RA Camporee-2020-LeaderPacket

Reyes Adobe District

Camporee 2020

Valley Trails Ranch, Castaic, CA

April 24-26

Boy Scouts of America
Western Los Angeles County Council

16525 Sherman Way, Unit C-8
Van Nuys, CA 91406

February 18, 2020 8:02 PM

TABLE OF CONTENTS 1
RULES UPDATES 1
WHAT IS CAMPOREE? 1
NEW FOR THIS YEAR 2
CAMPOREE STAFF 3
A FEW NOTES ABOUT CAMPOREE 4
MAP TO CAMPOREE 5
GENERAL RULES AND NOTICES 6
CAMPOREE T-SHIRTS 2020 7
ORDER OF THE ARROW SHARK SNACK SHACK 7
CAPTAIN BBQ LUNCH 7
HABIT BURGER MEAL 8
ORDER OF THE ARROW CALL-OUT 8
CAMPOREE SKIT ALERT! 9
SCHEDULE OF EVENTS 10
EVENT PARTICIPATION 10
RUN AN EVENT AT CAMPOREE 11
CAMPOREE 2020 EVENTS 13
SCOUT SPIRIT 13
PATROL CLASSIFICATION SYSTEM 14
PATROL CLASSIFICATION FORM 15
JUDGING CRITERIA 15
UNIFORM INSPECTION 15
PATROL FLAG JUDGING 16
CAMPSITE JUDGING 16
UNIT GATEWAY COMPETITION 17
DUTCH OVEN DESSERT COOK-OFF RULES 18
NEW HABIT MEAL PROCEDURE PLAN FOR 2020 18
HABIT MEAL PRICES 19
REGISTRATION INFORMATION 20
CHECK-IN PROCEDURES 20
CHECK-OUT PROCEDURES 21
SCOUTING HEALTH AND MEDICAL RECORD 24
SHOOTING SPORTS PERMISSION/CONSENT FORM 24
MOBILE ROCK CLIMBING WALL CONSENT FORM 25
VT RANCH FORMS

Reyes Adobe District 2020 Camporee

WHAT IS CAMPOREE?

A Camporee is many things; camping fun for Scouts, the stomping of hundreds of feet on the way to
the evening campfire, and the smell of burning stew. It’s the ripple of wind-blown flags in the morning sun. It’s
catching the idea of teamwork in the Patrol method. It’s working together for a common goal and learning how
rewarding that can be. It is an opportunity for Webelos and Arrow of Light Patrols to learn about Scouting and for
Scouts to help and teach their younger counterparts. Hopefully, friendships will grow out of this adventure, and
the Webelos and Arrow of Light Scouts will feel more comfortable in their transition to Scouts BSA.

Camporee is an opportunity for Scouts to get together and compete against one another in friendly
competition. The program consists of camping and Scouting skills, games and a campfire.

Each unit camps on an individual basis and your unit will operate independently from the other units. Your
unit will need to bring your own stoves, food, tents, etc. If you need any equipment or help, all you need to do is
ask. This is Scouting after all!

Most of all, Camporee is fun for the Scouts.

BE PREPARED! SOME DAY YOU MAY SAVE THE WORLD!
For this year, Reyes Adobe District is preparing a Heroic Camporee! We’ve planned a program full of all the High
Adventure, Daring Deeds and Scouting Skills you’ve come to expect from our Camporee and hopefully a few
new challenging surprises!

The original scouting hero, and our own Professor X himself, Lord Baden-Powell, once said “A Scout is never
taken by surprise; he knows exactly what to do when anything unexpected happens.” In that spirit, we hope that
you will Be Prepared by practicing your Scout skills in anticipation of this year’s SUPERHERO Camporee! 
We’ll be watching for you to get into the spirit of the theme with your Patrol names, Gateway designs and Campfire
Skits! We’re asking all the Event sponsors to theme the competition with props and costumes according to their
hero and specific event! We’re looking forward to seeing your creativity on display! And remember, according to
Batman “A hero can be anyone”.

NEW FOR THIS YEAR

• Afternoon Events to Challenge you! • Captain BBQ for Saturday Lunch!

• Human Foosball course! • And again: A Camporee T-shirt for Every

• Dutch-Oven Cook Off! Participant!

RULES UPDATES

Judging and Awards on Events and Spirit will be by Den/Patrol/Crew only.
The only overall Unit awards will solely be for Campsite and Entrance Gateway.

Crews will participate as OMEGA units.

@ReyesAdobeDistrictCamporee
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Reyes Adobe District 2020 Camporee

CAMPOREE STAFF

Camporee Chairpeople Steve Vincent
Gerald Jenne

Camporee Advisors Steve Shorr
Greg Veneklasen

WLACC Field Director Maricela Orendain
Events Competition Anett and Hrair Assilian
Campsite Layout Gerald Jenne
Signage Kent Johnson

Registration / Check-in Robin Johnson
Scoring Robert Foster

First Aid Station Diane Freeman
Inspections Bob Hazard

Traffic/Parking Henry Martendale and Joe Brabant
Photographer Steve Shorr

Interfaith Service Troop 127
Awards Kent and Robin Johnson

Sound System Bill Wright
Campfire Program and OA Call-Out Order of the Arrow

Camporee Patch Design Bailey Vincent (T22G) & Dylan Moen (T22)
Event Staff The Scouters of Reyes Adobe District (And
thank you for running the events!)

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Reyes Adobe District 2020 Camporee

A FEW NOTES ABOUT CAMPOREE

We are fortunate to again have Valley Trails Ranch for our Camporee site. The camping site is open field camping—
so whatever you need, you must bring. This includes (but is not limited to) water, trash bags, lanterns, tables,
chairs, all cooking equipment, including stoves, personal gear, etc. This is a great way to learn to supply what your
unit needs and uses. This is also a great opportunity to practice “Leave No Trace.”

A few notes about camping at Valley Trails:

• CAR POOL, CAR POOL, and CAR POOL to cut down on unnecessary traffic. Like always, each

unit will camp in its own campsite, but cars will park in the designated parking lot.

• SPEED LIMIT! Valley Trails and their neighbors enforce a strict 10 MPH speed limit. Please be courteous

and keep your speed down coming and going on the road to camp.

• TROOP TRAILERS may be parked in your campsite, but the towing vehicles must be parked in the

lot. Keep in mind, camp size is determined by unit registration and additional space will not be allocated for
trailers in camp sites.

• PACK IT IN, PACK IT OUT. You will all be responsible for removing your own trash. We hope to

have dumpsters on site again, but regardless, you need to Leave no Trace. We are guests at Valley Trails Ranch
and we need to respect the grounds by keeping our site clean and tidy.

• KYBOS will be on site for Scout and Adult use. Permanent flush toilets will be available for Adults and

Staff.

• NO OUTSIDE DELIVERY VEHICLES will be accepted into the camp. Please plan for Friday night

dinner to either be pre-ordered Habit meals or otherwise carried in by Scouts/Troops/Packs.

• CAMPOREE BOUNDARIES: Our Camporee has specific physical boundaries. It is imperative that

these boundaries be observed. Scouts do not have the run of the Ranch. We are only permitted to use specific
portions of the Ranch.

• NATIVE ANIMALS: It is normal for rattlesnakes to be in this area so be careful. Do not pick up or bother

any of the wildlife in the area.

Roundtable is a good place to ask anything about Camporee. Reyes Adobe holds it Roundtable on the 2nd
Wednesday of every month at the Sherman Oaks Center for Enriched Studies (SOCES) at 18605 Erwin Street |
Tarzana, CA 91335, starting at 7:00pm in the Multi Purpose Room

Otherwise contact any staff member, especially this year’s chairpeople:
Steve Vincent - [email protected] - (818) 730-8895
Gerald Jenne - [email protected] - (818) 438-2250

Practice, Practice, Practice - The higher scoring Patrols are those that practiced their Scout skills prior to
Camporee. Come to a Roundtable before Camporee to learn more about the events.

