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Registration Form Please make copies if needed. One form per Scout. REGISTRATION FORM Scout’s Name: _______________________________ Attending Parent/Guardian Name(s): ______________________ Address: ____________________________________ Pack #: ___________________ Age: _________________ ____________________________________ Grade Next School Year: _______________________________ Phone: _____________________________________ Email: ____________________________________________ Cub Scout Summer Camp Options Cost and Registration Dates Amount Due Cub Scout Investigators Day Camps (1 day activity - No Overnight) $30 per Scout. ❏ (Osborne Park) Cub Scout Day Camp June 2 – Elkader ADULTS FREE Participants will receive ❏ (A.Y. McDonald Park) a FREE Youth size Cub August 4 – Dubuque Day Camp t-shirt. Size: ________________ $___________ ADULTS! Day Camp is a volunteer run program. If you are planning on attending with your Scout please consider being a volunteer. We have several positions available including group walking leaders which will allow you to stay with your Scout throughout the day. Please fill out the bottom section and our Day Camp Director will contact you. Volunteer Name: ________________________________ Phone Number: ____________________ Cub Scout Investigators Camp C.S. Klaus Overnight Camps (2 Days - 1 Night of Camping) ❏ June 16–17 at Camp C.S. Klaus $75 per Scout with Adult Partner by April 13 ❏ July 21–22 at Camp C.S. Klaus $85 per Scout with Adult Partner after April 13 $___________ Webelos Investigators Camp C.S. Klaus Weekend (3 Days - 2 Nights of Camping) ❏ July 6-8 at Camp C.S. Klaus $100 per Scout by April 13 $110 per Scout after April 13 $45 per Adult Leader $___________ REQUIRED -- Physical Forms Completed and Attached Please note: For all Cub Scout camps, your physical form DOES NOT need to be completed by a doctor. Completely fill out the form (Part A & B) with all necessary information. ❏ Yes, To participate in a BSA Cub camp, the Boy Scouts of America Health and Medical Record need to be filled out in full for Physical Form YOUTH AND ADULTS, and returned to the Council Office. This form will be available via your Cubmaster and available for download from the Northeast Iowa Council website at www.scoutsiowa.org. Click on the calendar, the date of the event, is attached and find those forms available. This form is also available from the Boy Scouts of America website at:www.scouting.org/ filestore/HealthSafety/pdf/680-001_ABC.pdf TOTAL ENCLOSED $___________ Dubuque, IA 52004-0732 IA Dubuque, Register online at www.ScoutsIowa.org. 732 Box P.O. Click on the Calendar link COUNCIL IOWA NORTHEAST A C AMERI OF SCOUTS Y O B Please make checks payable to “Northeast Iowa Council” ® Mail your registration form, check Or Drop Off your registration form check RESIDENT CURRENT and completed health form to: and completed health form to: Cub Scout Activities NE Iowa Council Service Center P.O. Box 732 10601 Military Rd. 52004-0732 IA Dubuque, Dubuque, IA 52004-0732 Dubuque, IA 52003 732 Box P.O. NORTHEAST IOWA COUNCIL IOWA NORTHEAST A C AMERI OF SCOUTS Y O B ® WHAT TO BRING CUB SCOUT INVESTIGATORS TO CAMP KLAUS Dad and Mom ❏ Cub Scout Uniform DAY CAMPS CAMP C.S. KLAUS OVERNIGHT CAMPS (Recommended nightly Dinner attire) Day Camps are single-day adventures held 2 times this summer at different locations ❏ Completed & Signed Pyhsical Form (parts A & B) close to you! ARE THE BEST DEAL AROUND • Elkader (June 2 @ Osborne Park) ❏ Swimsuit & Towel • Dubuque (August 4 @ A.Y. McDonald Park) ❏ Fishing Gear (optional) Camp C.S. Klaus offers: ❏ Insect Repellent Participants will have morning and afternoon activities to stay busy the entire day. th • A Fantastic Camp Staff ❏ Sweatshirt or Jacket Open for Cub Scouts kindergarten through 5 grade. Information on specific Day Camps will be distributed to each Cub Scout Pack. All of our summer camp programs are staffed with a fantastic and the most “wildly– ❏ Flashlight energetic” group of trained adults, young men and women who conduct each of the ❏ Rain Gear • Cost: $30 per Scout (Adults FREE) – Register by April 13. program activities. ❏ Toiletries • Check in at 9:00 AM. Check out at 3:00 PM (toothbrush, toothpaste, soap, towel, etc.) • BRING A SACK LUNCH • Comfortable tents and cots, already