JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Pack Overnight Camping Site Appraisal Request
Please complete the following form to request a site appraisal of a desired camping location. Site approvals are valid for two years. Please provide as much information about the location as you are able. If you're unsure of an answer, please select unsure. All available information will aid us in approving the site and adding the information to our database to share with others. For more information about Pack overnight camping, visit
www.gocubcamping.org
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Your Name
*
Your answer
Your Email
*
Your answer
Site/ Location Name
*
Your answer
Address
*
Your answer
City
*
Your answer
State
*
Your answer
Site Contact Name
Your answer
Phone Number
Your answer
Website
Your answer
Managed By (Nebraska Game & Parks, Iowa DNR, County, etc.)
Your answer
The camping site is clean and safe from hazards
Yes
No
Unsure
Clear selection
The site is not located near any natural or manmade hazards (rivers, train tracks, etc.)
Yes
No
Unsure
Clear selection
If yes above, please explain
Your answer
Campsite areas are available for tents
Yes
No
Unsure
Clear selection
Facilities are available for proper disposal of garbage
Yes
No
Unsure
Clear selection
Drinking water from an approved source is provided at convenient locations
Yes
No
Unsure
Clear selection
Emergency medical services (EMS) are available within 30 minutes from site
Yes
No
Unsure
Clear selection
Cellular phone service is available
Yes
No
Unsure
Clear selection
Are fires permitted?
Yes
No
Unsure
Clear selection
If fires are permitted, there is a designated fire ring/ pit provided
Yes
No
Unsure
Clear selection
Individual hookups provided for electricity, water, or sewer meet all appropriate local and state health codes
Yes
No
Unsure
Clear selection
Each camping site is located within 300 feet of a sanitary toilet facility
Yes
No
Unsure
Clear selection
Shelters are available during inclement weather
Yes
No
Unsure
Clear selection
Swimming is available (pool or lakefront/ beach)
Yes
No
Unsure
Clear selection
If swimming areas are available, they meet BSA safety guidelines for Safe Swim Defense
Yes
No
Unsure
Clear selection
RV Sites are available
Yes
No
Unsure
Clear selection
Group campsite areas are available
Yes
No
Unsure
Clear selection
Showers are available for all campers
Yes
No
Unsure
Clear selection
Picnic tables are available
Yes
No
Unsure
Clear selection
Permanent charcoal cooking stations (grills) are available at each camping site
Yes
No
Unsure
Clear selection
Open areas are available for group games/ other recreational activities
Yes
No
Unsure
Clear selection
Well-marked and easy-to-follow trails are available
Yes
No
Unsure
Clear selection
Playground equipment is available and in good repair
Yes
No
Unsure
Clear selection
List any other items of interest, historical sites, etc. that are in or near the campsites (fishing, special cabins/ housing, visitors education center, etc.)
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
