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Boys Scouts of America Central Florida Council presents Central Florida Council 3rd International Jamborette Jamborette Leader’s Guide July 18 - 29, 2015 Camp La-No-Che Paisley, Florida USA Central Florida Council 1951 South Orange Blossom Trail, Ste. 102, Apopka, FL 32703 Telephone (407) 889-4403 Fax (407) 889-4406

Boys Scouts of America Central Florida Council …...Boys Scouts of America Central Florida Council presents Central Florida Council 3rd International Jamborette Jamborette Leader’s

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Page 1: Boys Scouts of America Central Florida Council …...Boys Scouts of America Central Florida Council presents Central Florida Council 3rd International Jamborette Jamborette Leader’s

Boys Scouts of America

Central Florida Council

presents

Central Florida Council

3rd International Jamborette

Jamborette Leader’s Guide

July 18 - 29, 2015

Camp La-No-Che

Paisley, Florida USA

Central Florida Council

1951 South Orange Blossom Trail, Ste. 102, Apopka, FL 32703 Telephone (407) 889-4403 Fax (407) 889-4406

Page 2: Boys Scouts of America Central Florida Council …...Boys Scouts of America Central Florida Council presents Central Florida Council 3rd International Jamborette Jamborette Leader’s
Page 3: Boys Scouts of America Central Florida Council …...Boys Scouts of America Central Florida Council presents Central Florida Council 3rd International Jamborette Jamborette Leader’s

2015 CFC International Jamborette Payment/Administrative Schedule

July 18-26, 2015 - Jamborette—Camp Activities

July 26-28, 2015 - Jamborette—Theme Parks

International Contingents - Scouts and Leaders

Participant Fee $625.00 USD (8 days camp/3 days theme parks)

US Contingents - Scouts

Participant Fee $450.00 USD (8 days camp) Participant Fee $625.00 USD (8 days camp/3 days theme parks)

US Contingents - Leaders

Participant Fee $350.00 USD (8 days of camp) Participant Fee $475.00 USD (8 days camp/3 days theme parks)

Program/Activity Forms

These forms will be sent to Contingent Leaders the week of December 1, 2014

Administrative Due Dates Deadline Date Method Submission Item October 25, 2014 email or postal mail Application Deadline (First Come, First Serve)

December 15, 2014 email or postal mail Confirmed Visa Status

December 15, 2014 credit card/wire transfer Non-Refundable Deposit $50.00 per participant

January 15, 2015 email or electronically Program/Activity Form

April 1, 2015 email or postal mail Contingent Travel Arrangements

Page 4: Boys Scouts of America Central Florida Council …...Boys Scouts of America Central Florida Council presents Central Florida Council 3rd International Jamborette Jamborette Leader’s

General Rules, Dress, and Safety

Physical Exams

All campers, both youth and adult, must have an official BSA Annual Health and

Medical Record. This is the only form that will be accepted by camp and it must have been

completed within 12 calendar months before arrival to camp. During check-in, two (2) copies

of the medical form are to be submitted for each participant. Failure to submit medical forms

will result in not being permitted on camp property. See medical page for more information.

Age Requirements Due to the nature of the adventure programs, all age requirements must be adhered as outlined

in the Leader’s Guide.

Field Uniform Closing Flag, Evening Meal, Campfire Programs, and Troop Photographs

Camp Dress Code

There are no uniform requirements during the day; however, all campers must wear closed-toe

shoes at all times. The only exception is that flip flops, aqua socks, or sandals may be worn in

the campsite when going to the shower. Hemlines of shorts shall be no shorter than mid-thigh.

