2012 CAMP LEADER GUIDEBOOK - Black Hills Area Council
2012 CAMP LEADER GUIDEBOOK - Black Hills Area Council
2012 CAMP LEADER GUIDEBOOK - Black Hills Area Council
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<strong>2012</strong> <strong>CAMP</strong> <strong>LEADER</strong> <strong>GUIDEBOOK</strong>
Scouts and Scouters,<br />
Welcome to the adventure!<br />
The Medicine Mountain Scout Ranch staff and I are excited to welcome you! In this book you<br />
will find your map to an exciting adventure that we hope you will find fun, challenging, and<br />
worth‐while. As always we have been working diligently over the past year to improve and<br />
grow in a way that will encourage a continually better experience for all of our Scout campers<br />
and Scouters.<br />
Foremost is the continued determination of some very dedicated volunteers, we have been<br />
working hard to create a scout‐friendly environment to help our first and second year campers<br />
learn, improve and grow their scouting skills.<br />
We are also excited to announce that we will begin using the BadgeTracker website in <strong>2012</strong><br />
for online class registration, roster submittal, and so much more!<br />
Along with a few additions and the continuance of our long standing tradition here in the<br />
<strong>Black</strong> <strong>Hills</strong> (since 1976), we’ve worked hard to provide the best possible program available to<br />
scouts in the Great Plains. In keeping with our ongoing dedication to improvement and<br />
growth, we have hand‐picked the best staff that our nation has to offer. They, and I,<br />
encourage you to try new things, test your abilities and open your minds and imaginations to<br />
new ideas and new adventures; but<br />
above all else, have fun!<br />
We look forward to serving as your<br />
<strong>2012</strong> summer camp staff.<br />
Darren Boutá<br />
605‐381‐2522 cell<br />
605‐673‐2790 office<br />
darren.bouta@scouting.org<br />
2<br />
Welcome to the adventure!
3<br />
About MMSR<br />
Medicine Mountain Scout Ranch (MMSR) is 160 acres of Scouting paradise surrounded by 1.3<br />
Million acres of National Forest Service land. Our camp rests, like a jewel, in the beautiful<br />
<strong>Black</strong> <strong>Hills</strong> of South Dakota. We boast a private fresh water lake stocked with trout, countless<br />
miles of local trails for mountain biking and hiking, breathtaking views, rustic serenity, access<br />
to local natural‐face rock for climbing, and access to both public and non‐public caves for<br />
spelunking and exploring. Scouts bring and pitch their own tents in forested campsites and<br />
dine in the comfort of their troops own campsite “patrol style.” The combination of our mild<br />
climate and 6,100 foot elevation renders us virtually mosquito free!<br />
Our Mission Statement<br />
To provide a safe, fun and rewarding experience for Scouts and leaders while maintaining the<br />
standards of the Scout Oath and Law.<br />
Our Programs<br />
We offer three unique programs at MMSR! Our Merit Badge program (page 19) offers a mix of<br />
scheduled merit badge classes and open program time. Our Merit Badge program is designed<br />
to provide structure for those younger Scouts who need it, while allowing all Scouts the<br />
opportunity to take the merit badges they want and need. In conjunction is our HAWK<br />
program (page 22). HAWK is our trail to first class program, wherein Scouts can work towards<br />
earning the first three ranks of scouting. In addition, and for the older more experienced<br />
scout, we also offer High Adventure programs (page 23), for scouts age 14 and up, which<br />
includes: COPE, Climbing, Mountain Biking, <strong>Black</strong> <strong>Hills</strong> Trek and Caving.
4<br />
ABOUT THIS BOOK<br />
When the first settlers moved into South Dakota, they had to do everything for themselves.<br />
Scouts this summer will still have a bit of “roughin’ it” to do, but with this guidebook in hand,<br />
they should be able to come to camp prepared for a great time!<br />
We know that getting ready for camp can be a real challenge. In order to help your troop<br />
prepare for camp, we have designed this book to accomplish three purposes. First, we want to<br />
give you an idea what you can expect from camp in terms of our programs, our staff and our<br />
facilities. Second, we want to share information with you that is important for planning for<br />
camp. Finally, we want to inform you of the policies that help camp to run smoothly.<br />
We’d like to draw your attention to the following<br />
Improvements and attributes of our camp and program:<br />
BADGETRACKER! At the urging of several leaders, we will be using the online merit badge<br />
class sign‐up program thru the BadgeTracker website. (page 19)<br />
Significant equipment and facility enhancements at the waterfront and ranges.<br />
Improved adult training opportunities. BSA DVD based training available.<br />
Additional instructional structure in some program areas to better serve our campers,<br />
based on feedback we receive during unit leader meetings.<br />
The “Hawk” program: a first class experience designed to teach the way scouts learn.<br />
Improvements were based on feedback received from 2010 and 2011 troop leaders.<br />
Troop/Patrol Competition: The “Rumble in the Mountains.” This relay style activity<br />
incorporates physical strengths and scout skills in races that foster healthy competition<br />
and teamwork.<br />
Guest Commissioners: we’ve called upon local experienced Scout Leaders to volunteer<br />
their time to help support the units that visit our camp.
5<br />
Camp Map
*Please note that if you use a GPS unit to find your way to<br />
camp, or get your directions from an internet website, do<br />
not follow Spring Creek Dr, or Reno Gulch Road. These<br />
routes are often impassable by vehicle. Instead continue<br />
on HWY 16 to Medicine Mountain Road and follow the<br />
signs!<br />
6<br />
Directions to MMSR
7<br />
How to get ready for camp<br />
Read and share this Guidebook!<br />
Make your reservation and submit a non‐refundable $250 unit deposit.<br />
Share pertinent portions of this book with members of your troop so Scouts can start<br />
thinking about what goals they’d like to accomplish at camp.<br />
Recruit two or more adult leaders to attend camp with troop; share this book with them.<br />
(If you are having difficulty getting two leaders for camp, contact the MMSR office immediately!!)<br />
Create payment plan; organize fundraising activities.<br />
Make a non‐refundable deposit of $100 per person (due January 31st).<br />
Hold parent information meetings.<br />
Arrange for transportation to camp.<br />
Hold troop leader meeting to determine troop and patrol schedule at summer camp.<br />
Gather troop equipment.<br />
Submit full payment by March 31st to qualify for the discounted rate. If fees are not paid<br />
in full by March 31st, a $25 late fee will be added to all registered participants.<br />
Submit a troop roster by March 1st by using our the MMSR BadgeTracker web site<br />
File a tour plan with your local council office.<br />
Collect medical forms from every Scout and adult. (Current within the last 12 months of<br />
your last day of camp).<br />
Assign one parent to be in charge of emergency communication; he or she must have the<br />
camp phone number, and a copy of the roster and tour plan.<br />
Review and form a list of which merit badges will be taken at camp, and go to the<br />
Badgetracker web site to sign up<br />
Conduct a pack check for Scouts; make sure they have everything they need and nothing<br />
they don’t or shouldn’t have<br />
Load up and plan to be at camp on time. Gates open on Sunday at 1:00pm!
