LEADER APPRECIATION LUNCH 15 R.O.C.K.S. 1 CAMP-WIDE COOKOUT . . . “BURGERS ON FIRST YEAR CAMPER PROGRAM AND BASIC THE LAWN” 15 SCOUT SKILLS 1 WORSHIP SERVICES 15 AQUATICS 1 EVENING PROGRAM 15 UNIT SWIM CLASSIFICATION 3 OPENING CAMPFIRE: SUNDAY NIGHT 15 SWIM CLASSIFICATION PROCEDURES 3 REGIONAL CAMPFIRE 15 POOL RULES 4 CLOSING CAMPFIRE: FRIDAY NIGHT 15 CLIMBING 5 VISITORS TO CAMP 16 ECOLOGY/ CONSERVATION 5 CONSERVATION AND CAMP PROJECTS 17 HANDICRAFT 5 BRANDING 17 SCOUTCRAFT 6 ORDER OF THE ARROW 17 SHOOTING SPORTS 6 ADULT LEADER PROGRAMS 18 C.O.P.E. 10 TRAINING 18 MOUNTAIN BIKING 11 UNIT DEPOSIT 18 S.T.E.M. 12 EARLY BIRD DISCOUNT ON CAMP FEES 18 MOVIEMAKING 13 SPECIAL PROGRAM FEES 18 ADVANCEMENTS AT CAMP 13 ADULT LEADER FEES 18 HOW TO SUBMIT 14 THE SHOP AT THE ROCK 19 HELPFUL HINTS 14 WI-FI 19
2019 Camp Rockefeller Leader’s Guide
LEADERS IN CAMP 20 ANIMALS AT CAMP 25
UNIT LEADERS 20 FIREGUARD PROCEDURES 26
SENIOR PATROL LEADER 20 LIQUID FUEL/PROPANE 26
QUAPAW AREA COUNCIL CAMPING BUDDY SYSTEM 26 POLICIES 21 SECURITY IN CAMP 26 BEHAVIOR DURING SUMMER CAMP 22 CAMPING RESERVATION POLICIES 26 VEHICLES IN CAMP 22 SUMMER CAMP WEEK RESERVATION 26 GOLF CARTS FOR THOSE WITH MOBILITY IMPAIRMENTS 22 UNIT PREPARATION FOR SUMMER CAMP 27
BICYCLES IN CAMP 23 CAMPER EQUIPMENT LIST 28
GUS BLASS SCOUT RESERVATION DIRECTIONS TO CAMP ROCKEFELLER 29 EQUIPMENT REPLACEMENT 23 EACH UNIT MUST PRESENT THE COT COVER REPAIR $35.00 EACH 23 FOLLOWING AT CHECK-IN: 29
DINING HALL PROCEDURES 24 CHECK-IN PROCEDURES 30
SPECIAL DIETARY NEEDS 24 HEALTH CHECK-IN 30
MEDICAL FORMS 25 EARLY AND LATE ARRIVALS 30
HEALTH AND FIRST AID 25 UNIT DEPARTURE FROM CAMP 30
CAMPER HEALTH WATCH 25 CAMP ROCKEFELLER STAFF 30
CAMP SAFETY 25 COUNSELOR IN TRAINING (C.I.T.) 31
ACCIDENT INSURANCE 25
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PROGRAM INFORMATION
R.O.C.K.S. participate in other program areas in camp, such as Scoutcraft, Shooting Sports, etc. They will have a chance to experience summer First Year Camper Program and camp. Basic Scout Skills Scouts in the R.O.C.K.S. program can attend Outpost with the Scoutcraft session one night. If they are planning on attending outpost, Scouts will need to bring:
• water bottle • flashlight • sleeping bag • small tent • rain gear
AQUATICS
There is no better place to “chill out” than our two aquatic areas- the pool and Lake Butler. The importance of a high-quality first year Stand-up paddle boarding (SUPs), sailing, camper program is not lost at Camp canoeing, rowing, and kayaking opportunities Rockefeller. The first-year camper program at are to be found on Lake Butler, while our pool any summer camp is arguably the most provides near limitless opportunities for important program. This aspect of camp has learning and fun. Aquatics areas are fully the potential to influence a Scout’s future in staffed to operate in complete compliance Scouts BSA, both short and long term. A first- with all BSA aquatics standards. year camper program requires patient and caring staff as well as essential program Aquatics merit badges have prerequisites. resources and tools and offers instruction in Please check current Boy Scout Requirement the basic Scout Skills and provides knowledge Book. In order to take any Aquatics merit scouts will need to succeed. Camp Rockefeller badges, a Scout must have achieved Swimmer is proud to offer our first-year camp program in the BSA Swim Test. Swim tests are available for all first-time campers that need during check-in. If a Scout cannot pass the Swimmer’s test, then they will need to reselect The R.O.C.K.S. Program is an advancement merit badge sessions. program for Scouts who have not yet attended a summer camp. These are FULL DAY programs. These scouts will also tour and
2019 Camp Rockefeller Leader’s Guide
Additional Aquatic Activities swimming emergencies during unit swimming activities. It expands the awareness instruction Aquatic Supervision: Adults or youth 15 and provided by Safe Swim Defense training. The up. This is split into two sections, Paddle Craft following materials are required to conduct Safety and Swimming and Water Safety. This the course. course has replaced BSA Lifeguard for unit BSA Snorkeling: Meets during additional merit purposes. This allows your unit to conduct badge time swim tests and other aquatics activities.
Free Swim: Monday – Thursday during free BSA Lifeguard: Session will be offered as the session and Monday night after dinner. need arises. This will be determined from week Participation will be limited to the number of to week, depending on interest and staff lifeguards on duty. Volunteer lifeguards can availability. BSA Lifeguard is now a allow for more participants. professional level lifeguarding training and not needed at the unit level. Troop Swim – Tuesday and Thursday evening after dinner. Troop swim is intended for the scouts’ enjoyment and for units to practice safe swim defense principles. This activity is under the supervision of the unit. The unit must provide adult supervision, lifeguards, lookouts and safe swim defense certifications. Multiple units may swim at the same time after consulting with the Aquatics Director. Units must also stay to clean the pool shower houses after their swim.
Mile Swim: Must attend each session. Paddle Craft Safety Swimming starts at:
BSA Paddle Craft Safety expands Safety Afloat Monday: 6:00 a.m. training to include the skills and knowledge needed for a unit leader to confidently Tuesday: 6:00 a.m. supervise canoeing or kayaking excursions on flat water. The following materials are Wednesday: 6:00 a.m. required to conduct the course. Thursday: 6:00 a.m. Swimming & Water Rescue Friday: 3:00 p.m. Training for BSA Swimming & Water Rescue
provides BSA leaders with information and skills to prevent, recognize, and respond to
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2019 Camp Rockefeller Leader’s Guide
Pool Shower Hours
Youth (17 and younger): 6:00 a.m. – 10:00 p.m.
Adults (18 and older): 24 hours daily
Youth protection rules must be followed
Separate facilities are available for youth male, youth female, adult male, and adult female.
Unit Swim Classification that occurs after this date. It is not necessary that the entire unit use this process. Swim The Boy Scouts of America has developed checks can still be done at camp upon arrival guidelines concerning the swim classification for part or all a unit. testing, which is usually performed Sunday at check-in at summer camp. The unit’s swim 4. The Unit Swim Classification Test Record classification test can be completed prior to must be turned in prior to arrival at camp. coming to camp. The following steps must be Send the completed swim check materials to followed to complete the unit swim the Quapaw Area Council Program Director at classification test prior to camp. least two weeks prior to arrival by email to [email protected]., or mail them to 1. The swim classification test must be the council service center addressed to the conducted by one of the following individuals: attention of the Aquatics Director. Please Aquatics Director BSA (National Camp School bring an extra copy the day of arrival. Certified), BSA Lifeguard Instructor, BSA Lifeguard, Aquatics Supervisor BSA (Aquatics Swim Classification Procedures Supervision Card), Red Cross Lifeguard Instructor, Red Cross Lifeguard, Ellis Lifeguard The swim classification of individuals Instructor, Ellis Lifeguard, YMCA, or Red Cross participating in a Boy Scout of America aquatic Water Safety Instructor. When the unit arrives activity is a key element in both Safe Swim at summer camp, everyone will be issued a Defense and Safety Afloat, the backbone of buddy tag by the Aquatics Staff under the scouting aquatics. The swim classification tests direction of the Camp Aquatics Director. should be renewed annually and no more than six (6) months prior to summer camp. 2. A copy of the reviewer’s certificate or card Traditionally, the swim classification test has must be attached to the Unit Swim only been conducted at a long-term summer Classification Test Record form. camp, and that option will still be available.
3. Complete the classification test after All persons, adults and non-scouts included, January 1st of the summer camp year. Inform participating in BSA aquatics are classified the Aquatics Director of any illness or injury according to swimming ability. The swimming
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test has been developed and structured to REQUIRED/Recommended items: Shower demonstrate a person’s swimming ability and shoes or flip flops, towel, swimsuit, and swim to assign the person a water depth that is goggles. appropriate to his/her swimming ability. Pool Rules The various components of each test evaluate the several skills essential to the minimum · ALL swimmers must shower with soap before level of swimming ability. Each step of the test entering the pool. is important and should be followed as listed below. · Running is not allowed on the pool deck or shower areas. It is very important that the test be administered exactly as stated. Do not make · Unhemmed shorts are not allowed. exceptions or deviations for any reason. If there are any questions, have the Scout retest · Gum, food, and drinks stay outside the pool at camp. and shower areas.
