2022-02-25 Klondike Derby Sign-up and Permission Form
The Klondike Derby is a scout competition and cold weather camping* trip where District Scout Troops compete against each other in crazy fun activity stations. It's an event NOT to be missed! If the weather drops below 32 degrees overnight you earn the coveted Polar Bear Patch.

When: 5:00 pm Friday, February 25 to noon Sunday, February 27

Location: Little Bennett Regional Park, 23701 Frederick Road, Clarksburg, Maryland.

Cost: $39 per camper

Stations: Traditional Scouting skills will be tested such as orienteering, fire-building, knots &
lashings, rope-tossing, nature identification, first aid, Leave No Trace and a number of problem
solving or initiative games. A Patrol has to follow instructions carefully in order to complete each
event.

Reasons to Attend:
-  2 Camping nights count toward Tenderfoot, Second Class, or Camping Merit Badge
requirements
-  Lots of opportunities to get rank requirements from Scout through First Class
-  Cooking merit badge or rank advancement opportunities
-  Close to home camping trip, back home in early afternoon Sunday
-  SLED RACING!!!
-  Campfires, late night desserts, awesome activities, ridiculous skits, what’s not to like?!?

The maximum number of participants will be 25 people including scouts and adults.

Contact Meade Havenstein if you have any questions, meadehavenstein@gmail.com (240-409-1802)

Once you sign up for a trip, your fee is required and expected whether you attend or not. Due to food planning and registration committed fees refunds are not possible.   Find out how to pay here: https://docs.google.com/document/d/1EKsNmmcapizrmYrrYd-iwoVGwSYUn9bBUR-rytwe62E

You must go through this sign up form for each *ADULT* and *YOUTH* attending the trip.  You must be the legal guardian of the *YOUTH* for the signup process as you are granting permission and acknowledging your consent for that participant for this event.

Please enter legal guardian's or adult participant's email below. By entering my email address in this form, I understand and agree to grant my permission as the parent or legal guardian for my participant listed below to participate in the above event.
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Email *
First Name *
Participant's first name - Scout or Adult, no nicknames or abbreviations.
Middle Initial *
Participant's middle INITIAL.
Last Name *
Participant's last name.
Cell Phone *
Guardian's or adult participant's cell phone is for contact purposes. Not scout's cell phone.  You may supply an alternate number if you do not have a cell phone.
Meal Planning Considerations *
When planning meals, are there any allergies or dietary restrictions (such as vegetarianism) that need to be considered?   If you indicate an allergy or restriction and want them to be considered when planning trip meals, the participant must either attend meal planning or communicate their needs to the trip planners.
Payment Expectations *
Required
Attendance Expectations *
Required
Unit *
Select 291 if you are a scout in Troop 291 or a parent of a scout in Troop 291.   If not, please specify what scouting unit you are associated with (another troop, pack, etc)
Age *
Participants age. Select Adult or a scout's age.  
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