Camping Gear:<br />
Tent (“1‐4 man” tents)<br />
Sleeping bag & pad<br />
Backpack<br />
Flashlight<br />
Pocket knife<br />
Canteen/waterbotle<br />
Drinking cup<br />
Lantern<br />
Clothing:<br />
Scout uniform<br />
Sweater or jacket<br />
Rain gear<br />
Hat with brim<br />
Hiking boots<br />
Swimsuit and towel<br />
Troop Equipment:<br />
“Chuck Boxes” with cooking supplies<br />
Camp stove & fuel<br />
Troop flag<br />
Patrol flags<br />
American flag<br />
Weapons (firearms, bows, etc.)<br />
Fireworks<br />
Water balloons<br />
8<br />
What to Bring<br />
Merit Badge Items:<br />
Merit badge books<br />
Scout handbook<br />
Writing supplies<br />
CPR certificate<br />
Other Essentials:<br />
Signed medical forms (for everyone)<br />
Spending money<br />
Alarm Clock<br />
First Aid kit<br />
Toiletry supplies<br />
Extras:<br />
Sunglasses<br />
Sun block<br />
Compass<br />
Camera<br />
Lockbox<br />
Troop merit badge library<br />
Advancement record book<br />
Troop religious equipment<br />
What NOT to Bring<br />
Walkie Talkies, 2‐Way Radios<br />
Sheath knives<br />
Cell phones/pagers (adults ok)<br />
If you can’t carry all your own gear...<br />
then you’re probably bringing too much!
Campers, guests and staff members all enjoy exceptional food service at camp. Our skilled<br />
commissary staff have a nutritious menu planned that will make your summer camp meals a<br />
feast to remember. Our meals are designed to be served “patrol style.” That means that each<br />
troop will bring their own cooking supplies and we’ll provide the food. Meals are issued daily<br />
from the commissary.<br />
Our menu includes such culinary delights as biscuits and gravy, sloppy joes, tacos,<br />
hamburgers, and much, much more. Please let us know before you arrive if you have any food<br />
issues, like allergies, or special foods you can not have so we can do our best to accommodate<br />
you. There is a form in this booklet that you can send in. The menu can be altered, but<br />
campers must supply any special food not included by our food service. Please submit those<br />
forms to us with your final registration by March 31st so we can order correctly for any<br />
special dietary needs.<br />
Also you will find a form for extra meals. These are issued with your regular food pick‐up. If<br />
your troop has family staying in our Family Camp, or just dropping by, let us know and we will<br />
be sure to include them in your portions. Please also submit those forms to us by March<br />
31st .<br />
9<br />
Individual/Visitor Meals<br />
Breakfast and Lunch ‐ $6.00<br />
Dinner ‐ $8.00<br />
Children 6 and younger ‐ $5.00 all meals<br />
Food Service
10<br />
Payment Info & Dates<br />
Reservations<br />
To reserve your space at camp, first, fill out a reservation form. The form asks which session you<br />
wish to attend and your first and second choices for campsites. Turn in the reservation form with<br />
the $250 non‐refundable unit deposit to the <strong>Black</strong> <strong>Hills</strong> <strong>Area</strong> <strong>Council</strong> Service Center. No<br />
reservations will be accepted without this deposit. An additional, non‐refundable, deposit of $100<br />
per camper is due by January 31st. If you do not make these payments your reservation may be<br />
canceled or placed on a waiting list. Proper warning will be given before cancellation. All camp<br />
deposits will count toward total fees due. Please group together all fees from all Scouts and adults<br />
attending MMSR camp programs and make each payment with a single troop check. Troops are<br />
responsible for keeping their own records of each Scout's payment, the <strong>Black</strong> <strong>Hills</strong> <strong>Area</strong> <strong>Council</strong> and<br />
Medicine Mountain Scout Ranch do not keep records under individual names. Be sure the check<br />
shows your unit number and the dates you are attending.<br />
<strong>CAMP</strong> FEES:<br />
<strong>2012</strong> Session Dates<br />
June 10‐16 Boy Scout Camp Session 1<br />
June 17‐23 Boy Scout Camp Session 2<br />
June 24‐30 Boy Scout Camp Session 3<br />
July 8‐14 Boy Scout Camp Session 4<br />
July 15‐21 Boy Scout Camp Session 5<br />
July 22‐28 Boy Scout Camp Session 6<br />
July 29‐Aug 4 Boy Scout Camp Session 7<br />
Early Payment Fee Late Payment Fee<br />
MERIT BADGE PROGRAM $256.00 $281.00<br />
HAWK PROGRAM $256.00 $281.00<br />
Adults (in camp) $100.00 $100.00<br />
High Adventure $355.00 $380.00<br />
(*High Adventure Adult fees are same as youth)
Reservations, Cont.<br />
All Unpaid Fees are due upon arrival prior to setting your camp up or taking your tour. The<br />
final amount that your troop owes is determined by the Camp Director based upon your<br />
reservations made through the <strong>Black</strong> <strong>Hills</strong> <strong>Area</strong> <strong>Council</strong> office.<br />
Fee Settlement<br />
Upon arriving at camp you must complete a Fee Settlement for your troop. Upon completion<br />
of the Fee Settlement, you will be issued a receipt proving that your summer camp fees are<br />
paid in full.<br />
Please have these items on hand when you check in:<br />
Receipts for all payments made through the BHAC office<br />
Any Campership award notices<br />
Payment method for any fees due (cash or check)<br />
Your completed troop roster<br />
Completed Tour permits<br />
Health forms for all campers (Youth AND Adult)<br />
Proof of insurance issued by the chartering organization or your local council<br />
REFUND POLICY - READ CAREFULLY<br />
All cancellations and refund requests must be made in writing to the BHAC office on or<br />
before September 15th. The on‐site staff are not permitted to refund fees.<br />
The $250 unit deposit, and initial $100 per‐boy deposit, are non‐refundable.<br />
Before March 31st, reservations may be cancelled, and fees due/paid are refundable<br />
(except the $250 unit deposit and $100 per‐boy deposit)<br />
April 1st until camp arrival, reservations may be cancelled but fees due/paid are not<br />
refundable. Note: Your troop is responsible for all the reservations you make unless you<br />
change them before the March 31st deadline. Example: If you reserve space for 20 scouts<br />
and arrive at camp with only 15 you are still liable for the fees of the other 5.<br />
No refunds or cancellations will be allowed after March 31st except in the case of valid<br />
medical or family emergency.<br />
Business Policies<br />
11
12<br />
BUSINESS POLICIES CONTINUED<br />
Camperships<br />
Camperships are awarded to Scouts who are making a sincere effort to pay their own way, but<br />
would not be able to attend camp without outside assistance. Campership applications are<br />
available from the <strong>Black</strong> <strong>Hills</strong> <strong>Area</strong> <strong>Council</strong> Service Center. For eligibility, the application must<br />
be completed and submitted on or before March 1st.<br />
Before You Go<br />
Troops should spend some time before camp building enthusiasm, training for competitions,<br />
and deciding on what goals to achieve during your week at Medicine Mountain Scout Ranch.<br />
Scouts need to know what activities and merit badges are offered so they can start sharpening<br />
their skills. Fun promotional ideas include fundraising projects (to pay for camp fees), visiting<br />
camp during the off‐season, and giving a slide‐show of camp photographs.<br />
Many troops hold a Parent’s Information Meeting to inform parents of the cost of camp, the<br />
location, the address, our visitor policy, and how to contact camp in case of emergency. Par‐<br />
ents should also allow Scouts some spending money and label any belongings they might bring<br />
to camp with their name and troop number.<br />
You Should Know…<br />
Medicine Mountain Scout Ranch is proud to have our own fresh‐water lake for our aquatics<br />
activities. However, as we are at an elevation of 6,100 feet and our lake is fed by both snow<br />
pack and fresh water springs, Lake Alexander is at a constant 45‐55 degrees Fahrenheit. Be‐<br />
cause of this we require that all who want to participate in water activities take their swim test<br />
on‐site in our lake. We do not accept outside swim tests from other camps or facilities. We do<br />
apologize for any inconvenience, but we have seen many campers unable to complete simple<br />
requirements due to the cold nature of beautiful Lake Alexander.
