook as “your adult partner”), go for a walk outside, and pick out two or
              more sights or sounds of “nature” around you. Discuss with your partner or den.
           o REQUIREMENT 3. Point out two different kinds of birds that live in your area.
              With your parent, guardian, or other caring adult, or with your den, find out
              more about one of these birds.
•   Tigers in the wild
           o REQUIREMENT 2. Go for a short hike with your den or family, and carry your own
               gear. Show you know how to get ready for this hike.
           o REQUIREMENT 3A. Listen while your leader reads the Outdoor Code. Talk about
               how you can be clean in your outdoor manners,
           o REQUIREMENT 3B. Listen while your leader reads the Leave No Trace Principles
               for Kids. Discuss why you should “Trash Your Trash.”
           o REQUIREMENT 3C. Apply the Outdoor Code and Leave No Trace Principles for
               Kids on your Tiger den and pack outings. After one outing, share what you did to
               demonstrate the principles you discussed.
           o REQUIREMENT 4. While on the hike, find three different kinds of plants, animals,
               or signs that animals have been on the trail. List what you saw in your Tiger
               Handbook .
           o Find two different trees and two different types of plants that grow in your area.
               Write their names in your Tiger Handbook.
Wolf:
  • Code of the Wolf
        o REQUIREMENT 2. Complete one of the following:
                 § A. With other members of your den or family, identify three different
                     types of shapes that you see in nature
  • Call of the Wild
        o REQUIREMENT 3A. Recite the Outdoor Code with your leader.
        o REQUIREMENT 3B. Recite the Leave No Trace Principles for Kids with your
             leader. Talk about how these principles support the Outdoor Code.
  • Paws on the Path
        o REQUIREMENT 4. Before hiking, recite the Outdoor Code and the Leave No Trace
             Principles for Kids with your leader. (This may be combined with Requirement 3
             of The Call of the Wild Adventure.) After hiking, discuss how you showed respect
             for wildlife.
  • Running with the Pack
        o REQUIREMENT 2. Practice balancing as you walk forward, backward, and
             sideways.
        o REQUIREMENT 5. Do at least two of the following: frog leap, inchworm walk,
             kangaroo hop, or crab walk

Bear:
   • Fur, Feathers, and Ferns
         o REQUIREMENT 3. Name one animal that has become extinct in the last 100 years
            and one animal that is currently endangered. Explain what caused their declines.
         o REQUIREMENT 4. Observe wildlife from a distance. Describe what you saw. (This
            will depend on the day. Encourage your scouts to view animals while in nature).
Station: Zipline
Lions:
    • On Your Mark
            o REQUIREMENT 1. Participate in a game with your den.
Station: Rockwall:
Tiger
    • Games Tigers Play
           o REQUIREMENT 1A. Play two initiative or team building games with members of
              your den.
           o REQUIREMENT 1B. Listen carefully to your leader while the rules are being
              explained and follow directions while playing.
           o REQUIREMENT 1C. At the end of the game, talk with your leader about what you
              learned when you played the game. Tell how you helped by playing your part.
Bear:
    • Grin and Bear It
           o REQUIREMENT 1. Play a challenge game or initiative game with the members of
              your den. Take part in a reflection after the game.

Station: Trading Post
Bear:
    • A Bear Goes Fishing
           o REQUIREMENT 3. Learn about fishing equipment, and make a simple fishing
               pole. Practice casting at a target

   •   Bear Claw
          o REQUIREMENT 1. Learn about three common designs of pocketknives.
          o REQUIREMENT 2. Learn knife safety and earn your Whittling Chip.
Fife – 2021 Webelos Day Camp
Note: items that are struck through need to be accomplished at home.

Scouts will attend every station below. During the Adventure Station scouts and leaders will
select one of the two Adventure classes to join during this station.

Trading Post on Webelos Day will be opened at Lunch and after the closing Flag Ceremony.
Trading post is a fun and educational activity. We encourage you to remind your scouts to come
and see us during this time! We are doing this to help make room for more Webelos
adventures to be taught and more fun activities to be incorporated into camp.