There are three qualification levels in the BSA · No horseplay allowed. swim test. The first is the Swimmer, which · Stay off boundary and lane ropes. allow persons to swim in all swim areas and boat in open water. The second is Beginner, · The diving area is for diving only. which will permit limited boating and swimming, the final is a Non-Swimmer, which · Do not cross over or under the ropes. will permit wading and boating only with qualified accompaniment in safe watercraft. · Diving from the edge of the pool is not These qualifications can be found in any allowed. Aquatics Merit Badge book, the Boy Scout Handbook, or on www.quapawbsa.org · Lifeguard and staff instructions must be followed. **NOTE** Camp Rockefeller reserves the right to retest a camper if the Aquatics Staff Buddy Tags has any reservations about the swim classification assigned through the unit pre- Scouts and leaders are required to have camp swim test. buddies to enter aquatics area.
Valuables in Pool Area
Scouts are asked to not bring valuables to the pool or shower areas. The aquatics staff is not responsible for lost or stolen items.
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2019 Camp Rockefeller Leader’s Guide
things natural and wild. Specimens and information on Arkansas species of flora and fauna are available. The many merit badges available in this program area offer something for every Scout. Leaders or Units looking for something extra to do will find their list of prospective conservation projects in this area. (Tools and supplies for projects will be arranged after consulting with the Eco-Con Director and Quartermaster.)
Some fishing equipment will be available. A CLIMBING Scout taking the fishing or fly-fishing merit badge is encouraged to bring fishing Climbing Merit Badge will be offered at the equipment. Camp Rockefeller Climbing Tower. ALL Students must bring a notebook and pen Climbing Merit Badge is a 3-hour session, or pencil for all Eco-Con classes. which will cover all the requirements for the Merit Badge. There is a limited number of HANDICRAFT spots available. This program is designed for older scouts who are at least First Class and 13 years old. Free Climb will be offered during each week of summer camp. This is open for anyone 12 years old and First Class or 13 years and older. Climbers must have closed-toe shoes and no slick material shorts.
ECOLOGY/ CONSERVATION
All handicraft sessions are scheduled*; however, scouts and leaders can always take advantage of the tools and materials to be found at the pavilion.
Handicraft projects may be purchased at The Shop at The ROCK or may be brought from home (typically $4-$10). Some merit badges require more than one project. One of the busiest areas of camp is the Logging Camp pavilion. Eco-Con is the place for all
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*Basketry merit badge will be an optional SHOOTING SPORTS session generally taken during free time on Friday afternoon. Scouts will need to bring $15 Scouts can expect a slew of shooting sports for 3 basket kits from the Trading Post. opportunities. Thanks, in large part to the Jon Steuri Family, Camp Rockefeller is proud to SCOUTCRAFT offer trap and skeet shooting. This state-of- the-art complex is the final component of our comprehensive shooting sports program which includes archery, rifle, shotgun, muzzle loading, and pistol shooting. Recreational shooting opportunities occur throughout the week. All ranges are operated under the direct supervision of BSA certified shooting sports directors, NRA instructors and range safety officers. Firearm and range safety are the primary concern of our staff.
The Scout Handbook comes alive at Deep There are no age or rank requirements to Woods. All the advanced Scout skills, participate in rifle merit badges. Scouts taking introduced in R.O.C.K.S., are taught in depth at the Shotgun Merit Badge are required to be at Scoutcraft. Scouts learn all the latest about least 13. Scouts must be able to physically camping gear and techniques. Special events, handle a shotgun and recoil to the instructor’s like “Fry It Up Friday”, are activities scouts look satisfaction. forward to when enrolled in Scoutcraft. Scouts also learn all about advanced outdoor skills Scouts working on Archery merit badge will and modern camping technology. The merit need to purchase an arrow kit ($2) from The badges are designed to build upon the basic Shop at The ROCK for completion of the badge. Scout skills.
The big event for Scoutcraft is Outpost. Outpost is the ultimate outdoor challenge, which tests all the Scout’s outdoor abilities in a fun way. Scouts will need to bring a water bottle, flashlight, and something to sleep in/on and sleeping bag. Outpost campers will hike one mile to a secluded location, set up their tents and/or lean-to’s, and prepare for feast and fun.
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SPECIALTY PROGRAMS 4. Participants must have the items listed on the Personal Gear List.
At Camp Rockefeller, we are pleased to offer 5. Sunburn and heat related problems have serious several premiere older Scout programs. long-term consequences. Scouts must be willing to Through these programs, we hope to take proper precaution including use of hats, reinvigorate a yearning for adventure, the sunscreen and sunglasses. great outdoors, and BSA tradition, while providing vital team building and leadership 6. Life jackets (PFD) will be worn at all times while in experiences. Most importantly, there is fun to the canoe. be had every step of the way! Our older Scout programs are designed to take basic skills After the evaluation at the lakefront, if the RIVER staff already learned in Scouting and push them to determines a scout is not prepared for the trip the the next level. These programs are also scout will be directed to plan on doing an alternate appropriate for new older scouts looking for an activity in camp. adventure. Some Specialty programs do require an additional fee. Participants will be provided a yellow dry bag in which
WHITE RIVER CANOE EXPEDITION
Back by popular demand, Camp Rockefeller is pleased to offer the White River Canoe Expedition again this year. This program is an offsite program design for older Scouts (14 and older) that will leave camp on Tuesday morning and will return Friday afternoon.
This will be over 50 miles of paddling on world class to place all the plastic bags (see checklist). All trout fishing waters. Make sure to bring your fishing necessary information will be covered during the pole (and license if required). preparation.
This will qualify for the 50-miler award. IMPORTANT: Make sure participants are dressed for the river, well hydrated, and water bottles are full Requirements for participating in the RIVER adventure: before departing Camp.
1. Scouts will need to be at least 14 years old and must All Arkansas Game and Fish Commission rules apply for qualify as a Swimmer. fishing. If a participant plans to fish during the expedition, a valid fishing license must be purchased 2. 1st Class, Canoeing and Camping Merit Badges are prior to arrival (if required by the AGFC). highly recommended. River conditions can force changes in the itinerary. We 3. Participants must be medically sound for High may opt to change the put in and take out locations as Adventure activities. conditions dictate.
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RULES AND REGULATIONS: Before coming to camp: We will use a "bags within a bag" approach. Using the attached Personal Gear - 1) GLASS - no glass on or near the water. Checklist, scouts will place gear items in strong plastic bags. Be sure the bags are protected from puncture 2) FOOD/BEVERAGE - must be in sturdy, sealed during transport. container. No Styrofoam Please read the following notes then use the Personal 3) TRASH - must be in a sturdy container or mesh bag Gear list to pack accordingly. The list is classified as to affixed to the canoe. where the item will be when in the canoe. (Wear, Day Pack, Dry Bag, Misc.) 4) BEVERAGES must be in a floatable holder when not in sealed container. Wear: The scout is expected to be wearing the items listed under the "Wear" category Monday morning. WHITE RIVER: Leave your "class A" clothes in camp. Proper footwear, Sunglasses, sunscreen and hat are required. • Fish must not be filleted or have head or tail removed. Possession limit: Twice the daily limit Day Pack: A small backpack works well as the Day Daily limit of 5 trout. Limit may include no more Pack. It needs to be something that can be attached to than 1 brown trout (24" or longer), 2 cutthroat the canoe and be zipped to contain contents if the trout (16" or longer), and 2 brook trout (14" or canoe capsizes. It will be accessed frequently while in longer). the canoe and the scout should expect the contents to • Rainbow trout restricted only by the 5-trout total get wet. Things such as cameras that can be damaged daily limit. by water should be placed in waterproof containers • Trout may not be released if it has been on a then kept in the Day Pack when not in use. stringer, in a live well or fish basket. • Trout may not be used as bait. Dry Bag: The Dry Bag is a water-resistant bag that will • Chumming is not allowed keep the contents dry momentarily but not if subjected • Anglers may use no more than 1 fishing rod or pole to extended submersion. The Dry Bag capacity is about and must attend it at all times. No other devices that of a seven-gallon bucket. Use strong plastic shall be used to catch fish, except bait tackle to waterproof trash bags for each Dry Bag subcategory (a- catch bait fish. e). Trash compactor bags work well. Remember, these • Imported trout (salmonid) and trout eggs must are to be packed prior to coming to scout camp then have a disease-free certification. placed in the provided Dry Bag at camp Sunday evening. PERSONAL GEAR NOTES The plastic bags to go into the Dry Bag are: (a) Clothes. NOTE: The 2017-RIVER 3 - Personal Gear – Checklist is (b) Dirty/wet clothes. This bag will be empty on the both a checklist of Arkansas rules and regulations as first day. (c) Sleeping Gear. (d) Toiletries should have well as a gear checklist. The spreadsheet has two tabs, its own small bag. (e) Camp shoes. Optional. These are RULES and GEAR LIST. Be familiar with both. It will be in addition to the shoes worn during canoeing which sent out as camp approaches. will be constantly wet. Make sure the bags are protected from puncture during transport to camp.