13<br />
Camp Policies<br />
Camp is like a city. Cities have roads, camps have trails; cities have houses, camps have tents.<br />
Where a city has many laws, at Scout camp we have one ...the scout law.<br />
A Scout is trustworthy, loyal, helpful, friendly, courteous, kind, obedient, cheerful, thrifty, brave,<br />
clean, and reverent. The Scout Law embodies our philosophy of conduct here at Medicine Moun‐<br />
tain Scout Ranch. All of our policies are based on adherence to this law. Scouts and their leaders<br />
at camp are expected to live the law at all times. Troop leaders are expected to instill this law in<br />
their Scouts, and serve as an example to them. We thank you for your cooperation and under‐<br />
standing in helping us maintain high standards of conduct.<br />
Official Camp Policies<br />
Alcohol and Drugs: The use of alcoholic beverages and controlled substances is prohibited on<br />
property that is owned or operated by the Boy Scouts of America. This policy will be strictly en‐<br />
forced for all those who use or visit our camp facilities.<br />
Tobacco: The use of tobacco products by anyone under the age of 18 will not be tolerated. BSA<br />
requires that adults use only the designated smoking areas in the parking lot, away and out of sight<br />
from any youth camper or youth staff member.<br />
Vehicles: No private vehicles are allowed in camp during camp operation.<br />
During the scheduled check‐in and check‐out times, one vehicle per troop is allowed in camp to<br />
unload troop equipment. After unloading, please return your vehicle to the lot.<br />
Uniforms: Scouts should be in uniform for assemblies, flag ceremonies, campfires and other cere‐<br />
monies where uniforms are appropriate. Otherwise, we recommend a troop t‐shirt or MMSR camp<br />
shirt be worn for other activities.<br />
Pets/Animals: Pets of any kind are not permitted in camp at any time. Please do not bring your pet<br />
from home. Be sure to inform any visitors, parent drivers, or guests that they should also leave<br />
their pet at home. *The B.S.A. makes only one exception to this for resident Camp Rangers and<br />
their families.
Requirements for Participation: To qualify for participation in Medicine Mountain Scout<br />
Ranch activities, all campers, youth and adult, must be registered with the Boy Scouts of<br />
America, be paid in full, and have a completed and current Personal Health and Medical Re‐<br />
cord. (“Current” is defined as being signed by a doctor, or approved medical practitioner, within 12 months of<br />
the day your unit departs camp.)<br />
Adult Leadership: Two adult leaders per unit must be on‐site at all times. One leader must be<br />
over the age of 21; the assistant leader may be 18 or over. If proper adult leadership can not<br />
be arranged for, the unit must be sent home. (If your unit is having difficulty finding 2 leaders,<br />
please contact Darren Boutá as soon as possible so we can assist you in finding a second<br />
leader or arrange for a surrogate leader.)<br />
Provisional Scouts: Scouts that cannot attend with their unit may attend camp as a provi‐<br />
sional Scout. Prior to camp we will refer provisional Scouts to units that are willing to host<br />
them for the week. Scouts will not be allowed to check in to camp unless accompanied by a<br />
unit. Please let us know if your unit is willing to host a provisional Scout.<br />
Security Wristbands: The security and safety of all our campers is paramount. All campers,<br />
youth and adult, will receive a wristband upon check‐in. Thereafter, anyone in camp without<br />
a wristband or a recognizable staff member will be treated as a trespasser and dealt with ac‐<br />
cordingly.<br />
Age Restrictions: In accordance with BSA policy, certain activities are restricted to, or are rec‐<br />
ommended for, boys age 13 or 14, and older. For those activities, the age determination is<br />
based off the Scout’s age as of their arrival at camp. Restricted activities include High Adven‐<br />
ture activities, and some optional shooting sports activities<br />
Telephone: There is only one phone line in camp, and it is reserved for camp business. Adults<br />
who need to use the phone should place their call using third‐party billing and limit it to five<br />
minutes. Scouts are not permitted to use the phone without an accompanying adult. There is<br />
an outgoing phone for scouts to use, with a calling card or other third party calling service, lo‐<br />
cated outside the Hub. Adults may use cell phones in designated areas near the camp office or<br />
in the parking lot. Cell phone use by Scouts is prohibited.<br />
14<br />
Policies Continued...