Below is a list of what could be done during Day Camp this year – sometimes due to time or other
reasons they may not all be done so please keep track of what is done at each station.

Make sure each participant DID these before you sign them off. Leaders please help out as much as
possible at each station. This is your chance to make sure they are able to pass things off.

You are the leader. You will need to help the participants during each station. Be involved in the
experience, help out where and when needed.

Station 1: Sensei Shooting Range – (BB Gun Range)
Station 2: Samurai Archery Range/Gaga Ball
Station 3: Banzai BMX course
Station 4: Imperial Palace Gardens – (Nature Trail/Into the Woods/Wild)
Station 5: Tobu Landing – (Zip-Line - Long Jump)
Station 6: Fuji Sports Climbing – (Rockwall)
Station 7: Adventure 1– (Trading Post, Engineer/Castaway, Choose one)

Requirement During Camp:

    •   Arrow of Light Adventure: Outdoor Adventurer:
        Option B
           o 1. With the help of your den leader or family, plan and participate in an outdoor
                activity.
    •   Sports:
           o 2. Participate in two sports, either as an individual or part of a team. (This will be
                passed off as the scout participates in the activities at camp, such as BMX and
                Rockwall).

Station: BB Guns
    • Aware and Care – Elective
           o 2. Engage in an activity that simulates mobility impairment. Alternatively, take
              part in an activity that simulates dexterity impairment.
o 3. With your den, participate in an activity that focuses on the acceptance of
                differences in general.
Station: Archery
    • Sports – Elective (Combined with Stronger, Faster, Higher)
            o 1. Show the signals used by officials in one of these sports: football, basketball,
                baseball, soccer, or hockey.
            o 3. Complete the following requirements:
                    § A. Explain what good sportsmanship means.
                    § B. Role-play a situation that demonstrates good sportsmanship.
                    § C. Give an example of a time when you experienced or saw someone
                        showing good sportsmanship.
Station: Into the Woods/Wild – Nature Trail
    • Into the Wild - Elective (Combined with Into the Woods)
            o 4. Learn about the bird flyways closest to your home. Find out which birds use
                these flyways.
            o 5. Watch at least four wild creatures (reptiles, amphibians, arachnids, fish,
                insects, or mammals) in the wild. Describe the kind of place (forest, field, marsh,
                yard, or park) where you saw them. Tell what they were doing.
            o 6. Identify an insect, reptile, bird, or other wild animal that is found only in your
                area of the country. Tell why it survives in your area.
            o 7. Give examples of at least two of the following:
                    § A. A producer, a consumer, and a decomposer in the food chain of an
                        ecosystem
                    § B. One way humans have changed the balance of nature
                    § C. How you can help protect the balance of nature
            o 8. Learn about aquatic ecosystems and wetlands in your area. Talk with your
                Webelos den leader or family about the important role aquatic ecosystems and
                wetlands play in supporting life cycles of wildlife and humans, and list three ways
                you can help.
       Into the Woods - Elective (combined with Into the Wild)
            o 1. Identify two different groups of trees and the parts of a tree.
            o 2. Identify four trees common to the area where you live. Tell whether they are
                native to your area. Tell how both wildlife and humans use them.
            o 3. Identify four3. plants common to the area where you live. Tell which animals
                use them and for what purpose.
            o 6. Explain how the growth rings of a tree trunk tell its life story. Describe
                different types of tree bark and explain what the bark does for the tree.
Station: Zip Line
   •   Earth Rocks – Elective
           o 1. Do the following:
             § A. Explain the meaning of the word “geology.”
             § B. Explain why this kind of science is an important part of your world.
o 2. Look for different kinds of rocks or minerals while on a rock hunt with your
             family or your den.
           o 3. Do the following:
                 § A. Identify the rocks you see on your rock hunt. Use the information in
                     your handbook to determine which types of rocks you have collected.
                 § B. Identify the rocks you see on your rock hunt. Use the information in
                     your handbook to determine which types of rocks you have collected.
                 § C. Share what you see with your family or den.
Station: Rock Wall
    • Earth Rocks – Elective
           o 4. Do the following:
                  § A. With your family or den, make a mineral test kit, and test minerals
                     according to the Mohs scale of mineral hardness.
                  § B. With your family or den, make a mineral test kit, and test minerals
                     according to the Mohs scale of mineral hardness.
           o 5. Identify on a map of your state some geological features in your area.
           o 6. Do the Following:
                  § A. Identify on a map of your state some geological features in your area.
                  § B. Identify on a map of your state some geological features in your area.
Station: Adventure 1
    • Castaway - Elective
           o 1. Complete A at home Complete Requirement B at camp
                  § B. With the help of an adult, demonstrate one way to light a fire without
                      using matches.
           o 2. Do all of the following.
                  § A. Learn what items should be in an outdoor survival kit that you can
                      carry in a small bag or box in a day pack. Assemble your own small
                      survival kit, and explain to your den leader why the items you chose are
                      important for survival.
                   C. Discuss what to do if you become lost in the woods. Tell what the letters
                  “S-T-O-P” stand for. Tell what the universal emergency signal is. Describe
                  three ways to signal for help. Demonstrate one of them. Describe what you
                  can do to help rescuers find you.
                  § D. Make a list of four qualities you think a leader should have in an
                      emergency and why they are important to have. Pick two of them, and
                      act them out for your den. Describe how each relates to a point of the
                      Scout Law. Describe how working on this adventure gave you a better
                      understanding of the Boy Scout motto.
    • Engineer – Elective
           o 1. Pick one type of engineer. With the help of the Internet, your local library, or
              an engineer, discover three things that describe what that engineer does. (To use
the Internet, be sure that you have a current Cyber Chip or that you have
  permission from your Webelos den leader, parent, or guardian.) Share your
  findings with your Webelos den.
o 2. Learn to follow engineering design principles by doing the following:
          A. Examine a set of blueprints or specifications. Using these as a model,
             prepare your own set of blueprints or specifications to design a project.
          B. Examine a set of blueprints or specifications. Using these as a model,
             prepare your own set of blueprints or specifications to design a project.
          C. Share your project with others at a den or pack meeting.
CAMP FIFE
          SCO U T R AN CH                                                     Tr apper Trails Council