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Clothing: Long sleeve shirts and long pants are smallmouth bass. The White river is one of North recommended but not required. Clothing needs to be America's premier trout fisheries and fish can light weight and quick drying. Cotton is allowed in (usually) be caught with nothing more than a small summer but not recommended. It is suggested that the weight, hook, and a can of cheap kernel corn. swim suit be worn in place of underwear while canoeing. Do not bring anything that is not permitted at Camp Rockefeller. Proper footwear is important to prevent injury. Sandals and other open toe footwear are not allowed. Medical forms and medications will be kept by a Old tennis shoes work well. designated staff leader. Remember, this is classified as high adventure. For their own safety, those not Sleeping gear: Proper sleeping gear is important. It medically qualified to participate in remote high can also be bulky, so a compromise needs to be made adventure activities will not be able to be on this trip. between warmth and bulk. Remember all Dry Bag items combined should be about the size of seven- Make sure all personal gear is marked to clearly gallon bucket. We will be on gravel bars some nights. identify ownership. Scouts without any item listed A sleeping pad is recommended. may be kept from participating on the trip. DOUBLE or TRIPLE check your list. Shelter: Small two-man tents are recommended. Hammocks will not be possible on some nights. Insects If you have a small, compact camp chair, you may bring can be a nuisance. Be prepared. it, space permitting. It is not listed in the Personal Gear list because space is limited. Each canoe has 2’x2’ mats Miscellaneous: All Miscellaneous items need to be in that can be used to sit on in camp. bags or otherwise be able to be attached to the canoe to avoid loss in the event of a spill. Group Gear: Food will primarily be of the dehydrated backpacking variety. State Laws: Be sure to review the applicable laws. Eating utensils are supplied in the group gear. Fishing gear: Fishing is optional and fishing gear must be carried in a compact case when not in use. It is extremely important that we comply with all fishing laws. Those over 15 years of age must have an Arkansas fishing license and if fishing the White River, you will also need a trout stamp. If you need a fishing license you can get it online. http://www.agfc.com/licenses/Pages/LicensesFishing Fees.aspx
Go to: http://www.agfc.com/youth/Pages/YouthGetStartedF ishing.aspx to find out more information about recommended fishing gear and baits for trout and
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2019 Camp Rockefeller Leader’s Guide
Hydration: We will be filtering river water. Each scout C.O.P.E. will be responsible for having his own water bottles with sufficient water for at least one day. Three or more liters are recommended.
Caffeinated drinks will NOT be provided. Be aware that this can result in the scout getting headaches if he is addicted to caffeinated drinks such as Mountain Dew. The scout will be drinking filtered water. Ice will NOT be available. Hydration is extremely important.
Human Waste: We will be spending three nights in primitive areas that do not have potable water or toilet facilities. We will be using cat holes as prescribed by the national park service. This may involve walking into tick and chigger infested areas. Insect repellent is important. Toilet paper is to be packed out.
Note: Each canoe will have two scouts and will be carrying both personal and group gear.
COVE CREEK TRAPPING COMPANY
In the early days of the United States, brave men and women ventured westward into the wilderness. Using only the items they could carry with them and their C.O.P.E. (Challenging Outdoor Personal survival skills, they travelled into the mountains and Experience) consists of a series of elements thrived. and challenges designed to foster problem solving skills, leadership, teamwork, and group Travel back in time and learn the same survival skills as interaction. Seven key goals are developed these mountain men. These skills will include advanced during this experience: Leadership, Trust, shelter building, primitive fire building, tracking, Communication, Teamwork, Self Esteem, animal identification, animal traps and snares, fish Problem Solving, and Decision Making. trapping, knife and axe throwing, and so much more. These goals are accomplished through a This program is a half day program designed for older challenge by choice program designed to Scouts, ages 13 and above. Scouts should be encourage the group to work together, competent in wilderness survival and basic Scouts communicate with each other, and trust the skills. group decision as they attempt a solution to the objective.
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The C.O.P.E. program generally consists of Initiative Games, Low Course Elements, and High Course Elements. Each team of participants will move from one level to the next based on their abilities and understanding.
The C.O.P.E. Program is restricted to scouts age 13 and older by the time the Scout arrives at camp. Session size is limited, and all participants MUST have a current medical form signed by a parent and a physician. Required clothing includes closed-toe shoes and no slick material shorts. C.O.P.E. is a five- day program and all participants MUST attend all five days. NO EXCEPTIONS. If a participant completes all requirements before Friday, he MOUNTAIN BIKING must attend all sessions to qualify for a completion certificate because the entire team The mountain biking program is a challenging is necessary to be successful. Project C.O.P.E. and physically strenuous five-day program provides each participant the opportunity for involving over fifty miles of increasingly success as an individual and as a member of a difficult, roads and trails. The session meets group. Monday through Friday at the South Ridge Pavilion. This is a strenuous activity and is While this activity is challenge by choice, it is recommended only for those persons in good physically demanding and requires good physical condition. This program is for older endurance and stamina. Be prepared to meet scouts- at least 13 years old or 12 years old and the challenge. Although scouts are excited to First Class. participate in C.O.P. E., this program is intended for older scouts. Leaders are The scouts in the program work toward the encouraged to critically evaluate the maturity Cycling merit badge, including instruction on level of the scouts interested in participating. proper riding technique, trail etiquette, safety, If space is available, after all scouts who wish maintenance, and repair. The only to participate are signed up, a limited number requirement which scouts may be unable to of registered adult leaders will be accepted. complete is requirement nine.
C.O.P.E. t-shirts are available to participants Scouts bringing their own bikes must also who complete the program at an additional bring a helmet and an extra inner tube. If a price of $12.00 at The Shop at The Rock. Scout brings his own bike, it must be a substantial off-road bike and must meet the review by the Mountain Biking Director. The Mountain Biking Director will disqualify any
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2019 Camp Rockefeller Leader’s Guide
bike that does not appear substantial enough Space Exploration Merit Badge, as well as the to handle the very rough terrain over which NOVA Shoot! Award. Notebooks are required this activity covers. All scouts must bring a for this course. water bottle. STEM Start your Engines! This program will give scouts the opportunity to design a small model vehicle! Throughout the week, they will have the opportunity to learn about circuits by building a model circuit, learn to use soldering equipment safely, as well as explore electricity by designing simple models and reading electricity meters. During this session, scouts will work on their Electronics Merit Badge, Electricity Merit Badge, and the NOVA Start Your Engines Award. A folder or notebook and a simple calculator is highly recommended for
this course.
S.T.E.M. STEM Whoosh! Scouts will spend the week learning all about what engineers do. Through STEM stands for Science, Technology, the week, they will get to act as engineers Engineering and Math and is a brand-new when they design, build, and program a robot. initiative taken on by the Boy Scouts of The scouts will have the opportunity to meet America in cooperation with Exxon Mobil to an engineer during session to learn what he boost interest in these areas. does. The week will culminate in a showcase of their programmed robots at RoboSlam! On 3D Printer – Camp Rockefeller is proud to Friday afternoon. The engineering merit show off our STEM’s 3D printer. STEM sessions badge, robotics merit badge, and NOVA use it, as well as being available to view during Whoosh! Award will all be available in this evening programs. course. Notebooks are required for this course. STEM Shoot! This course will allow scouts to explore outer space! Throughout this course, STEM Designed to Crunch! In this full morning the scouts will have the opportunity to learn session, scouts will design and build a project, about natural celestial objects such as other starting with a handmade drawing, moving up planets and stars, as well as the technology we to computer aided design, and then finishing use to study them. Scouts will be able to build by producing an actual product. This week- rockets and attend a Star Party to gain hands long project will allow scouts to develop an on experience using telescopes to view planets understanding of the design process as well as and stars, as well as learn how to spot satellites the math behind the scenes. They will also in the night sky. During this session, scouts will have the opportunity to attend a Star Party, be able to earn the Astronomy Merit Badge, explore the functions of a calculator, and
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calculate their own horse power. The scouts ADVANCEMENTS AT CAMP will have the opportunity to earn the drafting merit badge, model design and building merit Rank advancement and merit badges are often badge, and the NOVA! Designed to Crunch used to measure the success of a Unit. The goal award. Calculators and folders are highly at summer camp is to assist the Unit’s regular recommended for this course. instruction program. Council resources allow programs that may not be practical or easy for Moviemaking the individual Unit. This is a supplement to a Unit’s year-round program. Scouts in Movie Making produce movies, pictures, scripts, etc. Scouts enrolled in Movie Summer camp should not be viewed as a Making produce funny and interesting stories residential merit badge university. There are about camp each week. They will then edit many exciting opportunities for scouts to learn their masterpiece and produce a movie. Look the skills necessary for advancement. Many for previous productions by the scouts in merit badges require skills that take time and cinematography on the latest camp practice to become proficient. The staff is promotional video. chosen and trained to provide the highest quality instruction and will be available to Cowboy Action Shooting discuss a Scout’s progress upon request.
The program offers a fun and safe introduction to Rank advancement and merit badges are not cowboy action shooting with pistols, rifles, and awarded by the summer camp staff. shotguns. While attending camp, Boy Scouts and Advancement is a function of the Unit and its Venturers 14 years of age or older can take part in a advancement review policies. special shooting experience with opportunities to shoot single-action .22-caliber pistols, lever action Scouts, who have never attended a summer .22-caliber rifles, and 12-gauge or 20-gauge shotguns. camp, are encouraged to attend the R.O.C.K.S. In various old-time western scenarios, Scouts play Program. It is designed to help these scouts “good guys” who prove their accuracy by shooting at develop the skills to advance to their next rank things like spinning metal targets where they hit the while having the ability to take some merit spinner to “ring the bell.” All shooters choose their badges that interests them. own cowboy action names before starting so the NRA instructors—dressed in cowboy attire—can call them by those names.
YOUTH REQUIREMENTS: Boy Scouts and Venturers who are over the age of 14, or are 13 and have completed the eighth grade, may participate in this activity. All youth participants are required to have written permission from their parent or guardian before they can take part in the program.
