Pack # ________ Den # ________ Birth date: __________ T-shirt size: (circle one)

Youth: M L or Adult: S M L XL
Scout Name________________________________________________ RANK AS OF 6/1/08: (c
ircle one) Wolf Bear Webelos
Address___________________________________________________City__________________
______Zip_______________
Home Phone #_______________________Parent's e-mail required to receive camp news
____________________________
Father's Name ___________________________________________Work Phone ____________
________ Cell phone_________
Mother's Name __________________________________________Work Phone______________
_______ Cell Phone_________
Emergency Contact:_________________________________ Relationship________________
_Phone #__________________
The following individual(s) are authorized to pick up my son at camp Include pho
ne number:___________________________
________________________________________________________________________________
__________________________
List driver(s) excluded from transporting your child:___________________________
___________________________________
________________________________________________________________________________
__________________________
Medical Information:
Physician Name____________________________________________Phone #_______________
____________________________
Allergies (Circle those applicable): Food Medicine Plant Insect NONE Other: ____
_______________________________
Convulsions YES NO Diabetes YES NO Asthma YES NO
Heart Trouble YES NO Kidney Disease YES NO High Blood Pressure YES NO
Hemophilia YES NO ADHD YES NO Cancer/Leukemia YES NO
Explain any YES answers_________________________________________________________
___________________________
List medications to be taken at camp. Medication brought to camp MUST be in orig
inal container, and will be dispensed by the
Camp Health Officer.____________________________________________________________
__________________________
Immunizations (give date of last inoculation):
Tetanus_________________Measles______________________Polio____________________R
ubella_______________
Diphtheria________________Mumps______________________Pertussis_________________
Other_________________

IN THE EVENT OF AN EMERGENCY, I understand every effort will be made to contact

the emergency contact listed
above. In the event that no one can be reached, I hereby authorize the camp pers
onnel to make such arrangements as
deemed necessary in regards to transportation and emergency medical treatment.

Signature of Parent or Guardian X _________________________________________Date

______________________

Shooting Sports Parent Permission: (Check one only)

_____ I GIVE permission for my son listed above, to participate in all activitie
s, including Archery and BB gun range
activities, of this Cub Scout Camp. I understand that these activities are organ
ized and supervised by certified adult
leaders.
_____ I DO NOT want my son to participate in Archery and BB gun activities, but
do allow him to participate in all other
activities. I understand if he cannot participate he will sit with an adult for
the 30 minutes his den is participating in these
activities and He will not earn the belt loops for these activities.

Parent Signature__________________________________

As a Scout I agree to DO MY BEST to behave in a manner suitable to the occasion

and with respect for my Cub Scout

Promise. Cub Scout signature:___________________________________________________

__________
DIRECTIONS: A Youth Camper must be a registered Cub Scout. Each Cub Scout attend
ing camp must complete
this form. It must be signed in ink by the Scout s parent or legal guardian and re
turned to the Scout s Pack Day Camp
Coordinator. Make Payment to your Pack.

Early Registration is $45 per camper, due by May 1st Late Registration is $60 af
ter May 1st
NO REGISTRATIONS ACCEPTED AFTER June 7th WITHOUT APPROVAL OF THE CAMP DIRECTOR!
Golden Empire Council Boy Scouts of America Pioneer District
2008 TWILIGHT CAMP Youth APPLICATION

June 23 June 27, 2008 5:30 p.m. to 8:30 p.m. @ Gibson Ranch, Elverta, CA
Account # 1-6801-361-20
Golden Empire Council Boy Scouts of America Pioneer District
2008 TWILIGHT CAMP Adult APPLICATION
June 23 June 27, 2008 5:30 p.m. to 8:30 p.m. @ Gibson Ranch, Elverta, CA
Account # 1-6801-361-20
Unit: Pack Troop Team Crew # __________
I am volunteering for: _____ Station Leader _____ Station Helper _____ Administr
ative Helper
_____ Den Leader (also known as a Walk Around Leader)
Sons Names and Ranks ____________________________________________________________
____________________
If you have a preference, whose den do you want to lead? _______________________
______________________________
Please check day(s) attending: ____ Mon ____ Tue ____Wed ____ Thur
Please circle any appropriate answers:
Do you hold a current CPR card? YES NO Do you hold a current First Aid card? YES
NO
EMT, Nurse, or Doctor? YES NO Registered Adult Scouter? YES NO
PLEASE PRINT:
Name_______________________________________________________
Address_____________________________________________________City________________
__________Zip_______________
Phone #______________________________ E-MAIL to receive camp information________
________________________________
Emergency Contact:____________________________________ Relationship_____________
______Phone #___________________
Medical Information:
Physician Name_______________________________________________Phone #____________
_____________________________
Allergies (Circle those applicable): Food Medicine Plant Insect NONE Other:_____
_______________
Convulsions YES NO Diabetes YES NO Asthma YES NO
Heart Trouble YES NO Kidney Disease YES NO High Blood Pressure YES NO
Hemophilia YES NO ADHD YES NO Cancer/Leukemia YES NO
Explain any YES answers_________________________________________________________
_______________________________
List medications to be taken at camp. Medication brought to camp MUST be in orig
inal container, and will be dispensed by the Camp
Health Officer._________________________________________________________________
________________________________
Immunizations (give date of last inoculation):
Tetanus__________________Measles_______________________Polio___________________
__Rubella_______________
Diphtheria________________Mumps________________________Pertussis_______________
___Other_________________

I am offering my services to the Golden Empire Council as a volunteer member of

Cub Scout Day Camp staff. I understand this is a
volunteer service and I agree to behave in a manner suitable to the occasion and
with respect for the Purpose, Aims, and Methods of

Cub Scouting. ________________________________________ (Signature)

IN THE EVENT OF AN EMERGENCY, I understand every effort will be made to contact
the emergency contact listed
above. In the event no one can be reached I hereby authorize the camp personnel
to make such arrangements as deemed
necessary in regards to transportation and emergency medical treatment. Sign in
Ink
Signature of Adult Volunteer X _________________________________________Date: __
___________
DIRECTIONS: To ensure a quality run camp your pack needs to provide one leader f
or every four Scouts attending camp for
every night of camp. Return your completed form to your Pack s Day Camp Coordinato
r.
All Volunteers need to:
.. Complete youth protection training http://www.scouting.org/pubs/ypt/ypt.jsp

.. Attend Day Camp Volunteer Training on June 7th, 2008, 9am 12pm.

.. Understand that you will be assigned to a den or an activity station, as deci

ded by the camp staff.

.. We require that every adult on site wear a camp shirt, a Class A uniform, or
a camp bandana for identification purposes. It
is easy to spot an intruder when they stand out in the crowd!!! Everyone must we
ar his or her chosen camp uniform each
night of camp.
.. Adults working as Administrative or Station Staff will receive a FREE camp T-
shirt! For everyone else, see below.

(optional) T-shirt size (circle one) Adult: S M L XL XXL XXXL T-shirts are $7 pa
yable to your pack. Pre-orders only until
May 17. After that, a limited number of T-shirts will be available for purchase
at camp.
Adult registration is FREE for Station Leaders and Administration, everyone els
e there is a $7 registration fee. Your
registrationfeeincludesyourcampshirtIhavepaidforaCampT-shirt:YN