15<br />
Health & Safety in Camp<br />
All Scouts and adults are required to arrive at camp with a completed and<br />
current Personal Health and Medical Record. (“Current” is defined as being signed by<br />
a doctor, or approved medical practitioner, within 12 months of the day your unit departs<br />
camp.) Campers who arrive without a current form will be required to leave camp. Forms<br />
are available at any <strong>Council</strong> Service Center or online at www.scouting.org. These are required<br />
so that our medical officer knows of any special needs campers might have should they get<br />
injured or sick while in camp. Please make sure that the unit has these forms before it arrives<br />
at camp. For insurance reasons, we cannot allow anyone to participate in any activities<br />
without a valid medical form. Physical exams are not offered at camp, nor can they be<br />
provided for financially by the camp .<br />
We take safety seriously at Medicine Mountain. Our trained first‐aid personnel are on duty at<br />
all times. Our aquatics staff members are trained in lifesaving and have all the necessary<br />
safety equipment should a waterfront emergency arise.<br />
Please bring along a first aid kit for your unit’s minor medical issues. Scoutmasters must<br />
report all medication brought into camp to the camp medical officer. Medications that are<br />
brought to camp may be kept by the unit medical officer (must be an adult, 21 or older). The<br />
medication must literally be locked up. If this situation is not suitable to the unit, our camp<br />
medical officer will gladly keep the medication locked up for you. Also, a locked refrigeration<br />
unit is available to individuals who have medications that must be kept cold (e.g. insulin,<br />
nitroglycerine, etc.). It will remain locked at all times. If you have concerns about the storage<br />
or distribution of medications while at camp, please contact Darren Boutá to discuss your<br />
concerns.<br />
Insurance: Units are required to provide their own unit accident insurance and must show<br />
proof of insurance upon check‐in. Be prepared; bring an insurance claim form to camp.<br />
(remember BSA insurance is “secondary” to other private insurance.) Contact your local<br />
council office for a copy of your insurance information and bring it with you to camp. A copy<br />
will need to be kept on‐file at camp while you are staying at Medicine Mountain.
16<br />
<strong>CAMP</strong> PROGRAMS<br />
Let the FUN Begin!!!
17<br />
Daily Schedule<br />
Sunday Monday Tuesday Wednesday Thursday Friday Saturday<br />
6:00am<br />
Reveille Reveille Reveille Reveille Reveille Reveille<br />
6:30am<br />
Food pick‐<br />
up<br />
Food pick‐<br />
up Food pick‐up Food pick‐up Food pick‐up<br />
Camp<br />
Closed<br />
Breakfast<br />
7:00am<br />
7:30am<br />
Breakfast Breakfast<br />
and Check‐<br />
Breakfast Breakfast Breakfast out<br />
8:00am AM Flags AM Flags AM Flags AM Flags Camp<br />
8:30am<br />
9:00am<br />
9:30am<br />
10:00am<br />
10:30am<br />
11:00am<br />
Classes<br />
Classes &<br />
Ldrs Mtg<br />
9:30<br />
Classes<br />
Classes<br />
Classes &<br />
Ldrs Mtg<br />
9:30<br />
Classes<br />
program ar‐<br />
eas available<br />
by appoint‐<br />
ment only<br />
Classes<br />
Classes &<br />
Ldrs Mtg<br />
9:30<br />
Classes<br />
Classes<br />
Classes &<br />
Ldrs Mtg<br />
9:30<br />
Classes<br />
Closed<br />
Food pick‐ Food pick‐<br />
11:30am<br />
up up Food pick‐up Food pick‐up<br />
12:00pm<br />
12:30pm<br />
1:00pm<br />
Lunch Lunch Lunch Lunch Lunch<br />
1:30pm<br />
2:00pm<br />
Troop Arri‐<br />
val Check‐in<br />
Classes Classes<br />
program ar‐<br />
eas available<br />
Classes Classes<br />
2:30pm Campsite<br />
by appoint‐<br />
3:00pm<br />
3:30pm<br />
4:00pm<br />
Set‐up<br />
Open <strong>Area</strong>s Open <strong>Area</strong>s<br />
SM & Shoot‐ Food pick‐ Food pick‐<br />
ment only<br />
Open <strong>Area</strong>s<br />
Camp wide<br />
games<br />
4:30pm ing Sports up up Food pick‐up<br />
5:00pm<br />
5:30pm<br />
6:00pm<br />
6:30pm<br />
7:00pm<br />
7:30pm<br />
8:00pm<br />
8:30pm<br />
9:00pm<br />
9:30pm<br />
orientation<br />
Camp site<br />
Dinner / SPL Dinner / SPL<br />
Dinner / SPL<br />
clean‐up<br />
Mtg 6pm Mtg 6pm<br />
Mtg 6pm<br />
Camp‐wide<br />
Unit Tours.<br />
Camp‐wide<br />
PM Flags PM Flags PM Flags<br />
cookout<br />
No porgram<br />
cookout<br />
PM Flags<br />
Patch Trad‐<br />
Commissoner PM Flags<br />
Chapel & ing Games<br />
opening<br />
Campfires &<br />
Honor Trail Movies Out‐<br />
campfire<br />
Outpost hike<br />
Closing<br />
post Hike<br />
Campfire<br />
In campsites<br />
In campsites In campsites In campsites In campsites<br />
10:00pm All Quiet All Quiet All Quiet All Quiet All Quiet All Quiet<br />
10:30pm Lights out Lights out Lights out Lights out Lights out Lights out
18<br />
What about Wednesdays?<br />
One of the most unique features of Medicine Mountain Scout Ranch is our Wednesday day‐off. The concept<br />
is simple, we here in the <strong>Black</strong> <strong>Hills</strong> <strong>Area</strong> <strong>Council</strong> know how blessed we are to live where we do. We know<br />
that many of the units that come to our camp come for the opportunity to visit the <strong>Black</strong> <strong>Hills</strong> and Badlands<br />
area. Wednesday is your day! Use it to tour and see any number of local natural sites, monuments, national<br />
and state parks and forests. Here’s a list of just a few things to do and see in the area…<br />
1. Crazy Horse Memorial, Custer, SD<br />
2. Custer State Park, Custer, SD<br />
3. Jewel Cave, Custer, SD<br />
4. Mount Rushmore National Monument, Keystone, SD<br />
5. Rushmore Cave, Keystone, SD<br />
6. Evan’s plunge, Hot Springs, SD<br />
7. Mammoth Site, Hot Springs, SD<br />
8. Wind Cave, Buffalo Gap, SD<br />
9. Big Thunder Cave, Rapid City, SD<br />
10. Reptile Gardens, Rapid City, SD<br />
11. Bear Country, Rapid City, SD<br />
12. Deadwood, SD<br />
13. Rapid City, SD<br />
14. Badlands National Park, SD<br />
15. Wounded Knee, Pine Ridge, SD<br />
16. Devil’s Tower national Monument<br />
17. Geographical Center of the United States, Castle Rock<br />
18. Harney Peak<br />
...And so much more! You could even coordinate with Mount Rushmore to perform the flag ceremony at<br />
one of the nightly Lighting Services. [Contact Mount Rushmore directly for full details. (605) 574‐3137]<br />
Plan accordingly and your trip to Medicine Mountain will be more than just another year<br />
at camp, it could be a once in a lifetime experience for all who attend!