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SCOUT’S PROGRAM If a Scout does not pass the swimming classification in the swim test, then the Scout ACTIVITY SCHEDULES will be rescheduled to an Instructional Swimming session. If the Scout passes those How to Submit requirements, then the Scout will work on Swimming merit badge the remainder of the Camp Rockefeller is changing how you register week. and schedule your sessions for 2019 Summer Camp season. Please visit Ensure scouts are proficient in basic https://scoutingevent.com/018- Tenderfoot through First Class skills before camprockefeller2019 to sign up today. Merit enrolling in advanced merit badge sessions. badge sessions will open up March 1 for For instance, if the Scout is struggling with the selection. basic map and compass skills, do not schedule them for orienteering. This type of merit Units will be able to sign their Scouts up for the badge session does not teach these basic skills merit badge sessions to guarantee them a and it is expected they know these skills. session. They will also have the ability to make payments using their secure system. The Mountain Biking activity is strenuous and each day the rides become progressively more Please contact your District Executive (In difficult. A Scout that is not in good physical Council Units) to receive your login condition will have difficulty with these information if you have not received it. Your activities. unit leader will be emailed a copy mid-March. For Shotgun Shooting, a Scout that is not Please email [email protected] with physically mature will have a very difficult time any questions. holding the shotgun for qualifying. It is suggested in addition to the age and rank Helpful hints requirements, that the Scout’s physical strength and arm length are examined to Some programs have age and rank ensure he can handle a shotgun. Likewise, Rifle requirements. Shooting, Canoeing, Climbing, and Archery require coordination and strength and should Some activities require more than one session be encouraged for older scouts. period. These include Rifle Shooting, Shotgun Shooting, Mountain Biking, Climbing, C.O.P.E., The Unit leader will receive a printed schedule R.O.C.K.S, and some STEM sessions. for each for each Scout.
Astronomy includes an evening program with extra observing time. It is highly encouraged for scouts to be at least 13 years of age to participate in Astronomy but not required.
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2019 Camp Rockefeller Leader’s Guide
SPECIAL EVENTS Worship Services All services will be held at the Chapel and Leader Appreciation Lunch everyone is encouraged to attend in uniform. Units are always free to conduct services within the campsite.
Camp Rockefeller’s way to say thank you. This Evening Program is an opportunity for Camp Rockefeller to offer a break from the heat and to enjoy a fantastic Opening Campfire: Sunday night meal provided by a world-class chef. This is also an opportunity to introduce upcoming The Sunday night opening campfire will be programs that the Quapaw Area Council has to presented by the camp staff. A Staff guide will offer both in-council and out of council arrive at the Unit campsite and lead the Unit to leaders. the campfire.
The Leader Appreciation Dinner is for leaders Regional Campfire in camp and not for additional visiting leaders not staying with the Unit. It is not for family Regional campfires are a chance for units to members or others not staying at camp. assemble for fun and fellowship. As a group, they will decide what skits and songs will be Camp-Wide Cookout . . . “Burgers on the used for the Friday night campfire. SPLs Lawn” oversee these campfires and will operate under the supervision of the Unit adult leaders A traditional, old-fashioned cook-out will be and Camp Staff present. held on the lawn in front of the dining hall. Waiters are not needed; the staff will do Closing Campfire: Friday night everything. However, everyone should assist with the clean-up process and leave the lawn Friday night’s campfire features songs, skits, area clean and free of trash. and performances by scouts. This campfire is planned during the SPL meetings. All Units
assemble at the Flag Plaza and will be led to the campfire circle.
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Visitors to Camp - FRIDAY FAMILY NIGHT
Note to Scout Leaders: Please share this information with the families of the scouts in your Unit.
Families and guests of scouts who visit Camp Rockefeller are encouraged to do so on Friday Family Night beginning at 5:00 p.m. concluding with the closing campfire.
All visitors must check-in at the Camp Office at the Admin Building before entering camp, and check-out upon leaving camp. Camp Commissioners will be available to assist visitors with this process. Visitors are welcome to observe, but may not It is important that visitors know and participate in, Camp Rockefeller program understand Camp Rockefeller is not a city park. areas. Visitors should come prepared to walk reasonable distances to the campsites and Family Night visitors are welcome to eat in the program areas. The terrain is uneven, hilly and Dining Hall according to the camp schedule for may be difficult for individuals with mobility meals. Meal tickets can be purchased in the issues. Visitors are strongly recommended to Shop at the Rock. Cost is $10.00 per person. To wear sturdy shoes (not flip-flops or sandals), a prepare a sufficient amount of food for the cap or hat, and comfortable clothing Friday evening meal, Scout leaders are asked appropriate to the weather. to identify the number of their unit’s visitors eating in the Dining Hall on Friday Family Night For safety reasons, all vehicles must be parked and report this information to the Camp in the main parking lot. This includes vehicles Commissioner not later than noon with valid Disabled Parking Permits. The main Wednesday. camp area is located uphill by a trail or road that is a rather steep grade. Camp Rockefeller Visitors are welcome to camp overnight Friday staff will attempt to accommodate individuals in the Short-Term camping area (visitors must with obvious mobility issues on a case by case bring own camping equipment). basis. Subject to space availability and for Family For the safety of everyone, pets are not Night visitors who need to stay over on Friday allowed at Camp Rockefeller. This provision is evening, rooms may be reserved at the Donald also for the safety of the pets. W. Reynolds Scout Training Center at a cost of $50.00 per night. A reservation is required a minimum of two weeks in advance. This will
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2019 Camp Rockefeller Leader’s Guide
be on a ‘as available’ basis. Unfortunately, the OA sash Friday evening through closing due to Youth Protection issues, no one campfire. Remember that the OA sash is only UNDER 18, will be allowed to stay. worn with the full uniform.
Only registered boy scouts and unit leaders or During the closing campfire Friday night, the parents serving as unit leaders may stay Quapaw Lodge will call out the new members overnight in the troop campsite at any time. selected during unit elections. The unit elections must have occurred between Conservation and Camp Projects January and May of 2019. If you are attending Camp Rockefeller from out of council and Camp projects must be approved in advance would like your Scouts called out this night, by the camp administration. Unit leaders then you must bring a signed letter from your should contact the camp office for information council stating that we may call your Scouts about doing a camp project. A list of out. conservation projects is maintained by the Ecology/ Conservation Area Director. Units The purpose of the Order of the Arrow: may make arrangements with the Quartermaster for tools and assistance. · Recognize those who best exemplify the Scout Oath and Law in their daily lives and Branding through that recognition cause others to conduct themselves in a way that warrants Check out The Shop at The ROCK on Friday similar recognition. afternoon. There will be an opportunity to get mugs and belts branded with the camp logos. · Promote camping, responsible outdoor adventure, and environmental stewardship as essential components of every Scout’s experience, in the unit, year-round, and in summer camp.
· Develop leaders with the willingness, character, spirit and ability to advance the activities of their units, our Brotherhood, Scouting, and ultimately our nation.
· Crystallize the Scout habit of helpfulness into a life purpose of leadership in cheerful service ORDER OF THE ARROW to others.
Quapaw Lodge will host all members of the Since its beginning, our Council has worked to Order of the Arrow on Monday night following uphold the traditions of the Order of the Arrow dinner, outside of the Trading. Order of the in all its activities. Callouts will be held at Arrow members are also encouraged to wear summer camp. Out of council units must
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2019 Camp Rockefeller Leader’s Guide
present a letter from the home council To qualify for Early bird fees, a unit must: approving a “callout” from the Quapaw Area Council at Camp Rockefeller. • Make $100 Deposit per Scout by March 29. • Pay remainder of balance ($150) by 3 p.m., May Adult Leader Programs 1, 2019. • There will be no exceptions. Some adult leader programs will be available and announced at check-in. Camp Rockefeller Special Program Fees provides ample training to further strengthen your unit’s resources. C.O.P.E. $15
Training Mountain Biking $10.
Camp Rockefeller offers multiple training Rifle/Shotgun Shooting - $20 opportunities for Leaders while they are in camp. We plan to offer Youth Protection Some merit badges will need materials that can be Training, Scoutmaster Training, Introduction brought from home or purchased in The Shop at to Outdoor Leader Skills, and Aquatics The ROCK. Supervision. Other trainings may be available on a week by week basis. Check with the Camp Adult Leader Fees Director upon arrival to camp. Leader’s fees ...... $125 per week
FEES AND REFUND POLICY Short-term Leaders ...... $10 per meal
Unit Deposit Leader’s fees cover the cost of meals through the week. The troop site deposit of $200 is applied to the balance of camp fees or may be rolled over to the HOUSING following year. The deposit is non-refundable if the Unit does not attend camp.
2019 SCOUT FEE
$300
Early Bird Discount on Camp Fees
EARLY BIRD FEE - $250 Scouts and leaders will be housed in wall tents with two scouts or leaders per tent. Units wishing to have Take advantage of “early bird” discounts on camp enough tents to camp with only one leader per tent, fees. must submit a written request to the Camp Director at least two weeks prior to arriving at camp. Personal
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tents are welcome. These additional tents are available for $25.00 per extra tent, limited by the availability of equipment. (This fee will not apply when units need an extra tent due to gender diversity in the leadership attending camp.) Each tent is also furnished with 2 cots at no additional charge.
REFUND POLICY
• Up to 80% of the registration fee may be refunded. A $40 fee will be retained on all refunds. • Registration fees are transferrable but refundable except for the following reasons: serious illness or death, transfer, or summer school. • All refund request will be made using Refund Form (found online and in the appendix) within two weeks of your troop attending camp. • No shows will not be issued a refund. • No refund is guaranteed. Please do NOT overpay. • The $200 campsite deposit is not refundable in the event of cancellation. • Refund checks will be mailed to the unit leader. Please allow at least 3-4 weeks after camp for refunds to be processed. · Camping items: water bottles, pocket knives, flashlights, belts, hammocks, etc. ACCOMMODATIONS · Handicraft Materials: basketry kits, wood The Shop at The ROCK carving items, leather craft, etc.