Camporee is a Group Effort - We need your help to make this a great event for all the Scouts. We’re asking each
unit to run at least one competition event. See page 10 for details. If you have any questions please contact our
Event Chairpeople: Anett & Hrair Assilian - [email protected] - 818-419-9341

Photos - After uniform inspections on Saturday, April 25th, we will have photographers available to take a group
photo of your unit. Throughout the day they will also be taking photos of the Camporee events and possibly you!
Pictures will be posted to a photo sharing website and be available for downloads.

See you at Camporee!

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Reyes Adobe District 2020 Camporee

MAP TO CAMPOREE

Valley Trails Ranch

30910 S. Sloan Canyon Road, Castaic, California 91384

Directions From San Fernando Valley

• Take 405 Freeway North
• Merge on to I-5 Freeway North to Santa Clarita
(A.) Take Hasley Canyon exit off I-5 Freeway
(1.) Turn right on Old Road
(2.) Turn left on Hillcrest Parkway
(3-5.) Continue on Hill crest
(6.) Turn right on Sloan Canyon Road
• Entrance is on your right-hand side

While driving on Sloan Canyon, please observe the 10 mph Speed Limit.

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Reyes Adobe District 2020 Camporee

GENERAL RULES AND NOTICES
CHECK-IN: Check in will start on Friday afternoon at 5:00 pm. PLEASE do not arrive prior to this time.

CHECK-OUT: Check out will follow after the awards ceremony on Sunday morning. That is usually around
10:30am. For safety of the Scouts, please no cars in camp areas prior to this time.

TROOP LEADERSHIP: The Senior Patrol Leader is in charge of and responsible for the conduct of the Scouts
in the Troop at all times during Camporee. The Scoutmaster and his/her designated assistants will be on the site
at all times. Two adult leaders must camp in the Troop area at all times.

PACK LEADERSHIP: Webelos and Arrow of Light Patrols attending Camporee must follow the National
policy requiring a one responsible adult to four youth ratio. Packs, Troops or Crews that want to camp next to a
specific Unit must so specify at the time of registration in order to have space reserved adjacent to the Unit’s area.
Look on the Camporee registration form for this listing. Courtesy contact with that Unit should be made prior to
Camporee. Troops, Packs or Crews must turn in separate registration forms even if they are camping next to each
other.

SCOUT BEHAVIOR: Profanity is not in the Scouting tradition and will not be tolerated. The throwing of any
objects will not be tolerated. Kybos will be used by the youth and not for garbage dumping, horseplay or dish
washing.

YPT:  BSA and counsel guidelines require that ALL registered adult leaders be current with Youth Protection. It
is the unit leaders responsibility to make sure ALL attending adult unit leaders are Current with YPT and Trained
for their position. This Camporee committee also highly recommends that all attending adults take the time to get
YPT certified. Information on YPT can be found on the BSA website.
scouting.org/training/youth-protection/

UNIFORM: Your Class A or Field uniform should be worn at all assemblies. It is also suggested you wear your
Field Uniform driving too and from Camporee.

CAMP AREA: Boundaries will be outlined on the Camporee map. This is private property, so we need to stay
in the camping area. Anyone found outside the designated Camporee area will be sent home. No hikes or hill
climbing. NO EXCEPTIONS!!

CAMPSITE ASSIGNMENTS: Your campsite will be assigned to your unit at the check-in desk. These are
assigned based on the number of participants registered as of April 12, 2020.

CAMPSITE ACCESS DURING EVENTS: While the events are in progress, no one is allowed into your
campsite area except adults.

FUELS AND STOVES: All cooking will be done on stoves, no fire pits or rings. Use of propane is strongly
suggested. However, if your unit uses white gas, please follow the BSA policy regarding liquid fuels. NO
GROUND FIRES ALLOWED.

TRASH: Pack it in, Pack it out! Each unit is to carry out its own trash at the close of Camporee. Your participation
package will be issued upon the completion of the clean-up inspection. Remember, Scouts always leave an area
cleaner than the way they find it.

EQUIPMENT: BE PREPARED! Each attending unit is responsible for bringing their Troop and Patrol
equipment, including cook boxes, trash bags, and necessary Troop and Patrol equipment.

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Reyes Adobe District 2020 Camporee

EVENT EQUIPMENT: The Patrols are expected to provide necessary supplies for each event unless specified

in the events description. Each Scout needs to have their Boy Scout Handbook with them Always have your ten

essentials as listed in the Scout handbook:

1. Pocket Knife 6. Flashlight (or Headlamp)

2. First Aid Kid 7. Trail Food

3. Extra Clothing 8. Matches (or Fire-starter)

4. Rain Gear 9. Sun Protection

5. Water 10. Map and Compass

ELECTRONIC EQUIPMENT: In keeping with the Scout experience and spirit we encourage units to have their
Scouts leave electronic devices safely stowed throughout Camporee.

LOST AND FOUND: The Camporee Lost and Found area will be located at the Scoring office. Please make sure
to keep track of all your equipment and clothing.

FIRST AID: There will be a First Aid station set up near the Scoring Office and Staff Area. Should you require
first aid above and beyond what your personal kit can handle, please go there. The First Aid Staff will have your
medical forms safely stored for the duration of the Camporee. If you do not submit an official Scout Medical form
parts A&B you will not be allowed to stay at Camporee.

ALCOHOL, TOBACCO, AND DRUGS: As outlined in the Scouter Code of Conduct, Scouting activities are
not a place to possess, distribute, transport, consume, or use any of the following items prohibited by law or in
violation of any Scouting rules, regulations, and policies: alcoholic beverages or controlled substances, including
marijuana.
An important way adult leaders can model healthy living is by following the policies on alcohol, tobacco, and
drugs. Leaders should support the attitude that they, as well as youths, are better off without tobacco in any
form and may not allow the use of tobacco products at any BSA activity involving youth participants. This
includes the use of electronic cigarettes, personal vaporizers, or electronic nicotine delivery systems that simulate
tobacco smoking. All Scouting functions, meetings, and activities should be conducted on a smoke-free basis,
with smoking areas located away from all participants.

A NOTE ABOUT KNOTS:

Make sure you know the knots appropriate to your rank.
• Webelos and AOL - All Cub Scout knots, plus bowline.
• Scouts to 2nd Class - Basic 7 knots. Square, Two Half-Hitch, Taut-line, Clove, Sheet Bend, Bowline, Timber

Hitch, plus Lashings.
• 1st Class or Higher - You should know every knot in the handbook plus a fisherman’s knot.

INSPECTORS: The Camporee is always in need of Adult Leaders to help out during Uniform and Campsite
inspections and Flag judging. If you are interested in helping out please get in touch with one of the Camporee
chairpeople.

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Reyes Adobe District 2020 Camporee

CAMPOREE T-SHIRTS 2020
Every registrant for the 2020 Camporee will

get a T-shirt as a part of their registration.
You’ll order them Online as a part of your

Doubleknot info during registration.

You can order additional shirts for $8 each.
Youth sizes: YM, YL

Adult sizes: S, M L, XL, XXL

Please indicate quantity and sizes when you
register. You can modify your registration up

until April 12, 2020

HABIT BURGER MEAL
WILL BE AVAILABLE FRIDAY NIGHT.
This has turned into a Camporee Habit which includes fries!
****Must Be Pre-Ordered when you register Online****

See page 18 for meal prices

CAPTAIN BBQ
FOR SATURDAY LUNCH!!!
A tradition at previous Camporee’s, we are proud to have this
famous chef come to serve lunch at our first RA Camporee!

for $8.50

you’ll get a choice of
Chicken or Tri-Tip, Mac N. Cheese,

and his famous Ranch Beans
****Must Be Pre-Ordered when you register Online****

ORDER OF THE ARROW SHARK SNACK SHACK
Shark Shack Items will be available throughout the day on Saturday

Snacks ranging from $1.00 to $5.00

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Reyes Adobe District 2020 Camporee

CAMPOREE SKIT ALERT!

