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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

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