T1000 Summer Camp Permission Form - Adult
WHAT: June2022 Troop 1000 Summer Camp
WHERE: Camp Orr Jasper, AR

WHEN: All Scout and Adult Participants must arrive at Resurrection Lutheran Church by 6:00pm, Friday June 18th for load-in.
Departure Date: Sunday June 19 Time: 9:00 am
Return Date: Saturday, June 25 Time: 3:00 pm

COSTS: Deposit $100
$220 per adult. 
  Plus road food ($30)
=$250 high adventure adults

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

DUE: February 28th - merit badge signups, permission forms, medical forms (A, B, & C), and deposit

Equipment required:
▪ Standard Summer Camp gear in footlocker (http://t1000.org/long-term-camps#SC2022)
▪ 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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Adult Participant's Name *
Scout's Patrol *
Dietary Restrictions *
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Adult Participant's Home Number *
Adult Participant's Cell Number *
Adult Participant's Email *
Additional Emergency Contact *
Additional Contact Number *
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