19<br />
MERIT BADGE PROGRAM<br />
How does a Scout go about earning merit badges in our unique program?<br />
1. Go to http://mmsr.badgetracker.com/. After the deposits ($250 for the unit, and $100 per scout)<br />
have been made for your unit, you will be issued a user ID and a password for the Medi‐<br />
cine Mountain Scout Ranch BadgeTracker website. Follow the instructions on the website<br />
to enter your unit roster and sign up for your merit badge classes. (*Note: there is a Unit<br />
Guide that will walk you thru your set up step‐by‐step.) Some classes are of a limited size,<br />
so the sooner you register, the sooner you can sign up for classes.<br />
2. Once at camp, go to the program area where the badge is taught, at the scheduled time.<br />
Take along any supplies or program tickets you may need. (Purchase any supplies or pro‐<br />
gram tickets you will need to complete the badge at the Trading Post.)<br />
3. Check in with the counselor for the merit badge you wish to earn.<br />
Your counselor will teach you the merit badge subject, marking off the requirements as you<br />
go. Afternoon “open program” times are taught in an open program format. Check the Merit<br />
Badge schedule and this guidebook for detailed information. There will also be ample oppor‐<br />
tunity to ask questions during orientation when you arrive at camp.<br />
Merit badge, and HAWK (trail to first class), instruction may involve reading, so while we do<br />
keep copies of the merit badge pamphlets at each area, you should bring a current merit<br />
badge pamphlet and your handbook with you to camp, or you can purchase a copy at the<br />
Trading Post.<br />
The counselor will keep track of progress so that unit leaders<br />
will have feedback throughout the week.<br />
Still have questions? Contact the Camp Director!!
20<br />
MERIT BADGE LIST<br />
Medicine Mountain proudly offers instruction for a long list of merit badges in our traditional Merit Badge<br />
program. This year's list again includes many of the Eagle required merit badges. The following list has<br />
the locations in camp where the classes are held, the badges' degree of difficulty, requirements that will<br />
need to be completed prior to or after coming to camp, some helpful notes for preparing for camp, and<br />
any additional estimated cost.<br />
Merit Badge Program <strong>Area</strong> Difficulty Requirements<br />
that cannot be<br />
completed<br />
Notes Approx.<br />
Cost<br />
Archaeology Ecology & Conservation 3<br />
Archery Archery Range 3 $15<br />
Art Handicraft 1<br />
Astronomy Ecology & Conservation 3 5a, 5b, 9 bring binoculars, limited<br />
supply<br />
Backpacking Outdoor Skills 3 10, 11<br />
Basketry Handicrafts 1 $25<br />
Camping Outdoor Skills 2 3,4b,5e,7b,8d,<br />
9a, 9c,10<br />
Canoeing Aquatics 2 BSA Swimmer req’d<br />
Cooking Outdoor Skills 2 4, 6, 7<br />
Environmental Sci. Ecology & Conservation 3 do 1, 3e, 6 pre-camp<br />
Fingerprinting Handicrafts 1<br />
First Aid Outdoor Skills 2 2B– bring to camp<br />
Fishing Ecology & Conservation 3 Bring Gear<br />
Forestry Ecology & Conservation 3 7 recomened 7th grade concepts<br />
Geocaching Outdoor Skills 2 bring gps if you have it<br />
Geology Ecology & Conservation 3<br />
Hiking Campcraft 3 5, 6, 7<br />
Leatherworking Handicrafts 1 $20<br />
Lifesaving Aquatics 3 BSA Swimmer req’d<br />
Mammal Study Ecology & Conservation 2 7th grade concepts<br />
Music Handicrafts 2 music exp. helps<br />
Nature Ecology & Conservation 3<br />
Orienteering Outdoor Skills 1<br />
Pioneering Outdoor Skills 2<br />
Rifle Shooting Rifle Range 3 $25 min<br />
Rowing Aquatics 2 BSA Swimmer req'd<br />
Shotgun Shooting Shotgun Range 3 min 13 years or older $25 min<br />
Small Boat Sailing Aquatics 2 BSA Swimmer req’d<br />
Swimming Aquatics 2 BSA Swimmer req'd<br />
Weather Ecology & Conservation 3<br />
Wilderness Survival Outdoor Skills 2 Bring your survival kit<br />
Woodcarving Handicrafts 2 $15 min<br />
*While we hope not to have to, we will let you know if this information changes.
21<br />
<strong>2012</strong> Medicine Mountain Scout Ranch Merit Badge Schedule<br />
Morning Program Time Afternoon Program Time<br />
Aquatics 830 to 930 930 to 1030 1030 to 1130 Lunch 1 to 2 2 to 3 3 to 4<br />
Canoeing<br />
BSA Lifeguard all sessions all days all sessions all days<br />
Life Saving<br />
Rowing<br />
Small Boat Sailing<br />
Swimming<br />
Handicrafts 830 to 930 930 to 1030 1030 to 1130 Lunch 1 to 2 2 to 3 3 to 4<br />
Art<br />
Basketry<br />
Leather Working<br />
Music<br />
Woodcarving<br />
Outdoor Skills 830 to 930 930 to 1030 1030 to 1130 Lunch 1 to 2 2 to 3 3 to 4<br />
Backpacking<br />
Camping<br />
Cooking<br />
First Aid<br />
Geocaching<br />
Hiking<br />
Indian Lore<br />
Orienteering<br />
Pioneering<br />
Wilderness Survival<br />
Ecology Conservation 830 to 930 930 to 1030 1030 to 1130 Lunch 1 to 2 2 to 3 3 to 4<br />
Archaeology<br />
Astronomy<br />
Environmental Science<br />
Fishing<br />
Geology<br />
Mammal Study<br />
Nature<br />
Weather<br />
Shooting Sports 830 to 930 930 to 1030 1030 to 1130 Lunch 1 to 2 2 to 3 3 to 4<br />
Archery<br />
Rifle<br />
Shotgun<br />
KEY: Class Session Not Available<br />
*This is our proposed Merit Badge Schedule. It is subject to change. Registered units will be<br />
notified of any changes.
22<br />
HAWK PROGRAM<br />
(TRAIL TO FIRST CLASS)<br />
One of the greatest goals for any Boy Scout camp is to provide opportunities for Scouts to<br />
earn the skills that Scouting was founded on.<br />
In our HAWK Program, Scouts will have the chance to work on basic Scout skills and re‐<br />
quirements for the first three ranks of Scouting. Scouts can choose either the A.M. session<br />
or the P.M. session, and will attend each day at that time. We suggest they look over the<br />
merit badge list and schedules to decide which session will allow them the most opportuni‐<br />
ties. HAWK participants will have opportunities to earn merit badges during the opposite<br />
session.<br />
HAWK meets in the Outdoor Skills <strong>Area</strong>. A top notch staff and plentiful training equip‐<br />
ment will excite your Scouts.<br />
Please note that because of National BSA policy, our staff can not sign off requirements in<br />
handbooks. Rather, Scouts will learn the skill under the supervision of our staff and then<br />
can demonstrate the skill to an approved person from their troop who can sign them off.<br />
Your troop will also be provided with a tracking sheet for your records at the end of the<br />
week. Our HAWK Program area is ready to facilitate the advancement needs of your troop.<br />
Experience Tells Us….Tips for Success<br />
● Having leaders come to the area with the scouts is helpful for the scout who is<br />
seeking to have requirements signed off in their book right‐away.<br />
● Bring your Boy Scout Handbook ...it makes a great reference!<br />
● Be sure to be in the Outdoor Skills area on time and ready to work.