Aquatics Dress Code (Pool/Lakefront)

Swim suits only, no cut-offs

Please bring water shoes to all lakefront activities

Climbing Dress Code (Includes COPE and Alpine Adventure) Cotton type material shorts or pants (i.e. cargo pants or khaki material)

No jean pants/shorts, no Scout shorts/socks

No loose shoes such as skateboard shoes, sandals or boots

If hair is past your ears, it may have to be tied back

Cycling Dress Code

Recommended that Scouts bring a camel pack or water bottle

Cotton type material shorts required (NO jean shorts, Scout shorts/socks, or other heavy pants)

If Scout brings own bike, it must be in good working order (NO trick bikes)

Must have ability to ride long distances during the week

Dining Hall Etiquette

Hats are not to be worn in the dining hall

Shoes and shirts are to be worn in the dining hall

A Scout is Courteous

Please do not walk through other campsites without permission

Food in Campsites

Food is not permitted in tents at any time

All food in camp should be locked in a vehicle overnight or in a bear bag

Page 5: Boys Scouts of America Central Florida Council …...Boys Scouts of America Central Florida Council presents Central Florida Council 3rd International Jamborette Jamborette Leader’s

Weather The weather in Central Florida is usually sunny with temperatures usually in the

mid 90’s. During the summer, we typically get a number of short yet severe thunderstorms. These thunderstorms frequently produce dangerous lightning.

Please remind Scouts of the danger of lightning and discuss precautions to take during the storm.

Facilities Camp La-No-Che (http://www.camplanoche.com/) at the Leonard & Marjorie Wil-

liams Family Scout Reservation is an outstanding facility to provide an enjoyable Jamborette experience for all Scouts and Scouters.

Here is a short list of facility highlights:

The W. T. Bland Dining Hall – Fully enclosed with air conditioning and enjoys a

600 person capacity for meals; however, the commercial kitchen often feeds

over 1,000 campers each meal!

For those inclined, and pending weather, swimming is available in either of the

two Olympic size lighted swimming pools.

Lighted sports area (basketball court, volleyball, horseshoes, and boulder

wall).

Shooting sports area with lights (rifle range, shotgun range, black powder/

handgun range, and archery range).

Alpine Tower, Climbing Tower, and Challenging Outdoor Personal Experience

(COPE) Course.

An accredited Health Lodge with licensed medical officer

Fully stocked Scout Shop

Our campsites include enclosed activity shelters with electricity, lights, and

fans; with an adult leader room

Each campsite has a modern latrine with private toilets, hot water showers,

and sinks.

Page 6: Boys Scouts of America Central Florida Council …...Boys Scouts of America Central Florida Council presents Central Florida Council 3rd International Jamborette Jamborette Leader’s

Jamborette Activities/Programs 07-18 S Contingent Arrivals

Opening Ceremony

07-19 S Camp Opens

07-20 M Camp Activities

International Dance

07-21 T Camp Activities

International Swim

07-22 W Camp Activities

OA Cracker Barrel

07-23 T Camp Activities

Family Day

Pow-Wow

07-24 F Camp Activities

Camp Closing, Dance Dining Hall

07-25 S Camp-Wide Games

International Swim

Barbeque Dinner

Jamborette Closing Ceremony

07-26 S Theme Park 1

07-27 M Theme Park 2

07-28 T Theme Park 3

07-29 W Depart Camp

Page 7: Boys Scouts of America Central Florida Council …...Boys Scouts of America Central Florida Council presents Central Florida Council 3rd International Jamborette Jamborette Leader’s

Daily Schedule July 18, 2015 Jamborette Contingents Arrive at Camp La-No-Che (camp arrival 12:00-4:00pm) International and Out-of-State Contingents - Transportation will be available (as needed) from the Orlando area only to get the Jamborette. July 20–24, 2015 06:00am Reveille (showers, clean camp, tent inspections...tidy up every day!) 07:30am Breakfast; Activity Uniform (Class B)

08:00am Breakfast; Activity Uniform (Class B) 09:00am Morning Activities 12:00pm Lunch; Activity Uniform (Class B)

12:25pm Lunch; Activity Uniform (Class B) 01:30pm Afternoon Activities 05:45pm Dinner; Full uniform (Class A) from your home country 06:15pm Dinner; Full uniform (Class A) from your home country 07:00pm Social Activities—Dining Hall and/or Camp Wide 10:30pm Camp Taps (no talking, sounds, or lights allowed) July 25, 2015 Camp-wide Games/BBQ/Closing July 26, 2015 Theme Park July 27, 2015 Theme Park July 28, 2015 Theme Park July 29, 2015 Depart for Home—Camp vacated by 11:00am