      TO COLLINSON / LOGAN                                       OBSTACLE
                                                                  COURSE

                                           BMX COURSE                          NATURE
                                                                                TRAIL

                                                          PARKING &
                                                          PICNIC AREA
                                      ARCHERY RANGE

                                               BB RANGE
                                                                   ZIP LINE

                                            CAMP FIFE
                                          AMPHITHEATER

                                                                  CLIMBING
                                                                   TOWER
                                 PARKING
                                            LODGE                                    R
                                                                                  BEAR RIVE

                                PARKING

                                                     TRAINING
                                                     PAVILLION

                             MAINTENANCE
                                 SHED

TO FIELDING / LOGAN / I-15
How to Obtain a Certificate of Insurance
                           LDS YOUTH GROUPS
All groups attending BSA day or youth camps must provide a Certificate of Insurance.

These requests should be entered online at least two weeks before the activity takes place.

Below is a list of Information you will need to successfully request a certificate of Insurance.

Visit: https://ldschurchportal.secure.force.com/certificates and click “Certificate of Insurance”

Requestor Information: (You are the REQUESTOR. You represent the Church organization or
affiliated entity.)

   • Name
   • E-mail Address
   • Daytime telephone
   • Title or Calling
   • Sponsoring Unit (Ward and Stake)
Activity Information

   • Include activity description and details, location address, and dates.
   • A list of camp addresses are included on the back of this sheet.
Certificate Holder Information:

   • Crossroads of the West Council, BSA and the Boy Scouts of America

   • 1200 E 5400 S, Ogden, Utah 84403

   • Josh Haacke

   • campdesk@scouting.org; (801) 479-5460

Insurance Requirements:

   • General Liability:
     General Aggregate Limit: $2,000,000
     Products & Completed Operations Aggregate: $1,000,000
     Personal & Advertising Injury Limit: $1,000,000
     Each Occurrence Limit: $2,000,000
     Medical Expense Limit: $5,000
     Automotive Liability: $1,000,000

Print the Certificate of Insurance and bring it with you to camp. When you arrive to camp, you will be
asked to provide the certificate.

