2 21 FORMS and POLICIES Ventura County Council Boy Scouts Of
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Ventura County Council Boy Scouts of America Ventura County Council ● A Century of Service Dear Unit Leader: Camp Three Falls management and staff looks forward to having you join us at Camp this summer. To help us better prepare for your stay, and to ensure that everyone is as safe and healthy as possible, we need each unit (Scouts BSA Troop or Webelos Den) to fill out a few documents. It may take a few minutes (okay, maybe more than a few minutes) to compile the information – but better to do it now, than to arrive without necessary documents and extend your check-in process. The attachment to this email includes documents for both Webelos and Scouts BSA. UNIT PRECAMP PACKET Drop off or mail the following forms to the Ventura County Council office, 509 E. Daily Drive, Camarillo, CA 93010, at least two weeks before your arrival at camp. One packet per unit; do not have parents drop off individual forms, since they may be misplaced. Provide copies of your medical forms, not the originals. We will review the forms and contact you if there is anything missing. Unit Roster Form: Fill out with the requested information for all adults and youth attending camp. Note that all adults must complete BSA Youth Protection Training (YPT) before coming to camp. Provide copies of YPT cards or training records showing completing of YPT within two years. BSA Health and Medical Record, 2019 revision: This form must be filled out completely for every adult and youth who will be staying in camp, even for one night. That includes parts A, B1, B2, and C. We have included a blank form, as well as a form with frequently overlooked items highlighted. Give us a copy, not the original. And don’t forget to attach a copy of the front and back of each camper’s medical insurance card. California Firearms Permission Slip: Required for all youth participants to use BB guns, 22 rifles or other firearms at camp. COVID 19 Waiver Form: Required of all participants Special Needs Form: A separate form for each individual in the group who has special dietary, mobility, or other needs. You may send these in earlier if you wish, but also include a copy with the Pre-Camp Packet BRING TO CAMP WITH YOU: Your copy of your Unit Roster and each person’s BSA Health and Medical Record. COVID 19 Screening Form. Fill out for each participant immediately before leaving for camp. Our health staff will ask to see each person’s form on arrival at camp. Merit Badge Prerequisite Form (Scouts BSA only): Some merit badges have requirements that cannot be completed at camp, and we need the unit leader to verify completion – an example is the nights camping requirement for Camping Merit Badge. Fill out a separate form for each scout, for each merit badge that has a prerequisite. Scouts should bring the form to the merit badge class on the first day of classes. If you have any questions, please do not hesitate to contact us as your questions arise. We cannot wait to see you this summer! Jerry Thurston Camp Director Camp Three Falls Larry Tuck Program Director Camp Three Falls George Villalobos Scout Executive Ventura County Council Parents’ Fact Sheet Troop # _____________ is attending Camp Three Falls from _______________ to ________________. We will depart from _____________________________ on ____________ at ____________. We will return on ______________ at around _________________. Lunch is not provided on the day that we arrive in camp, so please pack a sack lunch. Make sure that the Scout has everything. Double check that Scouts have their prescription medicines (give to Scout- master in Ziploc bag along with Scout’s name and instructions). Check to be certain that the permission and medical forms are complete, including all necessary signatures and dates from physicians and par- ents. The cost for each Scout to attend camp is $_________. This includes almost everything. You’ll want to provide some extra money for trading post items, souvenirs, snacks, and to pay for some advancement supplies such as handicraft kits and shooting supplies. If you ask, your unit leader may be willing to su- pervise this money. MAIL TO CAMP It is recommended that letters to Scouts at camp be mailed early (even before camp), as mail service to camp can be slow. The address is: Scout’s Name) ——————————— Troop #__________ Week __________ Camp Three Falls 12260 Boy Scout Camp Road Frazier Park, CA 93225 EMERGENCY PHONE NUMBERS: Emergencies