set up and waiting for you Our beautiful wooded campsites feature spacious wall tents on wooden platforms with ❏ Sunscreen • WEAR SWIM WEAR (You will get wet!) two canvas cots. Located in each campsite are wash stands with running water, camp fire ❏ Bedding or Sleeping Bag • All attending Scouts will receive an event patch AND an event t-shirt! pits with firewood, picnic tables and a latrine. ❏ Tennis Shoes & Socks • Please note, Scouts going into kindergarten and 1st grade must be • Hot, private showers available to all campers ❏ Summer Clothing accompanied by an adult. A shower house is centrally located near the campsites. Important Items: • Delicious meals prepared for you ❏ Spending money for souvenirs or snacks. CUB SCOUT INVESTIGATORS All meals are served in the Munter Lodge Dining Center. All meals are included in the ❏ Personal medication with written instructions. CAMP C.S. KLAUS OVERNIGHT registration. • Lake John Deere How to get June 16-17 or July 21-22 After an extensive re-excavation in 2014, Lake John Deere’s aquatics area has received at Camp C.S. Klaus rave reviews! Larger than 45 Olympic sized swimming pools and great new facilities the to Camp Klaus These two-day adventures includes one overnight camping experience for lake features a large swim area, new docks, fantastic beach and great fishing and hiking Scouts and their parent(s) or guardians. This session is open to Cub Scouts access all around! One mile west of Colesburg on Hwy. 3, turn north through 5th grade, focused on Scouts through 3rd grade. on 290th Ave (gravel road) and drive 0.9 miles. • Program Materials Our program areas have everything you will need to have a great time... row-boats, life th • Cost: $75 per Scout with Adult Partner by April 13. Turn left (west) at the stop sign onto 400 St. ($85 per Scout with Adult Partner after April 13) jackets, canoes, bows, arrows, BB guns, crafts, critters, bugs, reptiles and of course items Drive about 0.7 miles and stay to the right when Includes event patch, all meals, lodging & program. for games, relay races and plenty of water to get wet! the road splits. Follow Horseshoe • Check-in Saturday at 10 AM. Check-out Sunday at 9 AM • Camp C.S. Klaus Trading Post Camp Road for about 0.7 miles to the Completely renovated in 2017. The camp trading post carries a basic assortment of C.S. Klaus H Camp Klaus entrance. o camping gear, camp T-shirts and a wide range of snack items. Stop in for a soda, a candy rs to Guttenberg to e Hwy 52 U.S. sh bar or to indulge in a delicious ice cream treat on a hot summer day. oe WEBELOS INVESTIGATORS R d . 400th St. 290 • Health & Safety th CAMP C.S. KLAUS WEEKEND Our health lodge is staffed 24 hours a day by a qualified medical officer. If you need any Ave. Colesburg July 6–8 at Camp C.S. Klaus special medication, please have written directions prepared for check-in. Medication will Luxemburg be dispensed by the medic. to Edgewood Hwy 3 This three-day, two-night camping experience is Webelos only! Scouts to Dubuque going into 4th or 5th grade will have a blast! The Scouts will work on Webelos Food allergies: please notify the Council Service Center by calling (563) 556-4343 so we can make accommodations prior to your arrival. Activity Pins in an open program schedule — they choose what they want to Petersburg New Vienna Hwy do! • Financial Aid / Camperships 300 X-47 1 No Scout should miss out on the opportunity to attend camp because of his financial th N 36 Ave • Cost: $100 per Scout and $45 per Adult Leader by April 13. circumstances. Campership assistance is available for Northeast Iowa Council Scouts. ($110 per Scout after April 13) Camperships are available for up to one-half of the camp fee. Scout Leaders may X-47 Includes event patch, all meals, lodging & program. Dyersville contact the Council Service Center for information. All campership information is kept U.S. Hwy 20 • Every Pack needs at least 1 adult to every 4 Webelos. confidential. Funds are limited for camperships and will be distributed on a first-come- to Earlville to Dubuque Mile Marker #289 • Check-in Friday at 1 PM. Check-out Sunday at 9 AM first-served basis. Camp Address for GPS: 28157 Horseshoe Rd. Greeley, IA 52050 CAMP EMERGENCY PHONE 563 . 856 . 3845 Graphic Design donation by Terry Demmer.
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