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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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