                                                  Page 1
Camp Addresses
(USE FOR “ACTIVITY INFORMATION” SECTION)

Camp Bartlett                        Camp Loll
Forest Road 1000                     Camp Loll Road
Montpelier, Idaho 83254              Ashton, Idaho 83420

Camp Browning                        Camp Maple Dell
15510 East Causey Drive              14166 South Payson Canyon Road
Huntsville, Utah 84317               Payson, Utah 84651

Camp Fife                            Camp Tifie
19805 W Camp Fife Rd                 Sky Haven Drive
Colliston UT 84306                   Mt Pleasant, UT 84647

Camp Eagle Mountain                  Ogden Ropes Course
4000 North                           1200 East 5400 South
Cedar Valley, Utah 84013             Ogden, Utah 84403

Camp Hunt                            Camp Tracy
2000 North Bear Lake Boulevard       3901 Mill Creek Road
Garden City, Utah 84028              Salt Lake City, UT 84109

Camp Kiesel
15510 East Causey Drive
Huntsville, Utah 84317

                                 Page 2
Day Camp
                                                       Group Roster
  Instructions:

  • This form is to be used by units attending Day Camp programs and to be submitted at camp during check-in.
  • Complete the form by listing the youth that will attend Day Camp programs.
  • For Cub Scout groups: Verify BSA membership registration for each youth and adult through local BSA Service Center. This must be
    verified: in person, emailed (program.office@scouting.org), at least 2 days prior to attending camp.
  • Attach receipt for payments made within 7 days prior to arrival.

Unit # _________ Camp: _________________ Camp Date: __________ District: __________________

Unit Leader Name (First & Last): ___________________________________________________________
Mailing address: ________________________________________ City: ________________ State: _____
ZIP: ________________ Phone: ( ___ ) ________________ Email: ______________________________

Adult Leader Names & Email

_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________

Youth Names & Parent’s Email
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
All youth & adults that attend camp must be registered members of the Boy Scouts of America. If a youth or adult is not currently
registered when this roster is verified, a digital BSA Membership Form will be emailed to the individual(s).
Part A: Informed Consent, Release Agreement, and Authorization                                                                                                                                                   A
Full name: ___________________________________________                                                                       High-adventure base participants:
                                                                                                                             Expedition/crew No.: _______________________________________________
Date of birth: _________________________________________                                                                     or staff position:___________________________________________________

Informed Consent, Release Agreement, and Authorization

I understand that participation in Scouting activities involves the risk of personal injury, including          I also hereby assign and grant to the local council and the Boy Scouts of America, as well as their
death, due to the physical, mental, and emotional challenges in the activities offered. Information             authorized representatives, the right and permission to use and publish the photographs/film/
about those activities may be obtained from the venue, activity coordinators, or your local council.            videotapes/electronic representations and/or sound recordings made of me or my child at all
I also understand that participation in these activities is entirely voluntary and requires participants        Scouting activities, and I hereby release the Boy Scouts of America, the local council, the activity
to follow instructions and abide by all applicable rules and the standards of conduct.                          coordinators, and all employees, volunteers, related parties, or other organizations associated
                                                                                                                with the activity from any and all liability from such use and publication. I further authorize the
In case of an emergency involving me or my child, I understand that efforts will be made to                     reproduction, sale, copyright, exhibit, broadcast, electronic storage, and/or distribution of said
contact the individual listed as the emergency contact person by the medical provider and/or                    photographs/film/videotapes/electronic representations and/or sound recordings without limitation
adult leader. In the event that this person cannot be reached, permission is hereby given to the                at the discretion of the BSA, and I specifically waive any right to any compensation I may have for
medical provider selected by the adult leader in charge to secure proper treatment, including                   any of the foregoing.
hospitalization, anesthesia, surgery, or injections of medication for me or my child. Medical
providers are authorized to disclose protected health information to the adult in charge, camp                  Every person who furnishes any BB device to any minor, without the express or implied permission
medical staff, camp management, and/or any physician or health-care provider involved in                        of the parent or legal guardian of the minor, is guilty of a misdemeanor. (California Penal Code
providing medical care to the participant. Protected Health Information/Confidential Health                     Section 19915[a]) My signature below on this form indicates my permission.
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,           I give permission for my child to use a BB device. (Note: Not all events will include BB devices.)
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.                                                    Checking this box indicates you DO NOT want your child to use a BB device.