23<br />
HAWK SCHEDULE<br />
Date Rank and Requirements worked on<br />
Sunday Second Class: 8A, 8B.<br />
First Class: 9B<br />
Monday Pioneering, Knots & Lashes<br />
Tenderfoot: 4A, 4B.<br />
First Class: 7A, 7B, 8A<br />
Safe Scouting & Camping<br />
Tenderfoot: 5, 9<br />
Tuesday Orienteering<br />
Second Class: 1A.<br />
First Class: 2<br />
Wednesday Activities by appointment only.<br />
Optional service project<br />
Second Class: 5<br />
Thursday First Aid<br />
Optional Flag make‐up<br />
Tenderfoot: 6. Second Class: 4.<br />
Optional Fireman Chit/Totin' Chip make‐up<br />
Second Class: 3C thru 3E<br />
Tenderfoot: 11, 12A, 12B.<br />
Second Class: 7A, 7B, 7C.<br />
First Class: 8B, 8C, 8D.<br />
Friday Additional Aquatics Req's / Service Projects<br />
Second Class: 5, 8C.<br />
First Class: 9A, 9C<br />
*This is a proposed HAWK Schedule. It is subject to change.
24<br />
High Adventure Programs<br />
PRE‐REGISTRATION IS MANDATORY DUE TO LIMITED SPACE.<br />
Your most experienced scouts can set their own adventure by choosing from the following High Adventure activity<br />
options: Climbing, C.O.P.E., Caving, <strong>Black</strong> <strong>Hills</strong> Trek (backpacking) and Mountain Biking. Your scout will choose 2 of the<br />
previous options (one is their first choice and the other is an alternative). All of these programs are 4 days long (both<br />
morning and afternoon). *Please note that High Adventure participants will not have the opportunity to take part in<br />
the Merit Badge program. The High Adventure Selection form must be turned into the <strong>Black</strong> <strong>Hills</strong> <strong>Area</strong> <strong>Council</strong> office by<br />
March 1st in order to confirm their registration. After March 1st, High Adventure participants will have to take what‐<br />
ever spaces are left. *We will always do everything we can to not split troops.<br />
ALL PARTICIPANTS:<br />
Must be 14 years of age upon arrival at camp<br />
Must fill out a High Adventure Activity Selection form and a Parental Informed Consent Agreement<br />
Meet at the Training Center each morning (unless designated otherwise by the activity/area director)<br />
Maximum 10 participants in each group (unless stated otherwise below)<br />
CLIMBING: Our climbing program will offer climbers of varying ability ranges the opportunity to expand their skills. Our<br />
Staff will work thru basics of climbing and repelling on‐site on our climbing tower. Then after your scouts have shown<br />
their competency on the tower, the group will head out to natural rock faces here in the <strong>Black</strong> <strong>Hills</strong>. Climbs will be<br />
based on the abilities of the group and will be tailored to fit the needs and talents of each group individually. Com‐<br />
pleted Climbing merit badge is suggested but not required; some experience is requested.<br />
CAVING: Medicine Mountain’s caving program is a rare and exciting opportunity to spend time underground within a<br />
scouting program. All participants must successfully complete the MMSR Caving Orientation; and meet the physical<br />
size requirements (fit thru an 8”X 20” opening) prior to entering any cave. Orientation and instruction covers topics<br />
such as: safety, ethics, environmental concerns, “White Nose Syndrome”, cave conservation, geology and hydrology.<br />
Scouts will also have an opportunity thru the National Parks Service to complete a service project. Access to caves is<br />
provided under a special use permit from the U.S. Forrest Service. Each session is limited to 12 participants.<br />
C.O.P.E. (Challenging Outdoor Personal Experience): COPE is an exciting team and confidence building experience<br />
that combines initiative games, physical elements, and problem solving. Every participant must set a personal goal in<br />
an area they want to improve (overcoming a fear of heights is popular). The eight goals of COPE are: communication,<br />
planning, teamwork, trust, leadership, decision making, problem solving, and self‐esteem. Sessions are limited.<br />
MOUNTAIN BIKING: Our Mountain Biking program is designed to show some of the prime biking trails in the <strong>Black</strong><br />
<strong>Hills</strong>. Our Program includes instruction on bike repair, planning, and safety… and a lot of trail riding! Some sessions are<br />
limited.<br />
BLACK HILLS TREK: One of our most popular programs, our <strong>Black</strong> <strong>Hills</strong> Trek starts near the Pactola Reservoir and fol‐<br />
lows the Centennial Trail south towards Silver City. From there we pick up the Flume Trail heading east to Boulder Hill.<br />
From there, the group is shuttled to Mount Rushmore via the scenic Needles Highway. Finally we follow the Mickelson<br />
Trail. Access to trails and campsites is provided under a special use permit from the U.S. Forrest Service. Participants in<br />
this program will be off‐site and will have no opportunity to participate in the Merit Badge program. The <strong>Black</strong> <strong>Hills</strong><br />
Trek is limited to 10 people. *Route subject to change due to weather or participant ability. Each group must include<br />
one adult. Come prepared with your backpacking gear; food will be provided by your guide, but you will be asked to<br />
help carry it and any shared gear the group will require.
25<br />
FUN THINGS TO DO AT <strong>CAMP</strong><br />
Mile Swim<br />
Participants gradually work their way up to a mile over multiple days of training. Scouts are<br />
required to attend the training before attempting to make the mile swim. Scouts will also be<br />
timed. Scouts are taught the importance of physical fitness and training. A pocket certificate is<br />
given at the closing campfire to all those who complete the final “mile swim.” Just think of the<br />
bragging rights that go with having swum an entire mile! Scoutmasters are more than wel‐<br />
come to participate in this activity as well. So, on Monday, be sure to stop by the aquatics area<br />
for more details.<br />
Polar Plunge<br />
Polar plunge is a fun activity for those who enjoy plunging into Lake Alexander before break‐<br />
fast. This is a short swim that takes place at least once a week. Participants will be awarded a<br />
patch for their bravery.<br />
If 70% of the total number of in‐camp campers, adults included, participates in this event the<br />
program staff will jump in the water wearing their full uniforms (90% = camp management,<br />
too).<br />
Outpost Hikes<br />
A couple nights a week, the MMSR Staff invites you to hike on one of the outpost hikes to any<br />
one of the surrounding vistas. These hikes range from simple to intense and physically de‐<br />
manding. Wilderness Survival merit badge participants will need to be sure to hike the trail<br />
that will fulfill the merit badge’s overnight requirements.<br />
Chapel & Honor Trail<br />
On Monday night the camp staff will host two events ensuring that the 12th point of the Scout<br />
Law, Reverent, is able to be fulfilled. While this important part of scouting is often overlooked<br />
each us knows that a youth can not become the best possible citizen without time to recog‐<br />
nize a higher authority. The chapel service is a non‐denominational, all‐faiths, service designed<br />
to offer opportunities for reflection and time for inner‐self‐examination. The Honor Trail will<br />
teach scouts about the rich heritage of the <strong>Black</strong> <strong>Hills</strong> and offers tales of honor and great les‐<br />
sons on being a world‐wide citizen and a contributing member of our culture.
