Troop Committee Outdoor Program Checklist

Date of Program: September 19-21, 2003 Location: Camp Rotary

Leaders: Jim Kleiver and John D. McCarthy

Return this form to the Outings Specialist at least one month prior to the event so that permits may be secured and program planned.

I. Transportation:

Kind, Year, and Make of Vehicle	Number of Seatbelts	Owner's Name	Driver's license number	Public Liability
				Person	Accident	Property

( ) How will equipment be hauled?______________________________________

( ) maps to and from (attach)

( ) drive time_______________________________________________________

( ) Assembly place________________________ time______________________

Site arrival time________________Site departure time______________________

( ) Post-event pickup @_________________________time__________________

II. Site Information Contact Name:______________________________________

Phone #__________________________________________________________

Nearest Town:____________________________Site Cost__________________

Are open fires permitted?________________________________________

Is wood available?________________Cost_________________________

Are any licenses required (e.g. fishing, boating)?______________________

Is any special gear needed (e.g. chairs, toilet paper,etc.)?______________ ___________________________________________________________

Are there other requirements of the site (e.g. reservations, deposits, restrictions, etc.)?________________________________________________________ __________________________________________________________

Location and worship times of local church ___________________________________

III. Sanitation

Drinking water (available/not available)____________________________

Non-potable water for washing (available/not available)________________

Toilet facilities (describe)_______________________________________

Garbage disposal (describe)____________________________________

IV. Safety:

Nearest Medical Facility________________________________________

Emergency number for group leaders_____________________________

Police number______________________________________________

Comments:________________________________________________________

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