(If applicable) I have carefully considered the risk involved and hereby give my informed consent                                 NOTE: Due to the nature of programs and activities, the Boy Scouts of
for my child to participate in all activities offered in the program. I further authorize the sharing                             America and local councils cannot continually monitor compliance of program
of the information on this form with any BSA volunteers or professionals who need to know of                                      participants or any limitations imposed upon them by parents or medical
medical conditions that may require special consideration in conducting Scouting activities.                                      providers. However, so that leaders can be as familiar as possible with any
                                                                                                                                  limitations, list any restrictions imposed on a child participant in connection with
With appreciation of the dangers and risks associated with programs and activities, on my                                         programs or activities below.
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                    List participant restrictions, if any:                                  None
of America, the local council, the activity coordinators, and all employees, volunteers,
related parties, or other organizations associated with any program or activity.                                ________________________________________________________

  I understand that, if any information I/we have provided is found to be inaccurate, it may limit and/or eliminate the opportunity for participation in any event or activity. If I am participating at
  Philmont Scout Ranch, Philmont Training Center, Northern Tier, Sea Base, or the Summit Bechtel Reserve, I have also read and understand the supplemental risk advisories, including height
  and weight requirements and restrictions, and understand that the participant will not be allowed to participate in applicable high-adventure programs if those requirements are not
  met. The participant has permission to engage in all high-adventure activities described, except as specifically noted by me or the health-care provider. If the participant is under the age of 18, a
  parent or guardian’s signature is required.

  Participant’s signature: ____________________________________________________________________________________________ Date: ______________________________

  Parent/guardian signature for youth: __________________________________________________________________________________ Date: ______________________________
                                                                                        (If participant is under the age of 18)

Complete this section for youth participants only:
Adults Authorized to Take Youth to and From Events:

You must designate at least one adult. Please include a phone number.

Name: _________________________________________________________________                                         Name: _________________________________________________________________

Phone: _________________________________________________________________                                        Phone: _________________________________________________________________

Adults NOT Authorized to Take Youth to and From Events:

Name: _________________________________________________________________                                         Name: _________________________________________________________________

Phone: _________________________________________________________________                                        Phone: _________________________________________________________________

                                                                                                                                                                                                                 680-001
                                                                                                                                                                                                             2019 Printing
Part B1: General Information/Health History                                                                                                                                 B1
Full name: ___________________________________________                                                          High-adventure base participants:
                                                                                                                Expedition/crew No.: _______________________________________________
Date of birth: _________________________________________                                                        or staff position:___________________________________________________

Age: ____________________________ Gender: __________________________ Height (inches): ___________________________ Weight (lbs.): ____________________________

Address: _________________________________________________________________________________________________________________________________________

City: ___________________________________________State: ____________________________ ZIP code: __________________                         Phone: ______________________________

Unit leader: ____________________________________________________________________________ Unit leader’s mobile #: _________________________________________

Council Name/No.: _______________________________________________________________________________________________________Unit No.: ____________________

Health/Accident Insurance Company: ________________________________________________________ Policy No.: ___________________________________________________

        Please attach a photocopy of both sides of the insurance card. If you do not have medical insurance, enter “none” above.