The Campfire will again be organized by the Order of the Arrow and presented by the
Scouts.

The chapter will be conducting auditions for skits, songs, and stories, at the April
8th Roundtable. Roundtable will be held at 7pm and is located at SOCES. Exact
address is 18605 Erwin St, Tarzana, CA 91335. A second “make up audition” that’s
by appointment only will be held Friday night of camporee directly after the 9:00pm
SPL meeting.

All Troops, Packs, Crews, and Ships, are welcomed and encouraged to participate. Please note, all units will only
be chosen for one program item, so choose wisely! New ideas for skits, songs and stories related to the Super Hero
theme will have a better chance to be selected.

We also encourage Units who wish to participate in the campfire program to conduct an OA election/visitation.
Although not mandatory it is much appreciated.

If you have any questions, comments, or concerns, feel free to contact the Sipo Chapter Advisor Patrick Lewis at
[email protected].

ORDER OF THE ARROW CALL-OUT

The Order of the Arrow (OA) Call-Out Ceremony will be conducted after the
completion of the campfire when the ceremonial drums start beating. This will be the
signal for the Troops to follow the directions for the OA candidate Call-Out.

All Scouts and Scouters must be in Class A uniform for the ceremony. Order of the
Arrow members in your Troop should wear their OA sashes for the Call-Out. Please
follow the directions of the OA leadership so this ceremony will go smoothly.

Upon the completion of the callout, the OA candidates will be escorted away for a
few brief minutes for brief conversation and the exchange of information. All remaining scouts and scouters will
remain at the campfire for a flag retirement.

If there are OA members within your Troop that would like to participate, or you have any questions or concerns
about these procedures before Camporee 2020, please email the Sipo Chapter Advisor, Patrick Lewis at
[email protected]. OA members should come to the April Chapter Meeting to find out all the details.

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Reyes Adobe District 2020 Camporee

SCHEDULE OF EVENTS

FRIDAY, APRIL 24, 2020

5:00 pm - 8:00 pm Unit check in, Campsite assignment
6:30 pm - 8:30 pm Habit Truck Service
8:45 pm - 9:45 pm Cracker Barrel Meeting - SPL & Scoutmasters, Webelos and
Arrow of Light Leaders & meet in Staff area.
Two representatives from each unit only please.
***If you’ll be courteous, we’ll be quick!***

9:45 pm – 10:00 pm Event Sponsor final briefing and Q&A
10:00 pm All Quiet in Camp

SATURDAY, APRIL 25, 2020

6:00 am - 8:00 am Breakfast, Clean up, Finish campsite setup
8:00 am - 8:30 am Opening Assembly (Upper Field)
8:30 am - 9:30 am Uniform Inspection / Photo Session

(Option to change to Class B uniform for Events)

9:30 am -1:30 pm Competition Events
9:45 am - 12:30 pm Campsite Inspections
1:30 pm - 5:00 pm Lunch, Rest, Free Time
12:30 pm - 2:30 pm Captain BBQ Lunch Served (Staff Deck)
1:30 pm - 3:00 pm Patrol Flag Judging (Staff Lodge)
2:30 pm - 4:30 pm Human Foosball
2:30 pm - 4:30 pm Wall Climb
2:00 pm - 5:00 pm Dutch Oven Cooking Competition (Staff Deck)
5:00 pm - 6:30 pm Dinner, Clean up, Free Time
6:45 pm – 7:00 pm OA Calls Units to Campfire
7:00 pm - 9:00 pm Campfire Program / OA Call-out
10:00 pm All Quiet in Camp

SUNDAY, APRIL 26, 2020

6:00am - 8:30 am Breakfast, Campsite breakdown
8:30am - 10:30am Interfaith Service / Awards Presentation

Campsite Inspection/Check-out Immediately following the close of the awards ceremony.

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Reyes Adobe District 2020 Camporee

EVENT PARTICIPATION

Patrols will compete in the events that have been designed for their Patrol skill level. The skill level is
determined by the rank of the Scouts in the Patrol. Please refer to the Patrol Classification section of the packet
for the classification of your particular Patrol. (See page 13-14 for details.)

ALPHAS (Webelos and Arrow of Light) Compete in events 1-8
BETAS Compete in events 9-16
GAMMAS Compete in events 17-24
OMEGAS Compete in events 25-32

Leadership is a part of the scoring scheme as well as overall participation and Patrol spirit. Encourage your
Patrol leaders to go over all the skills involved in the events with their Patrol before the Camporee. The better your
Patrols know their skills, the better they will do in the events competition.

RUN AN EVENT AT CAMPOREE

The Camporee staff is asking all units to sponsor and run at least one event at Camporee. We will give your
unit all the details of what is expected. We will look to you for full cooperation in preparing for and providing a
fun and challenging event for our Scouts that matches the Superheroes theme of the event. We will do everything
possible to help the sponsoring unit with any problems that may arise.
All sponsors are asked to be able to run two identical stations simultaneously. This gives the Scouts time
to complete all their events without the usual “long line, bog down.”

To help things run smoothly, there will be several opportunities to discuss how to run the events and the
scoring procedures.
• MARCH 11 - Reyes Adobe Roundtable. 7:00pm, at the Sherman Oaks Center for Enriched Studies (SOCES)

18605 Erwin St, Tarzana, CA 91335
• APRIL 11 - Time and Place TBD.
• APRIL 24 - 9:30 pm in the Staff Area/Camp Dining Hall at Camporee.
•

If you have never run an event or have questions it is extremely important to attend one of these meetings.

Don’t be afraid to volunteer even if you’ve never done this before.
This is an opportunity to make use of those parents that just want to come and “hang out.”

Let them know they are needed. Please pitch in and help.

REGISTERING TO RUN AN EVENT

SignUpGenius worked so well last year, we thought we would try it again. You can sign up for sponsoring
an event at Roundtable or Online using this link: bit.ly/30UgsH8.
Please designate one leader from your unit to be the contact person on event sign-ups.
You can also email one of the Camporee Chairman and we’ll send you a link.
Steve Vincent - [email protected] - (818) 730-8895
Gerald Jenne - [email protected] - (818) 438-2250

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Reyes Adobe District 2020 Camporee

REYES ADOBE DISTRICT
CAMPOREE 2020 EVENTS

SOME DAY YOU MAY SAVE THE WORLD!

ALPHAS Webelos and Arrow of Light Scouts (See Page 13)

1. COWABUNGA DUDE! BRING THE FIRST AID KIT (Scout Skill: Readyman)

Help the Teenage Mutant Ninja Turtles treat the citizens of New York injured by Shredder.

2. SUPER KNOTS WITH SUPERGIRL (Scout Skill: 6 Basic Knots)

Supergirl and Scouts must identify knots and make six of them in this adventure.

3. CREATE AND BREAK CODES WITH FALCON (Scout Skill: Codes)

Put Falcon’s telepathic powers to the test.

4. INCREDIBLY INCREDIBLE FEATS (Scout Skill: Teamwork)

An Incredible Relay awaits your Incredible Patrol!

5. WELCOME TO THE SPIDER’S WEB (Scout Skill: Physical)

Master Peter Parker’s Spider’s Web

6. BATGIRL’S SECRET WEAPON (Scout Skill: Shooting Sport)

Prove you’re skilled with a Crossbow

7. SHAZAM! (Scout Skill: Fire Safety)

Shazam has been wreaking havoc and it’s up to you to keep everyone safe!

8. INFINITY QUEST (Scout Skill: Map Reading)

Search the Universe for the Infinity Stones before Thanos gets them all

BETAS Patrols of mostly Scout,Tenderfoot and Second Class Scouts (See Page 13)

9. NO STRANGE DOCTORING, PLEASE (Scout Skill: Basic First Aid)

With the help of Doctor Strange, do your best to heal the injured

10. FLASH VS. SCOUT (Scout Skill: 8 Basic Knots)

Beat the Flash in this Knot Relay.

