July Campsite reservation requires payment of $100 non-refundable deposit that will be applied to your payment of registration fees

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1 Campsite Reservation Return To: 317 N Grand Indicate 1 st, 2 nd and 3 rd choices of campsite in column of week your troop will attend. White Eagle campsite is reserved for troops requiring wheel chair access or whose leader(s) are providing leadership for the Maverick Camp Provisional Troop. Will Rogers Scout Reservation Campsites Boomer Pawnee Bill 89'er Osage Elmer Heard White Eagle Steve Evans Pioneer Sac 'N Fox Knights of Columbus Kiwanis Rotary July 7-13 Campsite reservation requires payment of $100 non-refundable deposit that will be applied to your payment of registration fees Check Payable to Cimarron Council, BSA # : Credit Card: Visa MC (Circle one) Card # Expiration Month/Year: Signature

2 Troop Registration Return to: 317 N. Grand Date: July 7 to July 13, 2019 Campsite : ADULTS REG YPT REG YPT POS AGE DATE POS AGE DATE REGISTERED POSITION (REG POS): CR/CC/MC/SM/ASM/NR(Non-Registered Parent) YPT-Youth Protection Training (Month/Year) SCOUTS Age Rank Eagle Quest AGE RANK Eagle Quest Payment Check # (Payable to Cimarron Council, BSA ): $200 by 02/28 $250 after 02/28 Credit Card: Visa MC Discover (Circle one) $50 by 02/28 Card # $75 after 02/28 Expiration Signature Month/Year: Less Campsite Deposit ($100) if applicable Total Fees Due

3 Swimming Ability Classification Conducted By Troop Return to: 317 N. Grand Troops are permitted to conduct their own swim checks and bring this certification with them to camp. Swim checks must be done by a certified lifeguard (either BSA or American Red Cross ) and supervised by an adult leader registered in the troop in accordance with Safe Swim Defense guidelines and policies outlined in the Guide to Safe Scouting. A copy of the lifeguard s certification must be attached to this form. Camp Week Campsite Camp Scoutmaster Troop Number Address Council City State Zip Date Swim-test conducted: Location of test: Test conducted by (Lifeguard): Signature (Lifeguard): Test supervised by () Signature (Adult leader) NS BG SW NS BG SW Swimmer (SW) Beginner (BG) Nonswimmer (NS) Jump feet first into water over the head, level off, and begin swimming.swim 75 yards in a strong manner using one or more of the following strokes: side, breast, trudgen, or crawl. Swim 25 yards using an easy, resting backstroke. The 100 yards must be completed without stops and must include at least one sharp turn. Rest by floating Long enough to demonstrate ability to rest when exhausted. Swim 25 feet on the surface. Stop, turn, and resume swimming back to the starting place. Stop, turn, and resume swimming back to the starting place. Stop, turn, and resume swimming back to the starting place. Did not complete either of the swimming tests.

4 Medication Log Date: July 7 to July 13, 2019 Campsite : Please fill out and bring to Camp. Turn in during Medical re-check. Medicine & Dose Breakfast After Breakfast After Lunch Dinner After Dinner Bedtime Other

5 Cimarron Council Scout Summer Camp Merit Badges : Troop: Campsite Eagle Required o Swimming o Lifesaving o Citizenship in Nation o Citizenship in World o First aid o Cooking o Camping o Environmental Science Shooting Sports o Archery o Rifle o Shotgun Boat Pond o Rowing o Canoeing o Kayaking Scout Skills o Pioneering o Orienteering o Wilderness Survival o Geocaching o Climbing o Astronomy o Welding EcoCon o Reptile and Amphibian Study o Fishing o Insect Study o Forestry Handicrafts o Leatherwork o Indian Lore o Wood Carving o Metal work 1 st Year Camper/ Eagle Quest