T1000 Summer Camp Permission Form - Adult
WHAT: June 2023 Troop 1000 Summer Camp

WHERE: Camp Alexander, 2182 Co Rd 96, Lake George, CO 80827

WHEN: All Scout and Adult Participants must arrive at Resurrection Lutheran Church by 6:00pm, Friday June 16th for load-in.
Departure Date: Saturday, June 17 Time: 9:00 am
Return Date: Sunday, June 25 Time: 3:00 pm

COSTS: $475
$235 per adult
$100 van rental
$80 road food
$30 accommodation donation
The initial payment of $300 required to hold our place at Camp A is due by January 16th. 
The troop will cover the first payment and a schedule will be distributed.

Payment 1 February 20, 2023 - $300 due 
Payment 2 April 17, 2023 - $175 due 
Payment 3 May 8, 2023 - Medical forms A, B & C

Payment can be by PayPal, check or cash. See Campout email or troop website for PayPal link.

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: Amy Porter     Phone: 972-400-1601
Secondary Contact: Sallie Diamond     Phone: 469.644.0169
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Email *
Adult Participant's Name *
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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