11. THE WONDER OF TRUTH (Scout Skill: Codes)

Wonder Woman hid a secret message for you.

12. BATMAN’S CAVE (Scout Skill: Teamwork)

I am Batman… in a cave, where I can’t see and hear…

13. SCOUTS CAN DO THIS AAAALL DAY (Scout Skill: Physical)

Captain America can do anything “all day” including climbing a never ending wall.

14. THE SHOT SEQUENCE – HAWKEYE VS. GREEN ARROW (Scout Skill: Shooting Sport)
Test your Archery skills with Hawkeye and Green Arrow – who is the true master?

15. THE HUMAN TORCH (Scout Skill: Fire Safety)

Flame On! Flame Off!

16. TRACK LIKE A PANTHER (Scout Skill: Maps and Tracking)

Black Panther must find his cousin before he destroys the secret garden of The Heart-Shaped Herb.
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Reyes Adobe District 2020 Camporee

GAMMAS Mostly Patrols with First Class Scouts (See Page 13)

17. CLAWS OF A SURGEON (Scout Skill: Advanced First Aid)

Wolverine returns home only to find many of the students seriously injured.

18. KNOTS IN A STORM (Scout Skill: Pioneering)

Build a shelter for the survivors of Apocalypse while Storm summons the clouds to hide your new home.

19. JEAN GREY VS. PHOENIX (Scout Skill: Codes)

Try to communicate with Jean before the Phoenix takes over.

20. BUILD A DAVINCI BRIDGE – SIZE DOESN’T MATTER (Scout Skill: Teamwork)

Antman and Wasp need help building a bridge from staves, which they will shrink of course.

21. THOR’S HAMMER (Scout Skill: Physical)

Are you worthy of the might hammer? Practice with Hatchets.

22. FURY FIRE (Scout Skill: Shooting Sport)

Even with one eye, Nick Fury hits his target every time.

23. HARNESS THE POWER OF SOLAR ENERGY (Scout Skill: Fire starting)

Captain Marvel’s energy will help you (and your magnifying glass) light a fire.

24. SCAVENGERS OF THE GALAXY (Scout Skill: Map and Compass)

The Guardians of the Galaxy are known as scavengers. Help them find treasures.

OMEGAS Mostly Patrols with Star, Life and Eagle Scouts (See Page 13)

25. HERO ON LAND AND WATER (Scout Skill: Water Rescue & First Aid)

Aquaman will help your patrol save humans from a Black Manta attack.

26. REBUILD THE FORTRESS OF SOLITUDE (Scout Skill: Pioneering)

Superman’s fortress was damaged by Lex Luther and needs your lashing skills.

27. X IS FOR … (Scout Skill: Codes)

Test your “psychic” communication skills with codes.

28. STARK INDUSTRIES (Scout Skill: Teamwork)

Complete a feat of Engineering by assembling Iron Man’s Arc Reactor.

29. HULK OUT – ON A LOG (Scout Skill: Physical)

Use all your might to split logs.

30. BLACK WIDOW’S GOT YOUR SIX (Scout Skill: Shooting Sport)

Black Widow will cover you while you take your aim with your .22

31. WHAT’S RED & BLACK & NEEDS HELP LIGHTING A FIRE (Scout Skill: Flint & Steel Burn the String)
Deadpool has many skills but no idea what to do with a flint and steel. No surprise there.

32. FANTASTICALLY FOUND (Scout Skill: GPS navigation)

The invisible girl is lost and you must help the rest of the Fantastic 4 find her.

EVENTS COMPETITION - Each Den/Patrol/Crew can earn up to 800 points for the eight events (100 points per
event). You will be competing as a Den, Patrol or Crew and not as an individual.
Please make sure to complete ALL of your events.

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Reyes Adobe District 2020 Camporee

SCOUT SPIRIT

Your Den/Patrol/Crew can earn up to 240 points from Scout Spirit. Each Den, Patrol or Crew will be judged on
their ability to complete the event in addition to the Patrol leader’s ability to lead the Patrol. Scout Spirit will be
judged at each event as a part of the competition, according to the following categories:

Organization of Patrol/Den Patrol/Den Participation Patrol/Den Yell

Excellent 10 All Involved 10 Without Prompt 10

Good 8 1/2 Involved 5 With Prompt 5

Fair 5 Only 1 or 2 2 No Yell 0

Poor 3

PATROL CLASSIFICATION SYSTEM
The following is the classification scheme for Patrol competition:

BOY SCOUT RANK POINTS PATROL
CLASSIFICATION AVERAGE POINTS

SCOUTS 1 ALPHAS All Webelos and Arrow of Light

TENDERFOOT 4 BETAS 1.00 - 5.99
SECOND CLASS 8 GAMMAS 6.00 - 10.99
OMEGAS 11.00+
FIRST CLASS 10 CREWS will compete as OMEGAS
STAR 15
LIFE 20 EXAMPLE: Old Goat Patrol Roster

EAGLE 25 NAME S RANK POINTS

Each Scout in the Patrol, who is in attendance at the Bob Hazard Life 20
Camporee, is given a point value according to his rank at Steve Shorr First Class 10
the time of Camporee. All individual points of the Patrol Robin Johnson Second Class 8

members are added together. This total number of points Bill Wright Tenderfoot 4
is then divided by the number of Scouts in the Patrol. This 1
average will be used for classification for the various events. Steve Vincent Scout 43

TOTAL POINTS

Divide the 43 by 5 (number of Scouts) = 8.60 points. TOTAL SCOUTS 5
The Patrol classification list designates this average AVERAGE POINTS 8.6
as GAMMAS, therefore, the Old Goat Patrol will
compete in the GAMMAS events.

IMPORTANT - SEND IN YOUR PATROL CLASSIFICATION FORM BY APRIL 20!!
With the increased number of participants this year, we need to receive Patrol Classification Forms
prior to Camporee. There are a couple of ways you can sent them in.

• Digital Form - Download the form from reyesadobe.bsa-la.org. It is an Excel Spreadsheet that

will do all the calculations as you fill it out and includes an email link.

• Fill out the form from the packet (Page 14), then scan or take a photo of it, and email that in.
Whichever method you prefer, please submit your forms by April 20, 2020.
Please email forms to:
[email protected] and [email protected]

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Reyes Adobe District 2020 Camporee

PATROL CLASSIFICATION FORM

THIS FORM MUST BE TURNED IN BY MONDAY APRIL 20, 2020

Digital Version of the form can be downloaded from: reyesadobe.bsa-la.org/
It is an Excel Spreadsheet that will do all the calculations automatically as you fill it out. There is
an embedded email link to make it very easy to send in.

Fill in the form and email a photo, a scan or PDF of the form to:
[email protected] and [email protected]

Unit Type: _____________ Unit Number: ________ Unit Type: _____________ Unit Number: ________
Patrol/Den Name __________________________ Patrol/Den Name __________________________

Scout Name Rank Points Scout Name Rank Points
PL PL
APL APL

A = Number of Scouts _____ A = Number of Scouts _____
B = Total number of points _____ B = Total number of points _____
Average Points (B/A) _____ Average Points (B/A) _____
Patrol Classification ______________________ Patrol Classification ______________________
Patrol or Den Name ______________________ Patrol or Den Name ______________________

Unit Type: _____________ Unit Number: ________ Unit Type: _____________ Unit Number: ________
Patrol/Den Name __________________________ Patrol/Den Name __________________________

Scout Name Rank Points Scout Name Rank Points
PL PL
APL APL

A = Number of Scouts _____ A = Number of Scouts _____
B = Total number of points _____ B = Total number of points _____
Average Points (B/A) _____ Average Points (B/A) _____
Patrol Classification ______________________ Patrol Classification ______________________
Patrol or Den Name ______________________ Patrol or Den Name ______________________

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Reyes Adobe District 2020 Camporee

JUDGING CRITERIA

Judging of Uniforms, Patrol Flags, Campsites and Entrances will be done by volunteer Scouters. At this time, we
are providing basic criteria the Judges will be using, so that all units can begin to prepare.
If you need additional information, or have questions, please contact:
Steve Vincent - [email protected] - (818) 730-8895
Gerald Jenne - [email protected] - (818) 438-2250

UNIFORM INSPECTION

180 points possible for Den/Patrol/Crew
The judges are looking for uniformity within neat, clean, courteous units and wearing the following items properly
affixed in the correct places per the Insignia Guide.

