Troop 008 Event Form
TROOP 008 - BOY SCOUTS OF AMERICA
WESLEY CHAPEL UMC, MARIETTA, GEORGIA /
Lake Allatoona Aquatics Base
August 25-27, 2017
SCOUT
LEADERSHIP: / SPL Micah Ayers / ADULT
LEADERSHIP: / Kevin Wilson Cell: 913-219-9304
ACTIVITY
LOCATION: / Lake Allatoona Aquatics Base
200 Lovingood Drive, Woodstock, GA 30189 – Campsite 6 / MEET TIME: / 6:00PMFriday,August 25, 2017
ACTIVITY
DATE(S): / Friday,August 25 – SundayAugust 27 / DEPARTURE
LOCATION: / WCUMC
OTHER INFO: / RETURN TIME: / 10:30AM Sunday, August 27, 2017
Cost Per Scout: / $20 / Camping fee
CampMeals: / Friday Night snack, Saturday Breakfast,Lunch, Dinner and Sunday Breakfast
Transportation: / Ride Share
Other Fees: / N/A
Total Per Scout: / $20 / Please pay the Treasurer, Mr. Janes
Please make checks payable to Troop 008, BSA, & turn in with this sign up form.
Total for Adults / $20
Additional Cost: / N/A
Event Details:
We will be leaving the church on Friday at 6:20PMAugust 25, 2017
Every scout should bring 5 lbs of flour, 2 rolls of two-ply (cheapest) paper towels, and aroll of ½ in wide masking tape.
We will be staying at the BSA’s Camp Allatoona Aquatics Base on LakeAllatoona.
The Camp Allatoona Aquatics Base is 600 acres (242 hectare) of lakefront property leased from the Army Corps of Engineers by the Atlanta Area Council. The camp is on LakeAllatoona just North of Metro Atlanta. This nearby camp is used throughout the year for weekend camping, day trips, and other scout outings.
Camp Map:
We will return to WCUMC at approximately 10:30 AM Sunday, August 2017
Growth and Advancement Opportunities:This is one of the boys’ favorite campouts and it provides an opportunity and a chance to improve scouting skills and just have fun.
If swimming, Scout must have appropriate attire and have completed the BSA Swimming Certification prior the trip,
Directions to 200 Lovingood Drive, Woodstock, GA 30189 Google Maps Link:
BSA Directions Map:
- I-75 north to I-575 north
- Exit #4 at Bells Ferry Road
- Turn left at end of exit ramp
- Travel north on Bells Ferry Road for approximately 7 miles
- Turn left onto Victoria Road at the traffic light and gas station
- Turn right at the 3-way stop onto North Victoria Road
- Take the second left into the Allatoona Shores subdivision on Lovingood Drive
- Follow Lovingood Drive into camp
- We are staying at Campsite 6
We will have cell phone service at this camp – Kevin Wilson’s cell is 913-219-9304, email –
------
Permission Slip – Must be completed and returned with payment to participate
My son/sons,______,has/have permission to participate in this activity with Troop 008 on August 25-27, 2017, and will be in complete uniform. The person herein described has permission to engage in all prescribed activities, except as noted by me. To participate in this activity, I hereby release and discharge the Wesley Chapel UMC, the Boy Scouts, and its volunteer leadership, their heirs, executors, and administrators from all liability of any kind which might be asserted in behalf of said minor(s) or myself against the aforementioned church, scouts, or volunteers absent of gross negligence or willful and wanton misconduct. In the event of an accident or illness, if the said volunteers are unable to contact me as a parent or guardian, or if I, being over the age of 18, am unable to make needed cognitive decisions, hereby grant permission to said volunteers to administer necessary first aid, and/or to take the said minor or myself to a medical facility for additional medical treatment, to hospitalize, to provide or secure appropriate emergency care including but not limited to injections, diagnostic procedures, proper anesthesia, and emergency surgery.Informed Consent, Release Authorization and Authorization:
I understand that participation in Scouting activities involves the risk of personal injury, including death, due to the physical, mental, and emotional challenges in the activities offered. Information about those activities may be obtained from the venue, activity coordinators, or local council. I also understand that participation in these activities is entirely voluntary and requires participants to follow instructions and abide by all applicable rules and the standards of conduct.
In case of an emergency involving my child, I understand that efforts will be made to contact me. In the event I cannot be reached, permission is hereby given to the medical provider to secure proper treatment, including hospitalization, anesthesia, surgery, or injections of medication for my child. Medical providers are authorized to disclose protected health information to the adult in charge and/or any physician or health care provider involved in providing medical care to the participant. Protected Health Information/Confidential Health Information (PHI/CHI) under the Standards for Privacy of Individually Identifiable Health Information, 45 C.F.R. §§160.103, 164.501, etc. seq., as amended from time to time, includes examination findings, test results, and treatment provided for purposes of medical evaluation of the participant, follow-up and communication with the participant’s parents or guardian, and/or determination of the participant’s ability to continue in the program activities.
With appreciation of the dangers and risks associated with programs and activities including preparations for and transportation to and from the activity, on my own behalf and/or on behalf of my child, I hereby fully and completely release and waive any and all claims for personal injury, death, or loss that may arise against the Boy Scouts of America, the local council, the activity coordinators, and all employees, volunteers, related parties, or other organizations associated with any program or activity.
Signature of Parent/Guardian ______Date ______
NOTE: The Boy Scouts of America and local councils cannot continually monitor compliance of program participants or any limitations imposed upon them by parents or medical providers. List any restrictions imposed on a child participant in connection with programs or activities below and counsel your child to comply with those restrictions.
Scout Restrictions: ______
______
Payment of $______via Check, Cash, or Scout Account
provided with permission slip or at departure
I can help with transportation (check appropriate): to, from, or both, for ____# Scouts, if needed.
Name(s) of parent(s) coming on this trip:______
Emergency numbers during the activity:______
Name of Scout(s) coming on this trip:______