Page 8: Boys Scouts of America Central Florida Council …...Boys Scouts of America Central Florida Council presents Central Florida Council 3rd International Jamborette Jamborette Leader’s

Adult Activities Alpine Adventure

Archery

COPE...Teambuilding, Low-COPE, High-COPE

Indian Woodsman Program I

Indian Woodsman Program II

Poseidon Adventure

Rifle Shooting

Scout Leader Merit Award

Youth Activities Alpine Adventure

Archery

COPE...Teambuilding, Low-COPE, High-COPE

Cycling

Poseidon Adventure

Rifle Shooting

Swimming

Jamborette Camp Activities After the sessions you selected above, in the later afternoon free time will be given to the

Jamborette participants to participate in various activities. The confirmed activities will be

announced at the Jamborette. Some of the activities may include:

Adventure Tower

Archery

Basketball

Hiking (Trails of La-No-Che)

La-No-Che Scramble

Native American Activities

Rifle Shooting

Shotgun Shooting

Snake Feeding Presentation

Soccer (or Football almost everywhere else)

Swimming

Theme Parks

Volleyball

More information on each activity in the following pages...

Page 9: Boys Scouts of America Central Florida Council …...Boys Scouts of America Central Florida Council presents Central Florida Council 3rd International Jamborette Jamborette Leader’s

2015 Jamborette High Adventure Programs

Adventure Programs Comments

Alpine Adventure

14 years of age

Alpine Adventure The Alpine Tower stands over 60’ tall and features 30

different climbing challenges, including a 30’ free fall swing called “The Screamer”.

Some challenges require the entire group for success.

The tower is also designed to accommodate individuals with certain physical disabilities.

Participants must be 14 years of age by 6/1/15

Project C.O.P.E.

13 years of age

Project C.O.P.E. Challenging Outdoor Personal Experience is designed

for older Scouts. Project C.O.P.E is a program which utilizes many unique obstacles, games, puzzles, and

challenges. The program emphasizes and encourages working as a team, developing leadership, problem

solving, building self-esteem and communication skills.

Participants must be 13 years of age by 6/1/15

Poseidon's Odyssey:

14 years of age

Poseidon's Odyssey Poseidon’s Odyssey will provide the opportunity to

take in water activities as well as explore nature in Central Florida. Activities will include:

Tubing and swimming at Blue Springs

Canoeing on the Silver River

See the monkeys that have lived in the area since

the 1930’s filming of the Tarzan movies

Opportunity may be presented to see one of the

Tarzan movies

(Program Continued on Next Page)

Participants must be 14 years of age by 6/1/15

Page 10: Boys Scouts of America Central Florida Council …...Boys Scouts of America Central Florida Council presents Central Florida Council 3rd International Jamborette Jamborette Leader’s

2015 Jamborette Adult/Youth Programs

Program Name Comments

Archery

Archery (Youth and Adult) Challenge yourself to draw & maintain 20# bow. It is

not as easy as it seems and then hit the bull’s-eye!

Cycling

Cycling (Youth) Must have ability to ride long distances during the

week.

2015 Jamborette High Adventure Programs

Adventure Programs Comments

Poseidon's Odyssey:

14 years of age

Poseidon's Odyssey (Continued) Deep Sea Fishing

Have an opportunity of catching a small shark

Have an opportunity of cooking/eating it back at

the Native American Village. Aquatic Activities at Camp La-No-Che

Participants must be 14 years of age by 6/1/15

Page 11: Boys Scouts of America Central Florida Council …...Boys Scouts of America Central Florida Council presents Central Florida Council 3rd International Jamborette Jamborette Leader’s

2015 Jamborette Adult/Youth Programs

Program Name Comments

Indian Woodsman

Program I & II

Indian Woodsman Program I & II (Adult) Woodsman I - Learn Native American survival skills

and practices, primitive weapons history, fire making, history of Seminoles, hide tanning, and flint napping.

In this class you will learn to make your very own sur-vival sticks, that you can take with our anywhere.