Scout Shirt Epaulets World Crest Patch
Pants/shorts
Official Belt Webelos Colors American Flag
Official socks (with shorts)
Neckerchief Correct Badge of Rank
Neckerchief Slide
Quality Unit Patch (if earned) Patrol Patch

Unit numerals

Council Strip

No more than one temporary patch

The Scout uniform can be any of the official Scout uniforms. It can be the most current or be from a previous era
of Scouting. The uniform you wear for Inspection will be considered your Class A or Field Uniform for the event.

PATROL FLAG JUDGING
180 points possible for the Den/Patrol/Crew
Each Patrol, Den and Crew should come to the Camporee with a Patrol flag. The Patrols will be asked to bring
their flags to the Campfire Stage / Staff Area at lunch time for judging purposes. Please provide a method for your
flag to be freestanding on display.

Judging Criteria:

• Patrol name visible.
• Individual members represented - Unit number.
• Scout construction apparent.
• Camporee theme depicted - Creative.
• Can be displayed independently - Durability.
• Color.
• Eye appeal.
• Maximum dimensions 3' x 5'.

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Reyes Adobe District 2020 Camporee

CAMPSITE JUDGING
200 points possible for the UNIT
The Judges will be looking for a clean and orderly campsite.

❖ All tents in the campsite will be inspected.
❖ Tents need to be open with screens closed.
❖ Patrol boxes need to be unlocked and accessible.

Judging Criteria:
• Obvious entrance to campsite; U.S. and unit flags properly displayed.
• Overall campsite appearance and lay-out; campsite clean and in order.
• Tents are by Patrol Method. Leader tents separately located.
• Tent placement avoids insects, poison oak, and danger from overhead hazards.
• Adequate fire buckets and/or other firefighting equipment available for tent and cooking areas, i.e., proper

class fire extinguishers.
• Individual tents neat and clean.
• Personal and Patrol equipment neat and stored properly.
• Evidence of separate Patrol sites.
• Patrol menu posted in each Patrol site.
• Patrol duty roster posted in each Patrol site.
• All food properly stored and protected from animals, contamination, and spoilage.
• Cooking equipment stored off ground and clean; cookware clean and dry.
• Clean water readily available.
• Trash and garbage properly disposed of.
• All fires safe (including stoves) and located a safe distance from tents.
• Location of unit first aid kit, firefighting shovel, and rake visible to all.

UNIT GATEWAY COMPETITION

200 Points (Separate event from Campsite Judging)
We recognize not every unit has interest in or the materials to complete elaborate entrance structures, so we
are making this a separate event from the Campsite Judging. For all units: If you want to be participate in this
competition, the Scouts MUST construct the entrance. Adult Leaders may advise, but the Scouts must do the
work. If your unit desires to participate in this competition, please contact Bob Hazard, our Inspections Chair at
Camporee.

The Entrance Judging Team will be judging based

on the following criteria: (Deduction for use of mechanical fasteners)

Identification

• Unit Number (20 pts) Concept

• Sponsor (10 pts) • Camporee Theme Depicted (25 pts)

• Location of Unit (10 pts) • Creative/Original (25 pts)

• Individual Patrols listed (10pts)

Materials

Construction • Use of Color (10 pts)

• Evidence of Scout Construction (50 pts) • Eye Appeal (15 pts)

• Scout Skills Used (25 pts)

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Reyes Adobe District 2020 Camporee

DUTCH OVEN DESSERT COOK-OFF RULES

Director Sami Dahdal - 818-915-1411
The Dutch Oven Cook-off is a fun competition to encourage development of Dutch Oven Skills.

Un-sportsmanship like behavior will be cause for disqualification.

1. All Teams should send one person to come between 1pm and 2pm to the designated cooking area to register
and will receive a numbered index card for the recipe and another card to list any possible allergy-triggering
ingredients {e.g. nuts, milk, eggs, etc.}

Youth Division: Youth participate either by Patrol or as a whole Troop/Pack. There is no limit for how
many Patrols can participate from each Troop, but if entering as a Troop; the whole Troop is one entry
only and that each Patrol entry can have no more than 3 youth.

Adult Division: Adult Leaders participate in teams of up to 2 Adults each. No limit of how many Leader
Teams from a Troop or Pack.

2. Cooking time is from 2pm to 5pm. There will be a designated area for cooking. Bring your Dutch oven,
charcoal, metal cooking stand or small portable table etc., and your ingredients. {Stand or Charcoal table
should be min. 12” above ground}.

If you do not have cooking metal stand or a Dutch oven: Please call Sami Dahdal at 818-915-1411 at least
3 days before Camporee and he will provide one for you.

3. All participants MUST practice safe food handling procedures. {Clean hands, table to work on, bowl and
plates, etc.}.

4. Dessert must be presented in a Dutch oven or on a Dutch oven lid. No additional sauce or condiments may
accompany the dessert.

5. Garnishing should be SIMPLE and complement the dish being presented. This is not a garnishing contest.
Garnishes should be edible. Doilies are allowed.

6. Dessert to be considered for judging is due to the cook-off Director Table by 5pm.or before at the designated
area. Make sure to complete and turn in your numbered recipe card and allergy alert card, that were given to
you when you registered for entry.

7. Once the dessert is checked in, participants must leave the area.

8. Comments such as “Wow”, “Mine’s is the best” or “Here’s the winner” regarding your submission will be
cause for disqualification.

9. All judging decisions are final. Only 1st, 2nd, and 3rd place winners for Youth Division & for Adult Division
will be announced at campfire and will receive a nice Cast Iron prize. Score sheets are available after awards
are given.

This Dutch Oven Cook-off prizes First, Second & Third are sponsored by
www.dutchovengear.com

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Reyes Adobe District 2020 Camporee

HABIT MEAL PRICES
*** FRIDAY NIGHT ***

Meal Price Quantity

Single Char Hamburger Meal $11.00 ________
(including Fries and Drink)

Single Char with Cheese Meal $11.00 ________
(including Fries and Drink)

Double Char Hamburger Meal $12.00 ________
(including Fries and Drink)

Double Char with Cheese Meal $12.00 ________
(including Fries and Drink)

Grilled Cheese Sandwich Meal $11.00 ________
(including Fries and Drink)

Veggie Burger Meal $12.00 ________
(including Fries and Drink)

Veggie Burger with Cheese Meal $12.00 ________
(including Fries and Drink)

Please Total and Transfer to the Online Registration Form

NEW HABIT MEAL PROCEDURE PLAN FOR 2020
Adult Unit leaders will be given a summary of what was ordered at registration. Adults will be responsible
for picking up the WHOLE units order. Scouts can help pick up food and drink but an adult will need to
be present. Unit leaders will be responsible for distributing individual food orders to Scouts and Scouters.
This will help eliminate much of the confusion from previous years.

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Reyes Adobe District 2020 Camporee

REGISTRATION INFORMATION

All registrations will be Online this year
GO TO:

reyesadobe.bsa-la.org/
Follow the link on that page to be connected to Doubleknot for Camporee registration.

These are items of information you’ll need for your registration.

• # of Youth Participants • Habit Food order for Friday Night

• # of Adult Participants • Captain BBQ Order for Saturday

• T-Shirt Sizes of each participant Lunch

Your unit may not know all this information when you first register. You might only know how many youth
and adults are going but not know their food orders or their T-Shirt Sizes. In that case, you can do a preliminary
registration and then add to it as you find out more of your particulars. Just make sure you keep track of your
registration info so you can update your registration and NOT make a new one.