The main camp trading post- “The Shop at The · Other items: merit badge books, nature ROCK” – is where scouts, leaders, and visitors books, handbooks, etc. will find a wide selection of goods for sale. These items include: · The hours of operation will be posted at the entrance doors. · Souvenirs: T-shirts, caps, postcards, beverage mugs, patches, etc. Wi-Fi
· Food and Snacks: ice cream, fruit drinks, soft Camp Rockefeller has a free network around drinks, candy, etc. main camp. This is available to leaders to use if they need to connect to the outside world · Personal items: toothpaste, sun block, combs, while at camp. This is true wireless from a soap, etc.
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nearby tower. Speeds may vary due the LEADERS IN CAMP number of users on the network. Unit Leaders Mail Current BSA policy requires that each Unit be All scouts and leaders enjoy receiving mail at under the leadership of at least two (2) adults camp. Please advise parents that all mail must at all times, one at least 21 years of age and be addressed properly, and mail sent from the other at least 18 years of age. It is home later than Wednesday may not arrive preferable that the Unit’s Scoutmaster until after the Unit departs from camp on attends, but if this is not possible, the Unit Saturday. Mail should be addressed as follows: Committee names a “Camp” Scoutmaster. Both adults must be registered with the Boy Scout’s Name, Unit Number Scouts of America. A parent of a Scout may Gus Blass Scout Reservation substitute for the 18 or older adult. The Camp 408 Scout Drive Scoutmaster works with the Senior Patrol Damascus, AR 72039 Leader in developing the unit’s camp program. The Camp Scoutmaster coordinates all adult Telephone Service leadership in his unit. All unit adult leaders are responsible to the Camp Scoutmaster. The Gus Blass Scout Reservation telephone is for Camp business and emergency calls only. Any leaders coming in or leaving camp must sign in and out at the camp office. All leaders Gus Blass Scout Reservation: (501) 335-7208 must present a current Youth Protection card upon arrival to camp. Leader Laundry Facilities accommodations will be the same as for scouts There are no public laundry facilities available unless prior arrangements have been made. at Camp Rockefeller. The closest public (See Camp Fee section) laundry facilities are in Greenbrier, Arkansas. Senior Patrol Leader Electricity Each unit’s Senior Patrol Leader (SPL) is part of Electricity is not provided for unit camping. It the Camp Senior Patrol Leader’s Council that is unsafe and against camp policy to run meets with the Camp Program Director. The extension cords from other facilities for use in SPL will help plan camp wide events as well as the campsite. Generators are not allowed in coordinate other unit activities. If the unit’s campsites. Campers using a CPAP machine SPL is not able to attend, a “Camp” Senior must provide their own battery to operate the Patrol Leader should be appointed. unit independent of an electrical source. Battery recharging can be coordinated with the Camp Quartermaster.
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provides all necessary shooting equipment and ammunition.
· Tobacco use is prohibited by youth campers or by adults in the presence of youth campers and not in any structure, tent, or building. Smokers are also reminded of the ever-present fire danger!
· Vehicles must be parked in the main parking lot at the bottom of the Camp Rockefeller Quapaw Area Council Camping Policies entrance hill. If more information is needed, consult the Camp Director. Gus Blass Scout Reservation is guided by the Scout Oath and the twelve points of the Scout · All ATVs are prohibited from use by scouts Law. All camp participants are expected to live and adult leaders. by these principles. Behavior which does not meet the high standards of the Scout Oath and · Posted speed limit of 10 MPH MUST be Law is unacceptable. All campers and leaders obeyed. are asked for their cooperation in helping to maintain these high standards of moral and · No one may ride in the back of a truck or on a personal behavior. The following rules have trailer. been established for the health and safety of all scouts, adult leaders, camp staff, and · RVs are not allowed. visitors. · Pets are not allowed in Camp. Quapaw Area Council camping guidelines state: · Only those persons authorized by the Quapaw Area Council Camp Director or Camp · 2-Deep Leadership is required at all times. Ranger may operate power tools or equipment on the Gus Blass Scout Reservation. · Open-toed shoes (sandals, tevas, chacos, BSA, etc.) are not allowed except at the pool/ · All personnel arriving at camp or leaving shower areas. Scouts must wear closed-toe camp must check in and out at the Camp shoes when walking to or from these areas. Administration Building.
· No flames in tents! All bulk flammable fuels · Leaders and scouts arriving or leaving the must be stored in the fuel box provided by at Reservation during the week MUST check in the camp. and out at the Camp Administration Building. Scouts are permitted to leave prior to the · No weapons, firearms, ammunition or any normal departure day only with a parent or a parts of such at camp. Camp Rockefeller signed permission slip.
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· All youth and adults MUST shower and Behavior during Summer Camp change clothes separately. Separate hot shower facilities are provided for youth male, While the behavior of scouts in camp are the youth female, male adults, and female adults. responsibility of the unit leadership and the Adults are defined as 18 years of age and older. behavioral discipline of the scouts will remain in the hands of that unit’s leadership, the · Alcoholic beverages and illegal drugs are not Camp Rockefeller Administration will not allowed on camp property. Possession or use tolerate any behavior that is disruptive to the of these on The Gus Blass Scout Reservation camp program, harmful to others or the camp property will lead to dismissal from the facilities, or is in violation of state law. Summer Camp Program without benefit of refund. State and Federal law mandates In general, behavior guidelines at camp will be incidents of this nature be turned over to the those stated in the “Guide to Safe Scouting”, proper authorities. the Youth Protection Guidelines of the BSA, as well as the Boy Scout Handbook and the · Fireworks of all types are prohibited on the Scoutmaster Handbook. Gus Blass Scout Reservation. Sale of Products · Mobile devices are not allowed during sessions. The selling of products to other individuals outside of one’s own unit is prohibited. · Youth Protection Guidelines will be strictly adhered to at all times and any violations of Vehicles in Camp these guidelines must be reported immediately. Everyone’s vigilance is For the safety of all involved, and to meet BSA necessary to provide a safe camp for National Standards, all vehicles must be everyone. All registered adult leaders must parked in the Camp Rockefeller parking lot and present a current Youth Protection card upon not driven around camp. The only exceptions arrival. are for official camp service vehicles. Please advise leaders, parents, and visitors of this policy. Also, recreational vehicles, pop-up trailers and similar vehicles are not permitted.
Golf Carts
For those with Mobility Impairments
Policy: Adults leading or participating in camping programs at Quapaw Area Council camps and events may use golf cart type vehicles when there is a physical need documented by the adult’s physician. The
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conveyance can be operated safely and does • It is the responsibility of the individual and not put the participant or others at risk. Use of Unit to keep control and record model and any motorized vehicles at camping facilities serial number of bicycles. must conform to rules and regulations of the • Violation of these rules will result in the Boy Scouts of America and be approved in removal of the Scout’s riding privileges and advance by the Camp Director or Camp the bike will be held until the day of the Ranger. The Camp Director or Camp Ranger Unit’s departure from camp. Quapaw Area has the authority to immediately revoke the Council is not responsible for lost, stolen or permit for any violations of the procedures or damaged bicycles or personal safety for any safety concerns. equipment. (It is the responsibility of each unit and individual to keep these items Read the full policy and requirements here or secured.) www.quapawbsa.org Gus Blass Scout Reservation Equipment Bicycles in Camp Replacement
All bicycles will be safety inspected by the Each year, Gus Blass Scout Reservation Mountain Bike Director. replaces and repairs tents, cots, platforms, program equipment, and many other aspects All riding must be on the road of main camp of the camp facilities. Some of the damage is (from the bridge, around the loop road, to the the result of normal wear and tear. When mountain road). No bicycles will be allowed to damage beyond the normal wear of be on the trails at camp except on a trail ride equipment and/or facilities, or damage due to supervised by Mountain Bike Director. vandalism or abuse is evident, the unit and/or persons responsible for the damage will be • All riding must be approved by the Scout’s held responsible for the replacement values of adult leader. the damaged items. The following is a sample • Bicycle riders may not leave main camp listing of commonly damaged camp property except on a trail ride supervised by and their replacement values: Mountain Bike Director. • Bicycle riders must ride with a buddy! Tent Flap Ties $15.00 each • Bicycle riders must wear a helmet and any Tent Uprights $25.00 each other protective equipment as directed by the Mountain Bike Director. Wall Tents $450.00 each • Bicycle riders must operate the bicycle in a Water Hose $35.00 each safe manner. Cot Replacement $110.00 each • Pedestrians always have the right-of- way. Cot Cover Repair $35.00 each • Bicycle riders must obey all traffic signs. Cot Frame Repair $40.00 each • Bicycles may not be ridden after dark. Cot Ends $20.00 each • Scouts must bring their own spare bicycle tubes Rain Fly (Tarp) $40.00 each
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This is a sampling of the damages and their should leave the dining hall until all are corresponding replacement costs. It is greatly dismissed. appreciated for all to limit the amount of damages and in turn will prevent substantial A second helping of food, if available, will be increases in camp fees. served only after all others are served and seconds are called.
Running in the dining hall is not allowed.
The restrooms at the north end of the dining hall are kept open as a courtesy to campers. Units MUST help to keep them clean. Please report any problems to the Dining Hall Director.