In case of emergency, notify the person below:

Name: ______________________________________________________________________________Relationship: ___________________________________________________

Address: _________________________________________________________________ Home phone: _________________________ Other phone: _________________________

Alternate contact name: _________________________________________________________________ Alternate’s phone: ______________________________________________

Health History
Do you currently have or have you ever been treated for any of the following?
  Yes      No                                 Condition                                                                             Explain
                  Diabetes                                                              Last HbA1c percentage and date:                            Insulin pump: Yes   No

                  Hypertension (high blood pressure)
                  Adult or congenital heart disease/heart attack/chest pain (angina)/
                  heart murmur/coronary artery disease. Any heart surgery or
                  procedure. Explain all “yes” answers.
                  Family history of heart disease or any sudden heart-related
                  death of a family member before age 50.
                  Stroke/TIA

                  Asthma/reactive airway disease                                        Last attack date:

                  Lung/respiratory disease

                  COPD

                  Ear/eyes/nose/sinus problems

                  Muscular/skeletal condition/muscle or bone issues

                  Head injury/concussion/TBI

                  Altitude sickness

                  Psychiatric/psychological or emotional difficulties

                  Neurological/behavioral disorders

                  Blood disorders/sickle cell disease

                  Fainting spells and dizziness

                  Kidney disease

                  Seizures or epilepsy                                                  Last seizure date:

                  Abdominal/stomach/digestive problems

                  Thyroid disease

                  Skin issues

                  Obstructive sleep apnea/sleep disorders                               CPAP: Yes      No

                  List all surgeries and hospitalizations                               Last surgery date:

                  List any other medical conditions not covered above

                                                                                                                                                                                 680-001
                                                                                                                                                                             2019 Printing
Part B2: General Information/Health History                                                                                                                                                         B2
Full name: ___________________________________________                                                          High-adventure base participants:
                                                                                                                Expedition/crew No.: _______________________________________________
Date of birth: _________________________________________                                                        or staff position:___________________________________________________

Allergies/Medications
DO YOU USE AN EPINEPHRINE                     YES         NO                                              DO YOU USE AN ASTHMA RESCUE                     YES        NO
AUTOINJECTOR? Exp. date (if yes) ___________________________                                              INHALER? Exp. date (if yes) ___________________________________

Are you allergic to or do you have any adverse reaction to any of the following?

  Yes      No         Allergies or Reactions                            Explain                        Yes      No           Allergies or Reactions                                  Explain

                   Medication                                                                                            Plants

                   Food                                                                                                  Insect bites/stings

List all medications currently used, including any over-the-counter medications.
    Check here if no medications are routinely taken.                                If additional space is needed, please list on a separate sheet and attach.

                   Medication                             Dose                     Frequency                                                              Reason

     YES        NO          Non-prescription medication administration is authorized with these exceptions: ________________________________________________________________
Administration of the above medications is approved for youth by:
_______________________________________________________________________ / _______________________________________________________________________
                                      Parent/guardian signature                                                      MD/DO, NP, or PA signature (if your state requires signature)

           Bring enough medications in sufficient quantities and in the original containers. Make sure that they are NOT expired, including inhalers and EpiPens. You SHOULD NOT STOP taking
           any maintenance medication unless instructed to do so by your doctor.

Immunization
The following immunizations are recommended. Tetanus immunization is required and must have been received within the last 10
years. If you had the disease, check the disease column and list the date. If immunized, check yes and provide the year received.          Please list any additional information about your
                                                                                                                                           medical history:
  Yes      No        Had Disease                           Immunization                                   Date(s)
                                                                                                                                           _________________________________________
                                      Tetanus
                                                                                                                                           _________________________________________
                                      Pertussis
                                                                                                                                           _________________________________________
                                      Diphtheria
                                                                                                                                           _________________________________________
                                      Measles/mumps/rubella

                                      Polio                                                                                                 DO NOT WRITE IN THIS BOX.
                                                                                                                                            Review for camp or special activity.
                                      Chicken Pox
                                                                                                                                            Reviewed by: ___________________________________________
                                      Hepatitis A
                                                                                                                                            Date: _________________________________________________
                                      Hepatitis B
                                                                                                                                            Further approval required:       Yes               No
                                      Meningitis
                                                                                                                                            Reason: _______________________________________________
                                      Influenza
                                                                                                                                            Approved by:____________________________________________
                                      Other (i.e., HIB)
                                                                                                                                            Date: _________________________________________________
                                      Exemption to immunizations (form required)

                                                                                                                                                                                                        680-001
                                                                                                                                                                                                    2019 Printing
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