Troop Committee Outdoor Program Checklist

Date of Program___________________Location____________________

Leaders____________________________________________________

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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