• Each unit (Pack, Troop or Crew) will complete a separate Online registration.
• The site size will be determined by the number of participants registered as of April 12, 2020.
• Remember, this year each participant will get a Camporee T-Shirt as a part of their registration.
• Online payment only. No checks will be accepted at the scout office.

Registered on Doubleknot by: COST:
Feb 12, 2020 thru March 31, 2020 $35.00 per person
April 1, 2020 thru April 12, 2020 $40.00 per person

If after your original registration your unit needs to add more participants, Habit meals or T-Shirt Orders,
DO NOT start a new registration. Please make sure that you go back to your original registration and make
these additions.

• Registration will close on April 12, 2020.
• No NEW registrations will be accepted after April 12, 2020, though updates to previous registrations

can be made.
• Additional participants are subject to the fee schedule active on the date they are registered.
• Additional participants registered after April 12, 2020 may not receive a T-Shirt.

- - REMEMBER - -
• All Participants and Leaders must turn in a completed Scouting Health and Medical Record at Check-In.

Your Units Medical Records will be returned at Check-Out. (See page 21)
• All Scouts participating in a Shooting sports event need a signed permission form in order to participate.

This includes BB Gun, .22 Single Action Rifle, Muzzle-loader, Shotgun or pistol, spear, slingshot,
tomahawk, and/or archery. (See page 24)
• All Scouts participating in the Climbing wall event need a signed permission form in order to participate.
(See page 24)
• Each unit should package each type of form into its own packet to hand in a check-in. Please don’t submit
forms stapled together for each participant. You will be asked to separate them before they are accepted.

FOR ANY QUESTIONS REGARDING FEE SCHEDULE/REGISTRATION:
Call Robin Johnson (818)347-2497 or E-mail: [email protected]

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Reyes Adobe District 2020 Camporee

CHECK-IN PROCEDURES

With the addition of the BSA Medical form requirement this year, there are a number of forms that will be turned
in at Check in. To make the form collection more efficient and make our job a little easier at Cracker Barrel, please
follow the following procedures at Check In on Friday.:

Please have one leader in charge of your Unit’s registration and present their completed forms in 3 separate groups
with the Unit Number clearly marked:
1.) Packet with Unit’s Shooting/Climbing  permission forms; One for Each Scout.
2.) Packet with Unit’s Valley Trails Forms; One for each Youth & Adult.
3.) Packet with Unit’s BSA Medical Form; One for each Youth & Adult.

Please, DO NOT staple them together by each participant! You will be asked to separate them by form category
before the Check-In staff accepts them.

DRIVERS INFORMATION SHEET
In addition, we’ve added the Drivers Information Sheet to the last page of this packet. Every year, the thing
that slows down the check-in line the most is having every driver fill out the dashboard sheet if they are staying
overnight. You can do a lot to cut down on that back up by making copies of those pages and passing them out to
every driver who is staying in camp overight.

CHECK-OUT PROCEDURES

When your unit is ready to depart, the Senior Patrol Leader or Den Leader should inspect their campsite for
cleanliness. Remember that all trash is to be packed out. Remember to LEAVE NO TRACE.
Campsites should always be left better than they were found.

When the Senior Patrol Leader or Den Leader is satisfied that the campsite is clean, a Campsite Inspector will
clear them for departure and issue them a signed evaluation sheet.

The Senior Patrol Leader and an Adult leader will need to take the completed evaluation sheet AND THE
CAMPSITE UNIT SIGN to the Staff headquarters. There they will obtain their packet of score sheets, Camporee
patches and pickup their Medical forms.

Assistance in surveying and cleaning common areas is expected and very much appreciated.

- - - FOR SAFETY REASONS, PLEASE RESPECT - - -
NO VEHICLES IN THE CAMPSITE AREA PRIOR TO THE CLOSE

OF THE AWARDS CEREMONY ON SUNDAY.

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Reyes Adobe District 2020 Camporee

SCOUTING HEALTH AND MEDICAL RECORD A

Part A: Informed Consent, Release Agreement, and Authorization

Full name: ___________________________________________ High-adventure base participants:
Date of birth: _________________________________________
Expedition/crew No.: _______________________________________________
or staff position:___________________________________________________

Informed Consent, Release Agreement, and Authorization

I understand that participation in Scouting activities involves the risk of personal injury, including I also hereby assign and grant to the local council and the Boy Scouts of America, as well as their
death, due to the physical, mental, and emotional challenges in the activities offered. Information authorized representatives, the right and permission to use and publish the photographs/film/
about those activities may be obtained from the venue, activity coordinators, or your local council. videotapes/electronic representations and/or sound recordings made of me or my child at all
I also understand that participation in these activities is entirely voluntary and requires participants Scouting activities, and I hereby release the Boy Scouts of America, the local council, the activity
to follow instructions and abide by all applicable rules and the standards of conduct. coordinators, and all employees, volunteers, related parties, or other organizations associated
In case of an emergency involving me or my child, I understand that efforts will be made to with the activity from any and all liability from such use and publication. I further authorize the
contact the individual listed as the emergency contact person by the medical provider and/or reproduction, sale, copyright, exhibit, broadcast, electronic storage, and/or distribution of said
adult leader. In the event that this person cannot be reached, permission is hereby given to the photographs/film/videotapes/electronic representations and/or sound recordings without limitation
medical provider selected by the adult leader in charge to secure proper treatment, including at the discretion of the BSA, and I specifically waive any right to any compensation I may have for
hospitalization, anesthesia, surgery, or injections of medication for me or my child. Medical any of the foregoing.
providers are authorized to disclose protected health information to the adult in charge, camp
medical staff, camp management, and/or any physician or health-care provider involved in Every person who furnishes any BB device to any minor, without the express or implied permission
providing medical care to the participant. Protected Health Information/Confidential Health of the parent or legal guardian of the minor, is guilty of a misdemeanor. (California Penal Code
Information (PHI/CHI) under the Standards for Privacy of Individually Identifiable Health Information, Section 19915[a]) My signature below on this form indicates my permission.
45 C.F.R. §§160.103, 164.501, etc. seq., as amended from time to time, includes examination
findings, test results, and treatment provided for purposes of medical evaluation of the participant, I give permission for my child to use a BB device. (Note: Not all events will include BB devices.)
follow-up and communication with the participant’s parents or guardian, and/or determination of
the participant’s ability to continue in the program activities.  Checking this box indicates you DO NOT want your child to use a BB device.

(If applicable) I have carefully considered the risk involved and hereby give my informed consent NOTE: Due to the nature of programs and activities, the Boy Scouts of
for my child to participate in all activities offered in the program. I further authorize the sharing America and local councils cannot continually monitor compliance of program
of the information on this form with any BSA volunteers or professionals who need to know of participants or any limitations imposed upon them by parents or medical
medical conditions that may require special consideration in conducting Scouting activities. providers. However, so that leaders can be as familiar as possible with any
With appreciation of the dangers and risks associated with programs and activities, on my limitations, list any restrictions imposed on a child participant in connection with
own behalf and/or on behalf of my child, I hereby fully and completely release and waive programs or activities below.
any and all claims for personal injury, death, or loss that may arise against the Boy Scouts
of America, the local council, the activity coordinators, and all employees, volunteers, List participant restrictions, if any:  None
related parties, or other organizations associated with any program or activity.
________________________________________________________

I understand that, if any information I/we have provided is found to be inaccurate, it may limit and/or eliminate the opportunity for participation in any event or activity. If I am participating at
Philmont Scout Ranch, Philmont Training Center, Northern Tier, Sea Base, or the Summit Bechtel Reserve, I have also read and understand the supplemental risk advisories, including height
and weight requirements and restrictions, and understand that the participant will not be allowed to participate in applicable high-adventure programs if those requirements are not
met. The participant has permission to engage in all high-adventure activities described, except as specifically noted by me or the health-care provider. If the participant is under the age of 18, a
parent or guardian’s signature is required.