26<br />
Unit Awards & Activities<br />
White Buffalo Award (Honor Unit)<br />
Medicine Mountain gets its totem from the Lakota legend of the White Buffalo. In honor of<br />
the spirit of this legend, units who make a point of participating fully in our programs and<br />
activities will receive special recognition at our closing campfire. Ask you commissioner for a<br />
complete list of requirements when you get to camp. The prize for earning this award is a<br />
commemorative ribbon to grace your troop’s flag.<br />
Scoutmaster on Staff (S.O.S.)<br />
At Medicine Mountain, we love when leaders participate in our Scoutmaster on Staff program<br />
to augment our hired staff in their various program areas and assignments. If you have either<br />
vocational experience, or simply have a strong interest and knowledge in any of our program<br />
areas, we invite you to come help out for at least 30 minutes during the week. A great way to<br />
find out where you would be especially appreciated, is by checking where the scouts in your<br />
unit are spending extra time. We don’t want to limit you to one area so the S.O.S. program<br />
also asks you to visit a total of 10 of our 14 program areas during the week. In order for your<br />
unit to receive the White Buffalo Award, at least one leader in your unit must complete the<br />
program. All leaders who complete the program will be recognized at the camp‐wide closing<br />
campfire on Friday night.<br />
Troop Participation Award<br />
Presented to each unit that attends summer camp at Medicine Mountain Scout Ranch.<br />
The “Rumble in the Mountains”<br />
This activity incorporates relays, races and activities that foster healthy competition and<br />
teamwork, all while testing scout skills and physical abilities. The Rumble is fun for the whole<br />
troop and designed to encourage the patrol method. Scouts will run from event to event<br />
trying to master every challenge. We believe that the spirit of a scout outweighs their points,<br />
but accomplishment and experience will not go un‐rewarded. Good Luck!
Medicine Mountain Scout Ranch FACT SHEET FOR TROOP # _________________<br />
We are going to MMSR. We will meet at (location) ____________________________<br />
We will leave at______________ (time), please be early.<br />
It is approximately a _____hour ride to camp. Meals are/aren’t provided.<br />
Make sure you also have everything packed that you are supposed to have. Double check for<br />
any medicine (give it to your Scoutmaster or Troop Health Officer). Triple check to make sure<br />
you have your medical form (signed by your doctor and parents/guardians).<br />
The “early bird” cost for the Merit Badge and Hawk programs at camp is $256, and this in‐<br />
cludes almost everything. You will want some extra money for Trading Post items, souvenirs,<br />
and to pay for some extra merit badge costs such as handicrafts’ basketry, and the shooting<br />
sports merit badges.<br />
Mail is delivered into camp once a day and a letter or postcard can take anywhere from two to<br />
five days to get to camp. A letter from home can be one of the greatest cures for homesick‐<br />
ness and helps the Scout get down to work. The Camp address is:<br />
Scout’s Name, Troop #<br />
Medicine Mountain Scout Ranch<br />
24201 Bobcat Road<br />
Custer, SD 57730<br />
There is only one phone line into camp. Please call only in case of emergencies. Campers will<br />
not be available to come to the phone, but a message may be delivered. The phone number<br />
is: (605) 673‐2790<br />
There is plenty to do while at camp, so come prepared. Do written work early, read the merit<br />
badge books at home, start now on projects. If you have any questions please call<br />
Darren Boutá (Camp Director) at 605‐381‐2522 or email him at...<br />
darren.bouta@scouting.org<br />
27<br />
MMSR PARENT FACT SHEET
28<br />
WHAT ARE SCOUTMASTERS SAYING ABOUT<br />
MEDICINE MOUNTAIN SCOUT RANCH?<br />
“Excellent program that met a wide variety of needs for the Scouts.”<br />
“The program offers a great mix for both my young and older Scouts.”<br />
“Our troop guide was awesome!”<br />
“Great experience, great staff, we look forward to coming back!”<br />
“Staff was very helpful and friendly.”<br />
“The staff is beyond expectations. The best staff I’ve seen at 8 different<br />
summer camps.”<br />
“The food was really outstanding!!”<br />
“...the absolute BEST staff I’ve seen in my 22 years in scouting!”<br />
“The <strong>Black</strong> <strong>Hills</strong> Trek was well organized, well guided, and a lot of fun<br />
for my boys… and me too!”
<strong>2012</strong> MMSR <strong>CAMP</strong> RESERVATION<br />
Troop #:<br />
Name of <strong>Council</strong>: Week: 1 - 6/10-16<br />
Street Address: 2 - 6/17-23<br />
City, St and Zip: 3 - 6/24-30<br />
4 - 7/8-14<br />
5 - 7/15-21<br />
6 - 7/22-28<br />
7 - 7/29-8/4<br />
Date reservation<br />
made:<br />
**Campsite request: (top three)<br />
Name of Unit Registrar:<br />
Adams<br />
Street address: Arapahoe<br />
City, St and Zip: Arikera<br />
Phone: Cheyenne<br />
Phone: Crow<br />
Email: Custer<br />
Gordon<br />
Lakota<br />
Lilliwaup<br />
Number of attendees Mandan<br />
Adults: Ogalala<br />
HAWK (First Class): Reno<br />
Merit Badge: Sioux<br />
***High Adventure: Sissiton<br />
***Trek: Strauss<br />
***Adult Trek: Teton<br />
**We will do our best to accommodate your request, however we reserve the right to make<br />
changes at any time<br />
*** Reminder: High Adventure and TREK fees are non-refundable<br />
Troop deposit of $250.00 (which is non-refundable) confirms reservation.<br />
Only confirmed reservations will guarantee a spot!<br />
Card #:<br />
Expiration:<br />
Code:<br />
Street Address :<br />
Zip Code:<br />
Check #:<br />
Credit card: Visa<br />
Mastercard<br />
Discover<br />
American Express
Date:<br />
Special Dietary<br />
Request Form<br />
Unit Number: <strong>Council</strong>:<br />
Campsite:<br />
To cut down on problems we are asking all troops that have boys or adult leaders who require special<br />
diets (whether for medical problems or religious reasons) to fill out this request form and turn it in to<br />
the <strong>Council</strong> on or by March 31st (or with their final payments).<br />
Name of Camper with special dietary need:<br />
Camper’s Parent/Guardian:<br />
Parent/Guardian Phone Number:<br />
Medical Condition/Reason for special diet request:<br />
SPECIAL REQUEST (Example: Low-sodium diet, no pork, etc.)<br />
This is vital to cut down on confusion and serving problems. Without this information, delays may<br />
occur. We will be happy to do whatever is necessary to fulfill the special needs of the individuals.<br />
However, please use this option only if medically necessary or required by religion. Thank You.<br />
-Commissary Staff
Meal Request Form<br />
Date of reservations: Dining with Unit #:<br />
Name:<br />
Address:<br />
