Troop 912 September, 2011 Campout Information

Transcription

1 Troop 912 September, 2011 Campout Information Theme: CLIMBING. Advancement opportunities will also be available to those scouts who need to get some outdoor skills signed off. Check your scout books and plan ahead. Place: TORRENT FALLS CLIMBING ADVENTURE, Campton, Kentucky. Located in the Red River Gorge, Torrent Falls Climbing Adventure hosts a via ferrata climbing system which, by means of cables and hand and foot rungs, allows even beginners to navigate the climbing course. Since the camping area at Torrent Falls is not available, we ll be tent camping at CAMP McKEE near Mt. Sterling Kentucky which is about a half-hour drive from Torrent Falls. Dates: Friday, September 16 to Sunday, September 18, Departure/Return Place: Departing and returning to the CCS campus (on the North side of the building in front of the storage sheds next to the playground). FRIDAY, September 16 at 6:00 p.m. Eat Dinner before you arrive. Driving time to Camp McKee is approximately two and one-half hours. Return to CCS Elementary campus parking lot Sunday, September 18by 3:00 p.m. (please pick up your son at CCS). Cost: $35 Cash payments only please, so we can give it to the family who will be buying food. PLEASE BRING YOUR COMPLETED PERMISSION SLIP AND PAYMENT NO LATER THAN TUESDAY, SEPTEMBER 13. Equipment: Regular campout gear (see attached equipment checklist). REMEMBER: It can get cold at night, especially if you ve been climbing and sweating during the day! It is essential to bring a separate outfit to sleep in (i.e., change of socks and underwear, sweat pants, t-shirt and sweatshirt) as well as a full change of weather appropriate clothes. DO NOT BRING: any electrical devices (walkman, gameboy, etc.), any sheath knives (i.e., all approved knives must have a folding blade), nor any fireworks. Emergency Phone # s: Mr. Klusmeier s cell phone Mr. Anneken s cell phone

2 September, 2011 Campout Permission Form PLEASE COMPLETE AND RETURN TO MR. KLUSMEIER NO LATER THAN TUESDAY, SEPTEMBER 13, 2011 Troop 912 November, 2010 Campout: Scoutmaster: I authorize my son: to attend the above described campout. It is understood that a qualified adult leader will be in charge of the trip. In case of an emergency, I understand that every attempt will be made to contact me. In the event that I cannot be reached, I hereby give my permission to the physician selected by the adult leader in charge to secure medical treatment for my son. This may include hospitalization, anesthesia, surgery or injectable medication. Health/Hospitalization Insurance coverage: Policy #: Parent Signature: Date: Emergency contact phone numbers: Home Phone: ( ) Other Phone # during the above dates: ( ) Parent Helpers during the event: [ ] I cannot help out on this outing [ ] I can drive one way but cannot stay overnight: [ ]Drive out [ ] Bring home [ ] I can drive both ways and attend the campout. [ ] I have completed Youth Protection Training on scouting.org. For all drivers: As a driver I am at least 21 years old and carry insurance of at least $50,000 public liability and at least $50,000 property damage coverage. [ ] Yes (must check yes to qualify) Total # people can carry in vehicle (including driver): License # Make/Model of vehicle: License Plate # The mileage (one way) on this trip is: 160 miles. Check with your tax advisor regarding whether you are eligible to take the charitable deduction mileage rate of $0.14/mile.