Woodsman II - This is an extension course that adds new elements to the Woodsman program such as Na-

tive American cooking. In this class you will eat items such as buffalo, venison, alligator, and much, much

more. You will also create your own eating utensils that you can take home with you at the end of the

week.

Rifle Shooting

Rifle Shooting (Adult/Youth) Our range is a busy place indeed. Scouts will require

safety glasses & ear plugs which will be provided.

Scout Leader Merit

Award Scout Leader Merit Award (Adult) Scouts don't get to earn all the awards this week.

Make sure you see the Jamborette Staff to receive the requirements to earn your own Scout Leader Merit

Award. Visit different areas of camp, help with camp inspections and/or the Night Owl Program, and you

will be well on your way to taking home a patch and

ribbon at the end of the week.

Swimming

Swimming (Youth) Swimming programs are offered throughout the day in

the lighted Olympic-size swimming pools.

Page 12: Boys Scouts of America Central Florida Council …...Boys Scouts of America Central Florida Council presents Central Florida Council 3rd International Jamborette Jamborette Leader’s

2015 Jamborette Camp Activities

Camp Activity Comments

Adventure Tower

Adventure Tower Adventure Tower (Static Rope Course) is a new

program area that has 9 challenges and 3 levels of rappelling. Unlike any other event in Adventure

Camp this will get your blood pumping.

Basketball

Basketball Troops can reserve the whole court for 1 hour incre-

ments. Free play will commence when there is not a troop signed up.

Hiker of La-No-Che

Trails

Hiking of La-No-Che Trails Hiking the trails of Camp La-No-Che at The Leonard

and Marjorie Williams Family Scout Reservation can be a rewarding experience for Scouts and Scouters alike.

Information and helpful hints are provided to make this experience even more fun. The Ecology Staff

maintains and oversees the trail system throughout

camp. Before starting any hike, please notify the staff at the Ecology Lodge for directions, hints on changes

and wildlife, and to sign the log book. Report back to Ecology Lodge upon completion of each hike.

La-No-Che Scramble

La-No-Che Scramble During troop time run a race like no other! Test your

agility and physical fitness along a 1.5 mile long course. The course features a portion of the events

that are offered during the X5K Black Bear Challenge. Events like the Belly Crawl, Triple Wall, Leprechaun

Leap, and Spider Maze. Your Scouts will be talking

about this event long after Summer Camp.

Page 13: Boys Scouts of America Central Florida Council …...Boys Scouts of America Central Florida Council presents Central Florida Council 3rd International Jamborette Jamborette Leader’s

2015 Jamborette Camp Activities

Camp Activity Comments

Movies

Movies Camp La-No-Che will be playing a movie in the Dining

Hall on various nights. Various snacks including candy bars, nachos, popcorn, and soda will be available for

purchase.

Native American

Weapons Native American Weapons Come shoot actual blow guns, throw spears and toma-

hawks during this troop time activity. See what kind of shot you really are.

Native American

Pow-Wow

Native American Pow-Wow

Thursday night at 7:30pm the Native American Village comes alive and with the Family Night Pow-Wow.

Come experience Native American life! All parts of the village are open and free to explore.

Visit the museum, shooting galleries, and the Native

American Trading Post.

Snake Feeding

Snake Feeding Come see the greatest battle on camp between snake

and mouse, in the Ecology Lodge. Do not be late spots fill up quickly, make sure you get there early for a

great view!

Page 14: Boys Scouts of America Central Florida Council …...Boys Scouts of America Central Florida Council presents Central Florida Council 3rd International Jamborette Jamborette Leader’s

2015 Jamborette Camp Activities

Camp Activity Comments

Soccer (Football) Soccer (Football) Camp La-No-Che has a night sports program for

Scouts and adult leaders on Monday, Tuesday, and Wednesday nights at 7:00pm on the sports field. Staff

will compete against Scouts and adults interested in playing soccer.

Swimming

Swimming In 2014, Camp La-No-Che will opening a second pool

on property and feature a water slide, several water features, handicap lift, and a zero degree entry ramp.

Next to the pool a Bath House will be constructed that will support our summer camp program, and events

throughout the season. This will be in addition to our

first pool that is Olympic size with a diving board.

