Troop Committee Outdoor Program Checklist

Date of Program: August 13-17, 2006 Location: Mackinac Island

Leaders: Gary Cunningham and Roxe Ann Welch

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

I. Transportation:

Kind, Year, and Make ofVehicle	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:____________________________SiteCost__________________

• 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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