3 Troop 912 Suggested Campout Equipment Checklist Remember NO portable electronic equipment may be brought Recommended Items: Boy Scout Handbook Plenty of seasonal jackets, shirts, pants, socks, shorts, and underwear for the number of days that you will be out. One change of clothes for each day is recommended. As a minimum, you need replacements in case you get wet. Wool socks with a liner are best in freezing weather. Wool absorbs water and the liner wicks water off your feet. Tent It is your responsibility to make sure you have place to sleep (You may share with another Scout if prearranged.) Two Small Tarps - One for a ground cloth and one to cover your tent in case it leaks. Sleeping Bag or Blanket (Depending on the season.) You can take a warmer rating bag and make it a colder rated bag by placing a fleece inside. Mess Kit; Utensils, and Cup Several Large Plastic Trash Bags Pack your clothes for each day in a separate trash bag. You also have a readily available dirty clothes bag or a trash bag if your patrol needs one. Two Pair (at least) of Shoes or Boots (Wet feet are no fun!) Boots must be worn Friday night when we leave for the campout! Hat (seasonal) Raingear (Good raingear is important to staying dry) Towel Washcloth Soap in a Soapbox Toilet Paper in a Plastic Bag Toothbrush - Toothpaste Flashlight with extra batteries Water Canteen or Water Bottle Pocket Knife with a Totin Chip Card (Remember, you may not use a pocket knife, ax, etc. until you have and carry a Totin Chip Card ) Personal First Aid Kit Insect Repellent (Depending on the season. Note some insect repellants can damage the waterproofing on tents.) Sunscreen Seasonal Gloves Personal Sewing Kit 30 of Utility or Parachute Cord A good attitude to work on the campout theme Optional Items: Sleeping Pad Camera Stool or Chair Watch Compass Whistle Matches Money for Gift Shop(s) Remember, it might rain and you might get wet. You can last for a while being wet and you can last for a while being cold, but you cannot last very long being wet and cold. Be Prepared! It is always easier to take it off if you have it than to put it on if you do not have it. Check your tents for leaks while you are home. Waterproof seams as necessary.

4 RELEASE, WAIVER OF LIABILITY AND INDEMNIFICATION AGREEMENT (referred to throughout as Agreement ) NAME (first/last - Print) Climb Date: / / (hereafter referred to as Participant ) As with most high adventure recreational activities, Participant acknowledges and understands that involvement in the activities of the Torrent Falls Climbing Adventure are not without risk. Such activities that Torrent Falls Climbing Adventure, LLC offers, but is not limited to: Via Ferrata, Guided Rock Climbing, Guided Rappelling, Guided Via Ferrata Night Climbing, Rock Climbing Clinics, and Boy Scout Climbing Merit Badges. Such risks of participation in the high adventure activities include but certainly are not limited to, loss or damage to personal property, injury or death of Participant from such events/items as; falling off a rock wall, cable, swing, zip line or bridge; loose or damaged artificial or natural holds, rock or tree falling, abrasions from ropes, cables, pads or other equipment, actions/activities of other climbers or other persons present in the via ferrata; carabineer, harness or equipment failure and many other events/items. Recognizing such events/items, Participant understands that property damage or injuries to Participant may be substantial and permanent, including but not limited to, fractures, muscle strains, sprains, and even in some circumstances paralysis or death. Participant further acknowledges that these items are just some of the known risks and that other risks, both known and unknown are involved in this high adventure activity. If, at any time, Participant is in or about such activities and Participant feels anything to be unsafe, including but not limited to weather conditions, course condition, equipment or any other participant, Participant agrees and warrants to immediately advise Torrent Falls Climbing Adventure, LLC personnel and cease activities until the reported item is corrected. Participant warrants that Participant understands the strenuous nature, both emotionally and physically, of this activity, and the Participant has no medical or physical condition which could interfere with the safety of Participant or other participants in the via ferrata and/or other guided activities. As such, Participant warrants that Participant is physically and mentally capable of safely participating in all aspects of the high adventure activities. In order to maximize safety of all involved, Participant agrees to abide by all rules, guidelines, instruction established by Torrent Falls Climbing Adventure, LLC, its staff members and agents. Participant must follow any and all instructions from their guide for the duration of the trip(s). The failure of Participant to abide by all such rules, guidelines and/or instructions of Torrent Falls Climbing Adventure, LLC, may result, in the sole discretion of Torrent Falls Climbing Adventure, LLC, withdrawing permission of Participant to remain in the activities, ejection from facility/property or such other reasonable restrictions. IMPORTANT RELEASE, WAIVER AND DISCHARGE LANGUAGE With full knowledge of the information above, and in consideration of the facility provided and the right to participate, Participant, on behalf of Participant, his/her personal representatives, heirs, next of kin, agents and each of them do herby RELEASE, WAIVE, AND DISCHARGE Torrent Falls Climbing Adventure, LLC, ROC Entreprise, Mark Meyer, Kathryn Meyer, Christian Ferrera, including each of their respective heirs, representatives, owners, directors, affiliates, successors, predecessors, assigns, agents,