Telephone (home) (business)<br />
Email:<br />
Please circle one: MMSR Guest Family Camp Guest<br />
Number of Breakfast Meal Tickets x $6.00: $<br />
For Date(s)<br />
Number of Lunch Meal Tickets x $6.00: $<br />
For Date(s)<br />
Number of Dinner Meal Tickets x $8.00: $<br />
For Date(s)<br />
Method of Payment<br />
Grand Total $<br />
Please circle one: Check VISA AMEX MC Discover<br />
Account Number:<br />
Expiration Date: Security Code:<br />
(3 digits located on the back of your cc)<br />
Please return this form with payment to: Medicine Mountain Scout Ranch<br />
c/o <strong>Black</strong> <strong>Hills</strong> <strong>Area</strong> <strong>Council</strong>, BSA<br />
144 North Street, Rapid City, SD 57701<br />
Phone (605) 342-2824 Fax (605) 342-2826
Participant’s <strong>Council</strong> Name Unit Number<br />
Parental Informed Consent Agreement for<br />
High Adventure Activities<br />
I understand that participation in the climbing/rappelling activity offered through the <strong>Black</strong> <strong>Hills</strong> <strong>Area</strong><br />
<strong>Council</strong>, BSA during summer camp, involves a certain degree of risk that could result in injury or<br />
death. In consideration of the benefits to be derived and after carefully considering the risk involved,<br />
and in view of the fact that the Boy Scouts of America is an organization in which membership is<br />
voluntary, and having full confidence that precautions will be taken to ensure the safety and well-<br />
being of my (son/daughter), I have given<br />
(Participant’s Name)<br />
my consent to participate in (Activity Description)<br />
on .<br />
(Dates of Camping Week)<br />
You are about to take part in a climbing experience. While climbing/rappelling, you will undertake a wide variety of<br />
physical and mental challenges in an environment designed with safety in mind. For most of the time, you will be undertaking<br />
activity that is best described as “moderate exertion”. This is comparable to normal walking, golfing on<br />
foot, downhill skiing, raking leaves, waiting tables, fishing, calisthenics, hanging wallpaper, interior painting, or slow<br />
dancing. There will be some situations where, for a few minutes, you will be engaged in “vigorous exertion”. This is<br />
comparable to slow jogging, speed-walking, tennis, swimming, cross-country skiing, shoveling snow, fast biking, mowing<br />
with a push mower, pruning trees, heavy gardening, overhead work, ice hockey drills, softball, laying bricks, hurried<br />
restaurant work, or climbing a ladder. If these types of activities are difficult for you, we would have you discuss your<br />
participation in the activity with a physician who knows your health history. If these are activities in which you regularly<br />
engage without difficulty, you should be fit for participation.<br />
Lastly, there are a few specific medical conditions about which participants should always seek advice from their physicians<br />
before engaging in climbing/rappelling. If any of these apply to you, you must consult with a physician before<br />
participating. If you or your physician has any questions about these conditions or about climbing/rappelling activities,<br />
feel free to contact us at (605) 342-2824:<br />
Pregnancy (climbing harness can injure the uterus)<br />
Kidney or Liver Transplant (climbing harness can injure the transplanted organ)<br />
Healing Fracture or Joint Injury (you should be cleared by the treating physician)<br />
Recent Surgery (you should be cleared by the treating physician)<br />
Down Syndrome (participant should have an X-ray check for neck stability as per the recommendation of the Special Olympics)<br />
I certify that this participant can meet the health and physical fitness requirement for the trip or activity. It is understood<br />
that in the event of a serious illness or injury, reasonable efforts to reach me will be made.<br />
Parent or Guardian Signature Parent or Guardian Signature<br />
Telephone Number Telephone Number<br />
Date Date
Scout Release Request Form<br />
Scouts desiring to leave the camp prior to their unit’s departure, or not as part of a unit, must have a release<br />
signed by their parent or guardian and approved by the Scoutmaster. Scouts should normally<br />
only be permitted to leave accompanied by their parents. The form below should be used in handling<br />
theses exceptional cases.<br />
In an emergency, it may not be possible for a parent or guardian to sign the release. In this event, sufficient<br />
information must be recorded attesting to the telephone call or means or communication by which<br />
work arrived asking for the release of the Scout. This information should document the person from<br />
whom the call was received, verify telephone confirmation of the parent asking for release of the Scout,<br />
and give detailed reasons for the release.<br />
Request is made that Scout:<br />
Scout’s Home Address:<br />
<strong>Council</strong>: Unit Number:<br />
Is permitted to leave camp for the following reasons:<br />
Scout to leave, Date: Time: Method of Travel:<br />
Accompanied By:<br />
In signing this request for releases, BSA and parents or guardians mutually acknowledge that there will<br />
be no refund of camp fee; that the <strong>Council</strong> health and accident insurance terminates with the Scout’s<br />
departure from the Scout Camp; the BSA or its representatives shall not be liable for any loss or injury to<br />
Scout’s person or property.<br />
Request made by: (Parent’s or guardian’s signature required except as noted for emergency departure<br />
requests).<br />
Parent or guardian signature:<br />
Address:<br />
Telephone: Request Made:<br />
(Home) (Business) (Date)<br />
Approval Scoutmaster’s signature:<br />
ON-SITE RELEASE<br />
Before leaving the <strong>Black</strong> <strong>Hills</strong> <strong>Area</strong> <strong>Council</strong> Camp, the Scoutmaster must receive approval from the<br />
Camp Director.<br />
SM Initials: Troop/unit #: Date:
Unit Members Medical Insurance<br />
Information Form<br />
All Units attending summer camp MUST PROVIDE PROOF of Unit Accident Insurance.<br />
(Proof would be a copy of your policy or a letter of insurance from your council.)<br />
CIRCLE ONE: Insurance is for Unit - or - Insurance is provided by <strong>Council</strong><br />
Unit Number: <strong>Council</strong> Name:<br />
Policy Holder’s Name:<br />
Policy Holder’s Address:<br />
City: State: Zip:<br />
Policy Number:<br />
Company Name:<br />
Company Address:<br />
City: State: Zip:<br />
Additional Information:<br />
This form can be turned in when you check-in at camp.<br />
All leaders and all youth must have a current BSA Medical/Health form filled out and ready<br />
to turn-in at camp check-in. They will be returned at check-out.<br />
I state that the above information is correct.<br />
Signed by a Unit Leader Date