Participant’s signature:____________________________________________________________________________________________ Date: ______________________________

Parent/guardian signature for youth: __________________________________________________________________________________ Date: ______________________________
(If participant is under the age of 18)

Complete this section for youth participants only: Name: _________________________________________________________________
Phone: _________________________________________________________________
Adults Authorized to Take Youth to and From Events:
You must designate at least one adult. Please include a phone number.

Name: _________________________________________________________________

Phone: _________________________________________________________________

Adults NOT Authorized to Take Youth to and From Events: Name: _________________________________________________________________
Name: _________________________________________________________________ Phone: _________________________________________________________________
Phone: _________________________________________________________________

-21- 680-001
2019 Printing

Reyes Adobe District B12020 Camporee

Part B1: General Information/Health History

Full name: ___________________________________________ High-adventure base participants:
Date of birth: _________________________________________
Expedition/crew No.: _______________________________________________
or staff position:___________________________________________________

Age: ____________________________ Gender: __________________________ Height (inches): ___________________________ Weight (lbs.): ____________________________
Address: _________________________________________________________________________________________________________________________________________
City: ___________________________________________State: ____________________________ ZIP code: __________________ Phone: ______________________________
Unit leader: ____________________________________________________________________________ Unit leader’s mobile #:_________________________________________
Council Name/No.: _______________________________________________________________________________________________________Unit No.: ____________________
Health/Accident Insurance Company: ________________________________________________________ Policy No.: ___________________________________________________

Please attach a photocopy of both sides of the insurance card. If you do not have medical insurance, enter “none” above.

In case of emergency, notify the person below:

Name:______________________________________________________________________________Relationship: ___________________________________________________

Address: _________________________________________________________________ Home phone: _________________________ Other phone: _________________________

Alternate contact name: _________________________________________________________________ Alternate’s phone: ______________________________________________

Health History

Do you currently have or have you ever been treated for any of the following?

Yes No Condition Explain

Diabetes Last HbA1c percentage and date: Insulin pump: Yes £ No £

Hypertension (high blood pressure) Last attack date:
Adult or congenital heart disease/heart attack/chest pain (angina)/
heart murmur/coronary artery disease. Any heart surgery or
procedure. Explain all “yes” answers.
Family history of heart disease or any sudden heart-related
death of a family member before age 50.
Stroke/TIA

Asthma/reactive airway disease

Lung/respiratory disease

COPD

Ear/eyes/nose/sinus problems

Muscular/skeletal condition/muscle or bone issues

Head injury/concussion/TBI

Altitude sickness

Psychiatric/psychological or emotional difficulties

Neurological/behavioral disorders

Blood disorders/sickle cell disease

Fainting spells and dizziness

Kidney disease Last seizure date:
Seizures or epilepsy

Abdominal/stomach/digestive problems

Thyroid disease

Skin issues

Obstructive sleep apnea/sleep disorders CPAP: Yes £ No £
List all surgeries and hospitalizations Last surgery date:

List any other medical conditions not covered above

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2019 Printing

Reyes Adobe District B22020 Camporee

Part B2: General Information/Health History

Full name: ___________________________________________ High-adventure base participants:
Date of birth: _________________________________________
Expedition/crew No.: _______________________________________________
or staff position:___________________________________________________

Allergies/Medications  YES  NO  YES  NO

DO YOU USE AN EPINEPHRINE DO YOU USE AN ASTHMA RESCUE

AUTOINJECTOR? Exp. date (if yes) ___________________________ INHALER? Exp. date (if yes) ___________________________________

Are you allergic to or do you have any adverse reaction to any of the following?

Yes No Allergies or Reactions Explain Yes No Allergies or Reactions Explain

Medication Plants

Food Insect bites/stings

List all medications currently used, including any over-the-counter medications.

 Check here if no medications are routinely taken.  If additional space is needed, please list on a separate sheet and attach.

Medication Dose Frequency Reason

 YES  NO Non-prescription medication administration is authorized with these exceptions: ________________________________________________________________

Administration of the above medications is approved for youth by:

_______________________________________________________________________ / _______________________________________________________________________

Parent/guardian signature MD/DO, NP, or PA signature (if your state requires signature)

Bring enough medications in sufficient quantities and in the original containers. Make sure that they are NOT expired, including inhalers and EpiPens. You SHOULD NOT STOP taking
any maintenance medication unless instructed to do so by your doctor.

Immunization Please list any additional information about your
medical history:
The following immunizations are recommended. Tetanus immunization is required and must have been received within the last 10 _________________________________________
years. If you had the disease, check the disease column and list the date. If immunized, check yes and provide the year received. _________________________________________
_________________________________________
Yes No Had Disease Immunization Date(s) _________________________________________

Tetanus

Pertussis

Diphtheria

Measles/mumps/rubella

Polio DO NOT WRITE IN THIS BOX.

Chicken Pox Review for camp or special activity.
Reviewed by: ___________________________________________

Hepatitis A

Date: _________________________________________________

Hepatitis B Further approval required:  No

Yes

Meningitis Reason: _______________________________________________

Influenza

Approved by:____________________________________________

Other (i.e., HIB)

Exemption to immunizations (form required) Date: _________________________________________________

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Reyes Adobe District 2020 Camporee
Pack, Troop, Crew #______________________

BOY SCOUTS OF AMERICA
SHOOTING SPORTS PERMISSION/CONSENT FORM

I give permission for (name of minor) ____________________________________to use an approved BB Gun,.22
Rifle, Muzzle-loader, Shotgun or Pistol, spear, slingshot, tomahawk, and/or archery equipment and ammunition
under the supervision of qualified personnel while at Valley Trails Ranch on April 25, 2020 in accordance with
California Penal Code Section 12552.

_________________________________________ ____________________________
Parent/guardian signature Date
________________________________________
Parent/guardian name (please print)

California Penal Code Section 12552:
(a) Every person who furnishes any BB device to any minor, without the express or implied permission of
the parent or legal guardian of the minor, is guilty of a misdemeanor.
(b) As used in this section, "furnishes,” means any of the following:
(1) A loan.
(2) A transfer that does not involve a sale.

IMPORTANT
A copy of this form should turned in for each Participating Scout at the Registration Desk on Friday of Camporee
NO SCOUT WILL BE ABLE TO PARTICIPATE IN THE ABOVE EVENTS WITHOUT THIS FORM SIGNED
BY PARENT OR GUARDIAN. THIS INCLUDES VENTURE CREW SCOUTS UNDER THE AGE OF 21.
(VENTURERS ARE CONSIDERED TO BE YOUTH IN SCOUTING.)
❖ Webelos and Arrow of Light can participate in BB, slingshot and/or archery.
❖ Scouts BSA can participate in .22 single action rifle, muzzle-loader, shotgun, sling shot, spear, tomahawk and/

or archery and if 13 ½ years old, also in .22 pistol.
❖ Venturers can participate in muzzle-loader, shotgun, sling shot, spear, tomahawk, archery and/or any caliber

rifle or pistol.

Pack/Troop/Crew#_________ UPWARD MOBILITY

MOBILE ROCK CLIMBING WALL CONSENT FORM

(818)704-6872 - www.climbupwardmobility.com - [email protected]

Participant’s Agreement, Release, and Acknowledgment Of Risk

I acknowledge that climbing on a portable climbing wall entails known and unanticipated risks. Therefore, I hereby
expressly release, forever discharge, and agree to indemnify and hold harmless Upward Mobility from any and all claims,
demands, or causes of action, which are in any way connected with me or my child’s participation in this activity. I expressly
agree that the laws of California shall apply without regard to the conflict of law rules of the state. Any action arising out of
the activity described in this waiver shall be heard in Superior Court of California, located in Los Angeles County. I agree,
and will instruct my minor child, to follow the directions of the owners and staff for safe climbing and safety around the
wall.
___________________________________________ __________________________________
Signature of Participant or Parent/Guardian of Date
Minor under 18 years of age
___________________________________________ ________________________________________
Print Adult Name Print Minor Name

-24-

Reyes Adobe District PARTICIPANT REGISTRATION 2020 Camporee

TVhTisRfAoNrmCHisFROREMQSUIRED for all participants

PARTICIPANT REGISTRATION

In order to comply with American Camping Association and state laws we ask for the following Health History/Medical Consent Form to be

completed and signed by each person over the age of 18 or the legal parent/guardian attending VT Ranch. Please be aware that VT Ranch does

NOT provide medical or hospital insurance coverage.