5 consultants, volunteers, sponsors, equipment providers, contractors, vendors, landlords, insurers and each of them, as well as other climbing adventure participants/visitors and each of them (collectively referred to as Releasees ), of and from any all claims, demands, causes of actions, damages, injuries (including paralysis or death), liability whether known or unknown, even if such is caused by negligence of the Releasees. IMPORTANT INDEMNIFICATION AND HOLD HARMLESS LANGUAGE In further consideration of the facility provided and permission granted for Participant to participate, Participant agrees to INDEMNIFY AND SAVE AND HOLD HARMLESS the Releasees and each of them from any loss, liability, damage, expenses, fees (including attorneys fees), lawsuits or cost of whatsoever kind of nature, Releases incur arising out of or related to Participant s use or involvement in or about the via ferrata and whether caused by the negligence of Releases. By signing below, Participant acknowledges and agrees that this Agreement is intended to be as broad and inclusive as is permitted by law and that if any portion is held invalid, that it is agreed that just such portion will be stricken and the remainder of the Agreement will remain in full force an effect. Participant also warrants that the following statements are true and correct and understand that Releasees have relied upon them in entering into this Agreement and in giving Participant permission to enter and participate in or about Torrent Falls Climbing Adventure, LLC activities. 1. Aside from this agreement, no oral representations, statements, promises, or inducements have been made to Participant; 2. Participant expressly accepts full responsibility and risk of bodily injury, death or property damage, including such which derives from the negligence of Releasees; 3. Participant has completely read, understood and voluntarily signed this RELEASE, WAIVER AND INDEMNIFICATION AGREEMENT 4. Participant is age 18 or older and otherwise of sound mind to enter into this legally binding Agreement (If Participant is under age 18, Participant must sign this Agreement and also signature of parent/guardian on the ADDENDUM Permission Form) I HAVE READ THIS ENTIRE DOCUMENT AND COMPLETELY UNDERSTAND THE TERMS AND CONDITIONS. THIS IS A LEGALLY BINDING CONTRACT. Participant Name (Signature) Date Address: City: State: Zip Code: Phone #: ( ) Birth date: / / In case of emergency, Releasees have permission to call and provide information to: Name: Phone Number: ( )

6 Minor Addendum Permission Form Additional Consent to Participate in the Torrent Falls Climbing Adventure and Release of Liability Minor s Name (first/last Print) Climb Date: / / By signing below, I request that my Child/Teenager be permitted to participate in the high adventure activities which includes certain risks, including those described in the Release, Waiver of Liability and Indemnification Agreement (incorporated herein) signed by my Child and of which I acknowledge I have read fully and understand and agree with the complete content of such Agreement. I further warrant that I have discussed the risks of participation with my Child/Teenager and also directed my Child/Teenager to abide by all rules, guidelines and instruction provided by Torrent Falls Climbing Adventure, LLC and its staff. Subject to the additional conditions noted below and those set out in the Release, Waiver of Liability and Indemnification Agreement, I consent to my Child s/teenager s participation in the high adventure activities offered by Torrent Falls Climbing Adventure, LLC. I further provide permission to Torrent Falls Climbing Adventure, LLC to contact the individual identified in the Release, Waiver of Liability and Indemnification Agreement in an emergency situation (as determined by Torrent Falls Climbing Adventure, LLC), to provide health and other information to such person, and further authorize the provision of emergency medical care to my child/teenager. I understand and agree that my Child/Teenager must be 10 years of age or older to participate in via ferrata and is recommended to be 6 years of age or older to participate in guided rock climbing/rappelling. I understand and agree that my Child/Teenager participates in the high adventure activities at his/her sole risk, and that I assume full responsibility for any injury, loss or damages incurred by my Child/Teenager or by any other person in connection with my Child s/teenager s participation in the high adventure activities. As such, I agree to forever Release, Indemnify, Discharge and Hold Harmless Torrent Falls Climbing Adventure, LLC, ROC Entreprise, and each of their respective heirs, representatives, owners, directors, affiliates, successors, predecessors, assigns, agents, consultants, volunteers, sponsors, equipment providers, vendors, insurers, other via ferrata participants/visitors and each of them (collectively referred to as Releasees ) from any and all liability, claims, demands, damages, costs, expenses (including attorney fees), loss of services, actions and causes of actions (including those made by anyone who has not signed this agreement) that in anyway and anytime arise out of my Child s/teenager s use or involvement within the Torrent Falls Climbing Adventure, LLC high adventure activities and whether caused by the negligence of Releasees. Parent/Guardian (First/Last Name - Print): Signature: Date: / / Minor (First/Last Name Print): Signature: Date: / / Minor Birth date: / /