Universal Studios

Orlando Resort

Universal Studios Orlando Resort (2-days) Hop from park-to-park and live the movies!

Universal Studios...Join the mayhem with Despicable Me, go to Krustyland with the Simpsons, be recruited

by the Transformers, or roller coasters are your thing then go for Hollywood Rip Ride Rockit. Opening July

2014 - Diagon Alley and The Hogwarts Express!

Islands of Adventore...Go to Jurrasic Park, get wet on Popeye & Bluto’s Barge / Dudley Do-Right’s Ripsaw

Falls, or attend Hogwarts at the Wizarding World of Harry Potter. Don’t forget to get a Butterbeer!

https://www.universalorlando.com/Home.aspx

Wet n’ Wild

Wet n’ Wild (1-Day) Spend a day at the water park!

There are multi-person rides such as the Brain Wash, Disco H2O, The Surge, and the Bubba Tub. There are

single person thrill rides such as the Mach 5 , The Storm, and the more daring Der Stuka. If these types

of rides are not for you than hit the waves of the Wave

Pool Surf Lagoon or floating on the Lazy River. There is something for everyone!

http://www.wetnwildorlando.com/index.php

Page 15: Boys Scouts of America Central Florida Council …...Boys Scouts of America Central Florida Council presents Central Florida Council 3rd International Jamborette Jamborette Leader’s

Camp La-No-Che is known for its unique trails for

scouts of all ages. We challenge you to explore the

history of our Camp and experience our trails.

Cateye Trails (Always use the buddy system in camp)

The Cateye Red Trail is marked with red reflectors which the Scouts follow. The

route uses existing roads and trails through the east side of camp to provide a

challenge for everyone. Remember to bring your flashlights, look up and keep a sharp eye out for the red cateyes.

The Cateye Blue Trail is marked with blue reflectors which Scouts will follow with

the aid of their flashlights. This trail was blazed by the ecology staff and is about an hour long. Remember your flashlights and keep an eye out for the blue

cateyes.

Sulfur Springs Trail (Always use the buddy system in camp) This spring is one of the natural wonders of La-No-Che which is being preserved

and protected. Because of this protection, you can experience this wonderful ecosystem which unfolds before you. Please do not damage plants and trees

along the way, but take lots of pictures. Also, remember that the spring is not a swimming hole.

Trapper Creek Nature Trail (Always use the buddy system in camp) This is an adventure in wetland forests and creeks that sometimes flow under

two bridges. The wood ticks and mosquitoes may be a problem, so bring your repellent and spray your ankles. Hikers may see close to half of Camp La-No-

Che’s plant species on this trail along with many different types of animals

Page 16: Boys Scouts of America Central Florida Council …...Boys Scouts of America Central Florida Council presents Central Florida Council 3rd International Jamborette Jamborette Leader’s

Health & Medical Information

USE THE NEW FORM LAUNCHED 2014*

HEALTH AND MEDICAL DOCUMENTATION

The camp is required by both Boy Scouts and State of Florida regulations to

maintain health and medical records on every person in camp. To satisfy

these requirements, Scouts and leaders must bring the completed "Annual

Health and Medical Record” documents (replaces Class 1, 2 & 3 forms). All

previous versions of BSA medical forms are not acceptable at International

Jamborette – please help us on this front. When emergencies occur, having everyone on the

same format makes it vastly easier for our medical officer. Please see links below:

US CONTINGENTS - Use this form:

'Click Here' for Current Medical Forms ABC Sections A, B & C filled out legibly, signed, and dated by parent or guardian and a licensed

health care provider not more than 12 months prior to the end of the camp session (July 29,

2015). Be sure that the immunization record is complete and that all the medications the Scout

is to receive at camp are listed. All medications must come with the original containers. Please

attach a photocopy of both sides of the participant’s insurance card (see part A). If family has

no medical insurance, state “none.”

Be sure that tetanus immunization has been administered within the past 10 years.

Medical Forms will be retained on file at camp and WILL BE RETURNED.

Please make a copy prior to arriving at camp, just in case.