Name: __________________________________ Age:________ D.O.B.____________ Gender:__________ Ht:______ Wt:______

Address: ________________________________________ City: ____________________________ State: _____ Zip: _________

Email: _____________________________________ Dates of Camp / Program: __________________

Name of Group:__________________

Phone Number: (____) _____________________ Status:_______ Camper _______ Leader

Emergency Contact:_________________________ Relationship to Camper / Participant:____________

Phone Number: (____) _____________________________

Thank you for selecting VT Ranch for your experience. During your time at camp your photo may be taken which may be used on our website

or used in materials to promote VT Ranch If you rather not have your photo taken while at VT Ranch, please check here: ______

MEDICAL CONSENT FORM / REQUESTED MEDICAL INFORMATION:

VT Ranch requests this information in order to provide appropriate medical care in the event of your injury and/or illness while at camp.VT
Ranch is committed to protecting the confidentiality of this information.
Do you carry family medical/hospital insurance? ___YES ___NO
Insurance Carrier: _________________________________________________________________
Name of Responsible Party: __________________________________________________________
Policy #: ________________________________________________________________________
Address: ____________________________________ Phone: (_____) ______________________
Relationship to Camper: ____________________
Name of Family Physician: ___________________________________________________Phone: (_______)_____________________
Name of Family Dentist: ____________________________________________________Phone: (_______)_____________________
Date of last Tetanus Shot: _______________________ Are all immunizations up to date? __YES __NO---->If no, please attach explanation.
Has Camper been recently exposed (within last 3 weeks) to any kind of Communicable Disease? __________________________________
Please List ALL Allergies: Drug: ________________________________________________________________________________
Insect/Plant: ______________________________________________________________________________________________
Food: ____________________________________________ Diet Restrictions: _________________________________________
List medications Camper will require while at camp and reason for taking the medicine: __________________________________________
________________________________________________________________________________________________________

GENERAL HEALTH HISTORY: Circle "Yes" or "No" for each statement. Explain “Yes” answers below.

Has/does the camper / participant:
1. Ever been hospitalized? ………………………….Yes No 10.Wear glasses, contacts, or protective eyewear?..............................Yes No
2. Ever had surgery? ..............................…………........Yes No 11. Had fainting or dizziness? ...................................................................Yes No
3. Have recurrent/chronic illnesses? .......………...… Yes No 12. Passed out/had chest pain during exercise? ….………......…….Yes No
4. Had a recent infectious disease? .......……….....….Yes No 13. Had mononucleosis ("mono") during the past 12 months?... .....Yes No
5. Had a recent injury? ...........................………......….Yes No 14. Have problems with falling asleep/sleepwalking? ..........................Yes No
6. Had asthma/wheezing/shortness of breath?............Yes No 15. Ever had back/joint problems?…….………...………....……......Yes No
7. Have diabetes? ..................................…….........…….Yes No 16. Have any skin problems?……………………..................................Yes No
8. Had seizures? .................................................................Yes No 17.Traveled outside the country in the past 9 months?......................Yes No
9. Had headaches? …………………………….…….Yes No

Please explain “Yes” answers in the space on page 2, noting the number of the questions. For travel outside the country, please name coun-

tries visited and dates of travel. PLEASE TURN OVER

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Reyes Adobe District 2020 Camporee

By signing this form I give my informed consent to the First Aid personnel assigned by VT Ranch,Valley Trails Summer Camp who are certified in a minimum of CPR and First Aid by
a nationally recognized provider in accordance with ACA standard HW-1 to provide basic First Aid and comfort measures through standardized camp treatment procedures which
includes the use of over-the-counter medications. I understand that it is my responsibility to make arrangements for a camper with greater health care needs than the First Aid per-
sonnel can provide within their individual certifications, licenses and scopes of practice. I authorize VT Ranch,Valley Trails Summer Camp, AAA Camp’s Inc,Woodcrest Preschool
Foundation to arrange for or provide any necessary related transportation to the nearest medical facility for urgent or emergency medical treatment if indicated, and I do assume
all responsibility for payment for such treatment. I hereby give permission to the physician selected by VT Ranch,Valley Trails Summer Camp, AAA Camp’s Inc,Woodcrest Preschool
Foundation to secure and administer any and all medical treatment deemed necessary for me, including hospitalization. This completed form may be photocopied for trips away
from VT Ranch,Valley Trails Summer Camp, AAA Camp’s Inc,Woodcrest Preschool Foundation properties.
I authorize the use of the following generic, over-the-counter medications as directed by the labels provided by the manufacturer: analgesics, decongestants, antihistamines, cough
suppressant and/or expectorants, throat lozenges or spray, anti-nausea/diarrhea, epi-pen, antacid, antibiotic ointment, hydrocortisone cream, burn cream, petroleum jelly, chapped
skin/lip treatment, antiseptic skin and wound cleansers, ipecac, glucose, laxatives, electrolyte replacement fluids, analgesic balms and gels, with the exception
of____________________________. I authorize VT Ranch,Valley Trails Summer Camp, AAA Camp’s Inc,Woodcrest Preschool Foundation to allow myself to participate in any
and all activities that may include but are not limited to those outlined in the camp brochure.As a condition of receiving this benefit, I do hereby agree to the following: I understand
that my participation in these activities can expose myself to dangers both from known and unanticipated risks.
Acknowledging that such risks exist, I on behalf of myself and any other party who may have the right to assert any rights for or on my behalf, do hereby forever release and
discharge, indemnify and hold harmless VT Ranch,Valley Trails Summer Camp, AAA Camp’s Inc,Woodcrest Preschool Foundation, its affiliates, officers, directors, agents, employees,
insurers, successors in interest, attorneys, or any other person or persons associated with any or all of them who might be liable (the “Released Parties”) from and against any and
all claims, causes of action, actions, suits, demands, losses, damages, expenses, costs or liability (collectively,“Losses”) arising from or in connection with my participation in VT Ranch,
Valley Trails Summer Camp, AAA Camp’s Inc,Woodcrest Preschool Foundation camp and its activities, including Losses arising from the negligence of any of the Released Parties,
whether such Losses arise in connection with bodily injury (including death), property damage or otherwise (collectively, the “Released Claims”).The Released Claims include Losses
arising out of any condition of the premises at which the camp activities are held or the conduct of any person in connection with the preparation for, supervision of, or conduct
of any activity, whether planned or unplanned. I further understand and acknowledge that I make this release in full accord and satisfaction of and in compromise of any and all
Released Claims. I represent and acknowledge that I have read and understand this form and the release granted above and warrant that all statements made herein are true to the
best of my knowledge. I have read and understand this entire form and by signing below agree to the terms herein.

Signature ___________________________________________________________________ Date____________________

For Participants UNDER the age of 18 years:

Signature of Parent / Authorized Legal Guardian ___________________________________________ Date ________________

Answers to “YES” Questions
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________

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Reyes Adobe District 2020 Camporee

Parking Form - Please copy and give to every driver in your Unit.
(If you are staying overnight, please place this on your dashboard)

DRIVERS NAME

DRIVERS PHONE NO:

UNIT and NUMBER
Parking Form - Please copy and give to every driver in your Unit.
(If you are staying overnight, please place this on your dashboard)

DRIVERS NAME

DRIVERS PHONE NO:

UNIT and NUMBER
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