Our dining hall serves an approved balanced Dining Hall Procedures menu with fresh fruits and vegetables daily. Outpost meals meet the same standards as the Each leader is encouraged to give attention to dining hall. proper manners among the scouts during meals. All scouts are expected to be clean, Special Dietary Needs courteous, and in appropriate attire and shoes at all meals. Hats and swimming suits are Camp Rockefeller strives to provide well- discouraged. The complete Scout field uniform balanced meals for the duration of summer is strongly encouraged at the evening meal. To camp; however, Camp Rockefeller prevent congestion, backpacks and walking understands that there may be certain food sticks are NOT ALLOWED in the Dining Hall. allergies it is not able to accommodate. Therefore, to make it the most convenient for The purpose of the dining hall is to provide all those with a food allergy, Camp Rockefeller is meals quickly and efficiently in a clean and safe prepared to store any food that a Scout or environment. Compliance with the following leader needs to bring in the camps freezer, procedures will assist with fulfilling this cooler, and/or storage room and allow a Scout purpose. or leader to prepare that food in the camp kitchen as needed. The Scout or leader should Each Unit should assign two (2) waiters for label all food containers with name and troop each meal. The Dining Hall Director and Staff number. Arrangements for a Scout or leader to will instruct the waiters and supervise their come into the kitchen and prepare such food duties while in the dining hall. Waiters will help before a meal must be made with the Dining clean up after the meal. Hall Director during check-in procedures on Sunday. Meals consist of the main meal, announcements, and meal program. No one
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HEALTH INFORMATION campers to ensure no problems are occurring. Mealtime is the ideal opportunity for health Medical Forms observation. If a Scout is not exhibiting a normal, very healthy appetite for their age Every Scout and adult leader staying in camp group, and food tastes are not involved, it must, upon arrival, present a properly would be prudent to question the Scout as to completed BSA medical form Parts ABC. The how they are feeling. In addition, proper medical form must be signed by an examining hygiene must be encouraged at all times. It is physician, the Scout’s parent or legal guardian, hot at summer camp. Proper hydration of and contain health insurance information. The scouts and leaders is important for good physician’s physical examination must have health. DRINK PLENTY OF WATER. been conducted within one year of arrival at camp. All participants’ forms will be checked Camp Safety upon arrival at camp. Full examinations are not available. The BSA medical form must be The Boy Scouts of America, Quapaw Area brought to camp by the unit. PLEASE DO NOT Council, and Gus Blass Scout Reservation have MAIL OR DELIVER MEDICAL FORMS TO THE a long and proud record of concern for the COUNCIL SERVICE CENTER. Scouts and adult safety of its Scout campers and strive to leaders may not stay in camp without a provide a high quality, safe, camping properly completed BSA medical form. experience. Leadership provided by parents and leaders during Camp creates a safe Health and First Aid environment for our youth. The year-round nature of the Scouting program, the patrol The Camp Rockefeller Health Lodge is staffed method, and boy leadership give leaders a by qualified medical personnel. A local hospital sound basis for determining the in Conway, Arkansas is open 24 hours a day for trustworthiness and maturity level of all emergencies. The camp leader must make campers within their charge. arrangements to contact the parent/ guardian of a Scout who must go to the hospital or see Accident Insurance a doctor. Camp Administration will work with unit leadership to ensure proper medical Camp Rockefeller and Quapaw Area Council attention and/ or transportation is provided. insurance coverage is secondary to the Any Scout needing medical attention at the participant’s primary insurance plan. hospital will contact his parents, if practical, to inform them of the extent of his injuries. Animals at Camp
Camper Health Watch For a period longer than one could accurately say, the mountains known today as the Ozarks It is the goal of camp for all scouts to have a have been inhabited by creatures of God’s safe and healthy experience. It is important, making. However, there are some of these therefore, that both staff and leaders pay creatures all campers must be cautious of attention to the health and attitudes of all while at camp. Copperhead snakes and other
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2019 Camp Rockefeller Leader’s Guide venomous snakes, black bears, raccoons, Security in Camp skunks, fox, opossums, squirrels, deer, turkey, armadillos, spiders, chiggers, ticks, wasps, Personal belongings should be secured at all hornets and bees all live on the Gus Blass Scout times while at camp. Leaders are encouraged Reservation. Contact with any wild animal to advise all member of the Unit to keep their could result in bodily harm or the possibility of belongings in safe locations when unattended. disease. This is their environment. Please, Camp Rockefeller will not be responsible for leave them alone. Report any personal lost or stolen items. encounter to the camp Health Officer. CAMPING RESERVATION POLICIES Fireguard Procedures Summer Camp Week Reservation In case of fire, notify the camp leadership in the Admin Building IMMEDIATELY. Campfires Campsites will be filled based on size of unit are normally permitted in the sites, but it is the and availability. Camp Rockefeller wants to do Unit Leader’s responsibility to ensure that its best to ensure all are able to attend the proper Scouting safety rules are followed. week of camp that best fits each unit’s needs. Refer to handbook for information. Camp Rockefeller’s priority is to ensure each unit’s week request is met. Liquid Fuel/Propane The campsite reservation fee/ deposit will Quapaw Area Council allows liquid fuel usage guarantee a reservation at camp. Smaller under proper adult supervision. Propane fuel troops may be grouped together in a campsite. is suggested. All bulk and compressed fuels The campsite is assigned based on the size of must be stored in the camp flammable storage the unit attending. Using the rough estimates area. from the Unit Reservation Form and taking into consideration the unit’s preferences, Buddy System effort will be made to efficiently use the tents.
The buddy system is always in effect. This Unit tent usage will be identified. Signs will be provides a way for a Scout to secure help displayed with Unit number for the Unit should an accident occur. Head counts are specific tents. important in camp. They should occur at Reveille, Taps, and at all unit formations and Sites will also be determined based on activities. Any missing camper must be estimates of youth, adult male, and adult reported to the Camp Office IMMEDIATELY. female attendance on the reservation form Members of the camp staff are search and and leave a minimum of 2 extra tents per troop rescue technicians and will respond to all when assigning campsites. emergency situations.
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Campsite Reservation for Individuals with Notify all scouts and adults of Summer Camp physical impairments requiring Accessible dates and encourage their attendance. Campsites Arrange a Parents’ Night meeting with The designated accessible campsite, North presentation by the District’s Camp Promotion Point A, is available for a Scout or leader who Committee. is wheelchair mobile or a Scout with severe physical impairments. Youth Protection January Guidelines will be applied to this campsite and followed at all times. Begin projects to assist scouts with camp fees.
Obtain campership forms, if needed. SUMMER CAMP PREPARATION Invite Webelos dens to visit the unit and Unit Preparation for Summer Camp prepare for summer camp.
Preparing for camp is an easy process, but it Recruit extra leaders. does require planning ahead. A Unit Leader is the most important link in this preparation. February The following checklist is designed to guide the Unit Leader and the Unit Committee in pre- Inform older scouts about the many older camp planning for summer at Camp Scout programs. Rockefeller. Encourage parents to schedule other summer Immediate Action Required activities at times other than summer camp.
Reserve your spot at Review unit finance needs. https://scoutingevent.com/018- camprockefeller2019 Begin arranging unit transportation.
Confirm Unit reservation during desired week March at camp. Begin scheduling Scouts for sessions at Obtain Camp Leadership – 2 adults per unit https://scoutingevent.com/018- minimum at all times. camprockefeller2019
Meet with Unit Committee to discuss summer Continue summer camp promotion with 2nd program plans. year Webelos.
Develop a camp sign-up and budget plan to Encourage scouts who cannot attend with assist scouts with summer camp fees. their unit to attend during a different week as a provisional camper.
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April CAMPER EQUIPMENT LIST
Unit leaders begin program planning • Scout uniforms* procedure. • Hiking shoes or boots • Six pairs of socks* Attend district “free physicals,” where • Stamps, envelope* available. Contact the District Camp Promotion • Extra shirts Chairperson for more information. • Small pillow Contact parents of scouts not signed up to • Sleeping pad attend camp, including Webelos. • Sleeping bag • Pajamas May • Watch • Toilet kit (*soap, *towel, washcloth, May 1 – Early Bird Deadline deodorant, shampoo) • Tennis shoes Register additional scouts going to camp. • Handkerchiefs • Toothpaste & brush* Ensure all leadership is committed for the • Pocketknife* dates of camp. • Hat or cap* • Extra pants (long and short) Determine the wants and needs of patrols and • Boy Scout Handbook* scouts. • Flashlight and batteries* Ensure arrangements have been made for • Sunblock* medical physicals for scouts and adults. • Hair comb or brush* • Raincoat or poncho* June • Clothing repair kit* • Jacket or *sweatshirt Remind all scouts of dates, arrangements, • Six pair of underwear equipment needs, departure time, physicals, • Pencil* etc., two weeks prior to departure for camp. • notebook • Water bottle* Submit balance owed on camp fees to the • Sleeping bag Quapaw Area Council Service Office. • Swim trunks • Spending money Confirm final transportation arrangements. • Completed and Signed Medical Form • Backpack, duffel bag, or camp box to store personal gear
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Equipment for Lifesaving Merit Badges: UNIT ARRIVAL AT CAMP button-up long sleeve shirt, long pants, and shoes. Directions to Camp Rockefeller Equipment for Boating Sessions/Extreme Aquatics: Water shoes, canvas sneakers, long From the south (Us Highway 65N): When sleeve shirt, sunscreen, and hat which entering Damascus from the south on Hwy 65, protects ears from prolonged sun exposure. look for the green highway sign for Donald W. Optional Equipment Reynolds Scout Training Center and turn left • Merit Badge Pamphlets* on Arkansas Hwy 124. In .8 of a mile there is • Rope for clothesline* another green Donald W. Reynolds Scout • Camera* Training Center sign, turn right onto Spires Rd. • Bicycle & Helmet Stay on Spires Rd for .4 of a mile. Turn right • Bed roll, *cup, bowl, *spoon onto Hall Hendren Lane. • (if participating in Outpost • wilderness survival camping) From the north (US Highway 65S): When • Insect repellent* entering Damascus from the north on Hwy 65, • Personal fishing gear (for fishing merit look for the green highway sign for Donald W. badge or for use during personal time) Reynolds Scout Training Center and turn right • Alarm clock on Arkansas Hwy 124. In .8 of a mile there is another green Donald W. Reynolds Scout Please Do Not Bring Training Center sign, turn right onto Spires Rd. • Electronic games Stay on Spires Rd for .4 of a mile. Turn right • Skateboards onto Hall Hendren Lane. • Sheath knives • Valuables Plan to arrive to camp between 1:00 p.m. and 3:00 p.m. Do not go to campsite until the Unit • Fireworks/ Guns/ Archery items has checked in. • Candles • Pets Each unit must present the following at • Glass bottles check-in: • Radios • ATV’s, UTV’s or ORV’s · Health and medical records for each Scout • Expensive cameras and adult in unit. • CD/ MP3 players • Extension Cords · Two copies of unit roster of those attending • Generators camp, complete with addresses and telephone numbers. One copy is turned in. One copy is for *-----Items are usually available for purchase in unit’s records. The Shop at The ROCK · Out-of-council unit must have a BSA Tour and Activity Plan and proof of insurance.