at home may be reported to the Council Service Center at (805) 482-8938 (during busi- ness hours), or call Camp Three Falls directly at (661) 245-1206. The camp office will not be open until June 18. Contact your unit leader with questions, or call the council office. Call me, _________________________ at _____________________ if you have any unanswered questions. THERE ARE NO PHONES IN CAMP FOR SCOUT USE. IN AN EMERGENCY, CAMP STAFF OR YOUR UNIT LEADER WILL CONTACT YOU. CAMP THREE FALLS UNIT ROSTER Unit Number ______________ Council _____________________ District ________________________ Webelos Session 1 (June 27-30) ____ Webelos Session 2 (June 30-July 3) ____ Scouts Session 1 (July 4-10) ____ Scouts Session 2 (July 11-17) ____ Scouts Session 3 (July 18-24) ____ Number attending: Adult Male: ____ Adult Female: ____ Youth Male: ____ Youth Female: ____ Two Deep Leadership Unit Leader: ________________________________ Assistant Unit Leader: _____________________________ Email: _____________________________________ Email: _________________________________________ Cell Phone: _________________________________ Cell Phone: _____________________________________ YPT Trained: ___ Yes ___ No TP Trained? ___Yes ___ No Have copies of YPT Cards or other evidence of training for all adults available at check-in # Tents ______________________ Guide: ___________________________ Guide: ______________________ Tents # Campsite____________________________________________ Assigened: FOR ADMINISTRATIVE USE: Additional Adults Male Female YPT Trained? Adult __________________________________________________ □ □ □ Adult __________________________________________________ □ □ □ Adult __________________________________________________ □ □ □ Adult __________________________________________________ □ □ □ Adult __________________________________________________ □ □ □ Adult __________________________________________________ □ □ □ Adult __________________________________________________ □ □ □ Adult __________________________________________________ □ □ □ Adult __________________________________________________ □ □ □ CAMP THREE FALLS UNIT ROSTER Unit Number ______________ Council _____________________ District ________________________ Webelos Session 1 (June 27-30) ____ Webelos Session 2 (June 30-July 3) ____ Scouts Session 1 (July 4-10) ____ Scouts Session 2 (July 11-17) ____ Scouts Session 3 (July 18-24) ____ Senior Patrol Leader or Acting SPL (Scouts BSA Units) Name: ________________________________________________ Age: __________________ Patrol/Den Name: ______________________ Patrol Leader/Denner________________________ Age: __ M/F ___ Name __________________________ Age: __ M/F ___ Name __________________________ Age: __ M/F ___ Name __________________________ Age: __ M/F ___ Name __________________________ Age: __ M/F ___ Name __________________________ Age: __ M/F ___ Name __________________________ Age: __ M/F ___ Name __________________________ Age: __ M/F ___ Name __________________________ Age: __ M/F ___ Patrol/Den Name: ______________________ Patrol Leader/Denner________________________ Age: __ M/F ___ Name __________________________ Age: __ M/F ___ Name __________________________ Age: __ M/F ___ Name __________________________ Age: __ M/F ___ Name __________________________ Age: __ M/F ___ Name __________________________ Age: __ M/F ___ Name __________________________ Age: __ M/F ___ Name __________________________ Age: __ M/F ___ Name __________________________ Age: __ M/F ___ Patrol/Den Name: ______________________ Patrol Leader/Denner________________________ Age: __ M/F ___ Name __________________________ Age: __ M/F ___ Name __________________________ Age: __ M/F ___ Name __________________________ Age: __ M/F ___ Name __________________________ Age: __ M/F ___ Name __________________________ Age: __ M/F ___ Name __________________________ Age: __ M/F ___ Name __________________________ Age: __ M/F ___ Name __________________________ Age: __ M/F ___ Patrol/Den Name: ______________________ Patrol Leader/Denner________________________ Age: __ M/F ___ Name __________________________ Age: __ M/F ___ Name __________________________ Age: __ M/F ___ Name __________________________ Age: __ M/F ___ Name __________________________ Age: __ M/F ___ Name __________________________ Age: __ M/F ___ Name __________________________ Age: __ M/F ___ Name __________________________ Age: __ M/F ___ Name __________________________ Age: __ M/F ___ 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