T1000 Summer Camp Permission Form - Adult
WHAT: June 2024 Troop 1000 Summer Camp

WHERE: Camp Buck Toms, 373 Camp Buck Toms Rd, Rockwood, TN 37854

WHEN: All Scout and Adult Participants must arrive at Resurrection Lutheran Church by 6:00pm, Friday June 21th for load-in.
Departure Date: Saturday, June 22 Time: 9:00 am
Return Date: Sunday, June 30 Time: 3:00 pm

Scouter camp $155 
Vans $140
Gas $80
Road food $150
Accommodation donation $25  = $550

Adults Fees:
Total: $550
February 17, 2024 - $100 Deposit
Mid March - $150 to hold spot at camp
Mid April - $150 (non-refundable if cancelled after this point - portion of van for a given headcount)
Mid May - $150 Final Payment plus Medical Forms A, B & C

Pay via the Troop Store, check, cash, or Zelle.
https://t1000.org/product/summer-camp-2024

Equipment required:
▪ Standard Summer Camp gear in footlocker (http://t1000.org/long-term-camps#SC2023)
▪ Day pack with Ten Essentials
▪ Sturdy, broken-in hiking boots or athletic shoes (no Crocs)
▪ Rain gear (no ponchos)
▪ Travel Uniform – Field Uniform (with neckerchief & troop hat)
▪ In camp Uniform – Activity Uniform (BSA T-shirts)
▪ 2 quarts of water
▪ Personal First Aid Kit
▪ BSA Handbook

Troop Emergency Contacts:
Primary Contact: Holle Galloway     Phone: 918-607-1226
Secondary Contact: Sallie Diamond     Phone: 469.644.0169
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Email *
Adult Participant's Name *
Summer Camp or Mountain Man (High Adventure) *
Dietary Restrictions *
Food Allergies / Restrictions *
Adult Participant's Home Number *
Adult Participant's Cell Number *
Adult Participant's Email *
Additional Emergency Contact *
Additional Contact Number *
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