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· Youth Protection and BSA Registration cards UNIT DEPARTURE FROM CAMP for all leaders. (All adults must be a registered leader.) · Two Unit Leaders report to Administration Building immediately after breakfast for · A copy of swim checks, if completed prior to checkout. One leader checks out, receives arriving at camp. advancement records and patches, and pays any outstanding bills. The other leader will Check-In Procedures take a Troop Guide back to the campsite for inspection and inventory. · Check-in instructions and procedures will be provided by one of our friendly Troop Guides. · Units return to campsite after breakfast to pack. · All Unit gear should be loaded on one Unit vehicle for transport to the Unit’s campsite. · Unit Leader and Troop Guide inspect and The Unit vehicle is to be immediately returned inventory campsite after site is clean. to the parking lot after unloading. Trailers may be left in the campsite. STAFF OPPORTUNITIES · Scouts and all Leaders expecting to use the pool during the week will go to the pool for Camp Rockefeller Staff swim checks. Gus Blass Scout Reservation is proud of the · Dress in full uniform for flag ceremony and staff members and each year it is of utmost dinner. importance to select scouts who can provide each Unit with the ultimate Summer Camp Health Check-In experience. Any Scout or knowledgeable individual who would be an asset to the National BSA requires that everyone must program, please submit a name and other complete the Health Check upon arrival and relevant information. Completed staff have a complete BSA Health Form Parts ABC. applications are due in early January. Applications can be found in the Appendix and Early and Late Arrivals at www.camprockefeller.org. Requirements for employment are as follows: Check-in time at Camp Rockefeller is Sunday 1:00 p.m. to 3:00 p.m. There are no provisions · Be 16 years of age by June 1. (Some 15-year for early arrivals. It is recommended that units old’s may be hired.) consider Saturday camping at Wooly Hollow State Park, just off Highway 65 north of · Be registered or willing to register with the Greenbrier, AR, if overnight accommodations Boy Scouts of America. are necessary. Please contact the Quapaw Area Council Program Director if a unit · Live by the principles set forth in the Scout requires a late arrival. Oath and Law.
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2019 Camp Rockefeller Leader’s Guide
· Have a recommendation from the C.I.T. participants should be at least 15 years of Scoutmaster. age. (A few 14-year old’s may be selected.) As with regular staff applicants, not all C.I.T. Not all applicants will be hired. Being a applicants will be given positions. member of the Camp Staff is very demanding but is also very fun and fulfilling. Submit the names of any Scout interested in a C.I.T. position to the Quapaw Area Council Counselor in Training (C.I.T.) Scout Service Center. No C.I.T. may serve during the same week their own unit would be The C.I.T. program is an opportunity for a Scout attending. to experience the role of a camp staff member for one week. There is no cost to the C.I.T. C.I.T. applicant should submit the Counselor participant. The participant will work under In Training Application the direction of camp staff Area Directors. The participant will also camp in the regular camp staff area.
Always check www.camprockefeller.org for the most up to date information for 2019!
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Quapaw Area Council Boy Scouts of America
Camp Rockefeller STAFF APPLICATION Gus Blass Scout Reservation
(RETAIN THIS SHEET FOR YOUR OWN USE)
To all Scouts and Scouters:
Opportunities to serve Scouting by being a member of the Camp Rockefeller Camp Staff are available to outstanding members of the Boy Scouts of America. Competition for employment is keen, the jobs are demanding, and the experience is exhilarating.
The minimum age is sixteen. In a few cases, some mature fifteen years old may be considered.
Applicants must be a registered member of the Boy Scouts of America.
The principle of the Scout Oath and Law must be practiced as a way of life.
The Staff must set an example of excellence in Scouting which includes the proper wearing of the Camp Rockefeller Staff Uniform.
Salary is based on the position’s responsibility with consideration given to the individual’s experience and level of responsibility.
A picture of you included with the application is recommended.
References are important and a must! Applications will not be considered without references.
Review the jobs listed and indicate your first four (4) job preferences on the application.
Contracts, based on needs, will be offered upon successful completion of the personal interview and only to those applicants willing to commit to working for the entire camping season. There are no ‘short term’ positions available. CIT Applicants must fill out a CIT Application.
The 2019 tentative contract period is from Friday May 31, 2019 through July 15, 2019.
Mail your completed application to: 2018 Camp Staff Quapaw Area Council 3220 Cantrell Road Little Rock, AR 72202
Quapaw Area Council Boy Scouts of America
Camp Rockefeller Staff Application
Basic Personal Information Date: ______Name:______Date of Birth:______Shirt Size: Age as of June 2, 2018: Address: ______City:______State:______Zip:______Telephone: ( )______Mobile Phone: ( )______E-mail:______Temporary Address (if applicable) ______Last date at this address:______
Current Scouting Information Place a check mark next to the current type of unit in which you are registered ____Troop ____Team ____Crew ____Ship ____Not Registered Unit Number:______District:______Rank:______
Indicate the length of time for your involvement with the following levels of Scouting Cub Scout:______Boy Scout:______Venture:______Adult Leader:______Current Leadership position held:______
Place a check mark next to your level of OA membership _____Ordeal _____Brotherhood _____Vigil Honor
Why do you want to work at camp? ______Quapaw Area Council Boy Scouts of America
Positions Available: Minimum Age of 21 Minimum Age of 18 Minimum Age of 16 Aquatics Director Asst. Commissioner Aquatics Staff Business Manager Asst. Cook C.O.P.E. Staff Camp Director Dining Hall Steward Eco/Con Staff Camp Commissioner Eco/Con Director First Aid Instructor Chaplain Health Officer HandiCraft Staff Cook Office Manager Mountain Biking Staff C.O.P.E. Director Quartermaster R.O.C.K.S. Staff HandiCraft Director R.O.C.K.S. Director ScoutCraft Staff Program Director ScoutCraft Director S.T.E.M. Staff Range Officer Shooting Sports Staff Trading Post Staff Shooting Sports Director S.T.E.M. Director Trading Post Mgr.
Positions Preference: I am interested in the following camp positions. They are listed in order of my preference. 1. ______
2. ______
3. ______
4. ______
Having reviewed the minimum age requirements for the above camp positions, I will meet the minimum age for the positions I am applying for by June 9, 2018. Yes ______No ______
List the top ten merit badges and/or programs you feel most confident in teaching. 1. ______6. ______
2. ______7. ______
3. ______8. ______
4. ______9. ______
5. ______10. ______
Quapaw Area Council Boy Scouts of America
Areas of Knowledge, Experience, and/or Merit Badges: Indicate with a check mark what merit badges (MB), experience, or training you have completed.
Quapaw Area Council Boy Scouts of America
MEDICAL EXPERIENCE TRAINING EXPERIENCE ______Medical Student ______National Youth Leadership Training ______Paramedic ______NYLT Staff ______Medical Doctor ______National Leadership Seminar ______Advanced First Aid Certificate ______Counselor-In-Training ______C.P.R.Training ______Leave No Trace Trainer ______Nursing ______AGFC Hunter Safety
Student ___LPN ___ RN______Archery Instructor Certification ______EMT ______NRA Instructor
______Wood Badge UNIT POSITIONS PREVIOUSLY HELD ______Wood Badge Staff ______SPL ______Scouter’s Key ______ASPL ______Commissioner College ______Patrol Leader ______Philmont Training Center ______Asst. Patrol Leader Philmont Training Course ______Scribe ______National Camp School Certification ______Quartermaster Certification Area: ______Webmaster Certification Date: ______Historian ______Jr. Asst. Scoutmaster
Camp Staff Experience:
Camp Year Position
Quapaw Area Council Boy Scouts of America
Education:
Name of College / School: ______Grade Completed: ______
Course/ Major: ______
Extra - Curricular Activities: ______
Leadership Positions: ______
Honors & Recognitions: ______
REFERENCES REQUIRED: Adult member of your troop, team, or post, or current employer: Name: ______Phone #: ______Address: ______City: ______State: ______Zip: ______Position or Title: ______
Community Leader (youth leader, religious leader, civic leader): Name: ______Phone #: ______Address: ______City: ______State: ______Zip: ______Position or Title: ______
Teacher, supervisor, or associate: Name: ______Phone #: ______Address: ______City: ______State: ______Zip: ______Position or Title: ______
Quapaw Area Council Boy Scouts of America
Applicants are considered for all positions without regard to race, color, religion, sex, national origin, age (except where required by BSA standards), marital status or handicap. Due to the strenuous nature of some camp staff positions, medical certifications must be met by all camp staff members.
DECLARATION OF PRINCIPLES:
The principles of the Boy Scouts of America are based on the Scout Oath and Scout Laws and one is committed to the goal of teaching young people to make ethical decisions for the rest of their lives.
Do you agree with this declaration of principle? YES ______NO ______
Where you referred or recommended for hire by a Camp Commissioner, Director, or Staff member? YES ______NO ______
If yes, by whom were you recommended? ______
______Unit Leader Signature of Endorsement Date
______Applicant Signature Date
______Parent Signature Date (Parent’s signature required if applicant is under 18 years of age)
------Date of Interview: ______
Considered for: ______
Interviewed by: ______QUAPAW AREA COUNCIL BOY SCOUTS OF AMERICA CAMP ROCKEFELLER
SUMMER CAMP REFUND REQUISITION
Send Check to:______
______
______
______
GL CODE: ______
Name of Scout Reason Not in Attendance Unit Price Total
G R A N D T O T A L :
FOR ACCOUNTING DEPARTMENT USE ONLY
Date Received:______
Requested by:______Date: ______Cacmp Approval:______Date:______
Council Approval:______
Scoutcraft = Deep Woods ROCKS = Ridgetop Eco/Con = Logging Camp Handicraft = Hillside Mountain Biking = Southridge Climbing/COPE = Climbing Pavilion Shooting Sports = Shooting Sports Complex STEM = Hendren Family Facility Large Large Small Tent Tent Small Large Tent Cots Cots Campsite Tents Tents Cots Min Max Bear Creek 16 4 32 8 12 Buzzards Roost A 7 2 14 4 6 Buzzards Roost B 10 2 20 4 6 Buzzards Roost C 8 2 16 4 6 Deer Run A 10 2 20 4 6 Deer Run B 10 2 20 4 6 Eagles Nest A 10 2 20 4 6 Eagles Nest B 8 2 16 4 6 Lakeview 16 2 32 4 6 Mountain View A 6 2 12 4 6 Mountain View B 10 2 20 4 6 North Point B 12 2 24 4 6 Pine Ridge A 10 2 20 4 6 Pine Ridge B 8 2 16 4 6 Rabbit Run A 16 3 32 6 9 Rabbit Run B 13 2 26 4 6 Rim Rock A 9 2 18 4 6 Rim Rock B 8 2 16 4 6 River Bend A 12 2 24 4 6 River Bend B 12 2 24 4 6 Rockwall A 9 2 18 4 6 Rockwall B 10 2 20 4 6 Turkey Flat A 12 2 24 4 6 Turkey Flat B 12 2 24 4 6
254 51 508 102 153 Part A: Informed Consent, Release Agreement, and Authorization A
High-adventure base participants: Full name: ______Expedition/crew No.:______or staff position:______DOB: ______
Informed Consent, Release Agreement, and Authorization With appreciation of the dangers and risks associated with programs and activities, on my own behalf and/or on behalf of my child, I hereby fully and I understand that participation in Scouting activities involves the risk of personal completely release and waive any and all claims for personal injury, death, or injury, including death, due to the physical, mental, and emotional challenges in the loss that may arise against the Boy Scouts of America, the local council, the activities offered. Information about those activities may be obtained from the venue, activity coordinators, and all employees, volunteers, related parties, or other activity coordinators, or your local council. I also understand that participation in organizations associated with any program or activity. these activities is entirely voluntary and requires participants to follow instructions and abide by all applicable rules and the standards of conduct. I also hereby assign and grant to the local council and the Boy Scouts of America, as well as their authorized representatives, the right and permission to use and In case of an emergency involving me or my child, I understand that efforts will publish the photographs/film/videotapes/electronic representations and/or sound be made to contact the individual listed as the emergency contact person by recordings made of me or my child at all Scouting activities, and I hereby release the medical provider and/or adult leader. In the event that this person cannot be the Boy Scouts of America, the local council, the activity coordinators, and all reached, permission is hereby given to the medical provider selected by the adult employees, volunteers, related parties, or other organizations associated with leader in charge to secure proper treatment, including hospitalization, anesthesia, the activity from any and all liability from such use and publication. I further surgery, or injections of medication for me or my child. Medical providers are authorize the reproduction, sale, copyright, exhibit, broadcast, electronic storage, authorized to disclose protected health information to the adult in charge, camp and/or distribution of said photographs/film/videotapes/electronic representations medical staff, camp management, and/or any physician or health-care provider and/or sound recordings without limitation at the discretion of the BSA, and I involved in providing medical care to the participant. Protected Health Information/ specifically waive any right to any compensation I may have for any of the foregoing. Confidential Health Information (PHI/CHI) under the Standards for Privacy of Individually Identifiable Health Information, 45 C.F.R. §§160.103, 164.501, etc. NOTE: Due to the nature of programs and seq., as amended from time to time, includes examination findings, test results, and activities, the Boy Scouts of America and local treatment provided for purposes of medical evaluation of the participant, follow-up councils cannot continually monitor compliance and communication with the participant’s parents or guardian, and/or determination of program participants or any limitations of the participant’s ability to continue in the program activities. imposed upon them by parents or medical ! providers. However, so that leaders can be as ! (If applicable) I have carefully considered the risk involved and hereby give my familiar as possible with any limitations, list any informed consent for my child to participate in all activities offered in the program. restrictions imposed on a child participant in I further authorize the sharing of the information on this form with any BSA volunteers connection with programs or activities below. or professionals who need to know of medical conditions that may require special consideration in conducting Scouting activities. List participant restrictions, if any: None ______
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, Philmont Training Center, Northern Tier, Florida 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)
Second parent/guardian signature for youth:______Date:______(If required; for example, California)
Complete this section for youth participants only: Adults Authorized to Take to and From Events:
You must designate at least one adult. Please include a telephone number. Name: ______Name: ______
Telephone: ______Telephone: ______
Adults NOT Authorized to Take Youth To and From Events:
Name: ______Name: ______
Telephone: ______Telephone: ______
680-001 2014 Printing Part B: General Information/Health History B
High-adventure base participants: Full name: ______Expedition/crew No.:______or staff position:______DOB: ______
Age:______Gender:______Height (inches):______Weight (lbs.):______
Address:______
City:______State:______ZIP code:______Telephone:______
Unit leader:______Mobile phone:______
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:
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 Last attack date:
Lung/respiratory disease
COPD
Ear/eyes/nose/sinus problems
Muscular/skeletal condition/muscle or bone issues
Head injury/concussion
Altitude sickness
Psychiatric/psychological or emotional difficulties
Behavioral/neurological disorders
Blood disorders/sickle cell disease
Fainting spells and dizziness
Kidney disease
Seizures Last seizure date:
Abdominal/stomach/digestive problems
Thyroid disease
Excessive fatigue
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 2014 Printing Part B: General Information/Health History B
High-adventure base participants: Full name: ______Expedition/crew No.:______or staff position:______DOB: ______Allergies/Medications 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 INDICATE 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 by the BSA. 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.
Yes No Had Disease Immunization Date(s) Please list any additional information about your medical history: Tetanus ______Pertussis ______Diphtheria ______Measles/mumps/rubella
Polio ______
Chicken Pox DO NOT WRITE IN THIS BOX Review for camp or special activity. Hepatitis A Reviewed by:______
Hepatitis B Date:______
Meningitis Further approval required: Yes No
Influenza Reason:______
Other (i.e., HIB) Approved by:______
Exemption to immunizations (form required) Date:______
680-001 2014 Printing Part C: Pre-Participation Physical C This part must be completed by certified and licensed physicians (MD, DO), nurse practitioners, or physician assistants.
High-adventure base participants: Full name: ______Expedition/crew No.:______or staff position:______DOB: ______You are being asked to certify that this individual has no contraindication for participation inside a Scouting experience. For individuals who will be attending a high-adventure program, including one ! of the national high-adventure bases, please refer to the supplemental information on the following ! pages or the form provided by your patient.
Examiner: Please fill in the following information:
Yes No Explain
Medical restrictions to participate
Yes No Allergies or Reactions Explain Yes No Allergies or Reactions Explain
Medication Plants
Food Insect bites/stings
Height (inches):______Weight (lbs.):______BMI:______Blood Pressure:______/______Pulse:______
Normal Abnormal Explain Abnormalities Examiner’s Certification I certify that I have reviewed the health history and examined this person and find Eyes no contraindications for participation in a Scouting experience. This participant (with noted restrictions):
Ears/nose/ True False Explain throat Meets height/weight requirements.
Does not have uncontrolled heart disease, asthma, or hypertension. Lungs Has not had an orthopedic injury, musculoskeletal problems, or orthopedic surgery in the last six months or possesses a letter of clearance from his or her orthopedic surgeon or treating physician. Heart Has no uncontrolled psychiatric disorders.
Has had no seizures in the last year.
Abdomen Does not have poorly controlled diabetes. If less than 18 years of age and planning to scuba dive, does not have diabetes, asthma, or seizures. Genitalia/hernia For high-adventure participants, I have reviewed with them the important supplemental risk advisory provided.
Musculoskeletal Examiner’s Signature:______Date: ______
Provider printed name:______Neurological Address:______
City:______State:______ZIP code:______Other Office phone:______
Height/Weight Restrictions If you exceed the maximum weight for height as explained in the following chart and your planned high-adventure activity will take you more than 30 minutes away from an emergency vehicle/accessible roadway, you may not be allowed to participate. Maximum weight for height:
Height (inches) Max. Weight Height (inches) Max. Weight Height (inches) Max. Weight Height (inches) Max. Weight
60 166 65 195 70 226 75 260 61 172 66 201 71 233 76 267 62 178 67 207 72 239 77 274 63 183 68 214 73 246 78 281 64 189 69 220 74 252 79 and over 295
680-001 2014 Printing