INTERNATIONAL CONTINGENTS ONLY - Use this form:

'Click Here' for Current Medical Forms AB Sections A, B & C filled out legibly, signed, and dated by parent or guardian and a licensed

health care provider not more than 12 months prior to the end of the camp session (July 29,

2015). Be sure that the immunization record is complete and that all the medications the Scout

is to receive at camp are listed. All medications must come with the original containers. Please

attach a photocopy of both sides of the participant’s insurance card (see part A). If family has

no medical insurance, state “none.”

Be sure that tetanus immunization has been administered within the past 10 years.

Medical Forms will be retained on file at camp and WILL BE RETURNED.

Please make a copy prior to arriving at camp, just in case.

Additional Health and Medical Information Immunization data: All campers must provide immunization dates as required by the State of

Florida regulations.

Allergies: Please explain any and all allergies on the Health History. Be sure to include any

symptoms and necessary treatment.

Medications: All medications are administered at camp in accordance with State regulations.

All medication to be taken at camp MUST be listed on the Health History form at time

of medical check in. ONLY those medications listed will be administered. Any and all

medications must come to camp in the original prescription containers. Please limit

amount to twelve day supply. Camp is not the time to discontinue medicine taken on a regu-

lar basis (behavioral, asthma, etc.). Similarly, Camp is not the place to begin taking medicines,

if not taken prior to arrival. "Urgent use" medications, such as asthma inhalers and epi-pens,

will be returned to the Scout or Leader for whom they are prescribed, at the discretion of the

Camp Health Officer.

*Should the medical form be updated we will advise as soon as possible

Page 17: Boys Scouts of America Central Florida Council …...Boys Scouts of America Central Florida Council presents Central Florida Council 3rd International Jamborette Jamborette Leader’s

Jamborette Communication

Email: [email protected]

Facebook: www.facebook.com/cfcjamborette

Twitter: @CFCJamborette https://twitter.com/CFCJamborette

Website: http://jamborette.wordpress.com/

For all administrative, form submissions, and inquiries please email

[email protected]

For all payments please go to the ’Payment’ section on our Jamborette website:

http://jamborette.wordpress.com/ Click on ‘Payment/Registration’

Other contacts for your convenience:

Matt Ragan (Director of Support Services): [email protected]

Mac Griffith (Assistant Camp Director of Program ): [email protected]

Camp La-No-Che: [email protected]

Website: http://www.camplanoche.com

Phone: 352-669-8558 Fax: 352-669-7636

Mail: Camp La-No-Che, PO Box 323, Paisley, Florida 32767

Page 18: Boys Scouts of America Central Florida Council …...Boys Scouts of America Central Florida Council presents Central Florida Council 3rd International Jamborette Jamborette Leader’s

Use this Checklist: All Participants

Should Bring These Items to Camp

CAMP GEAR A SCOUT IS CLEAN: OTHER STUFF YOU NEED:

Sneakers (closed toe

shoe) or hiking boots (2 pairs).

Crocs/flip flops for pool only. Shoes

must tie snug. Socks

Underwear Activity T-shirts;

Shirts must be scout related from your

district. Swimsuit - non BSA

is fine Swim towel (1)

Sleep gear - pajam-

as, or nylon shorts Hat (shade/rain)

Raincoat/poncho

Bath Towels (2)

Wash cloth Comb / hairbrush

Toothbrush Toothpaste

Soap / Body wash Shampoo

Bag for dirty clothes Handkerchiefs/

tissues Mosquito repellent

(Non-Aerosol) Sunscreen

Sleeping bag or blanket

and a sheet Pillow

Flashlight & batteries Compass

Small personal first aid kit Wallet and ID

Quart-size wide-mouth Nalgene water bottle...

Click for specifications http://tinyurl.com/5tzg9w3)

Day bag to carry items

above

32 ounce wide mouth

Nalgene water bottle

Page 19: Boys Scouts of America Central Florida Council …...Boys Scouts of America Central Florida Council presents Central Florida Council 3rd International Jamborette Jamborette Leader’s

Central Florida International Jamboree Application

Contingent Leader Information – July 18-29, 2015

Please complete and submit this page for each contingent

Location: Camp La-No-Che, Paisley, FL

**International Contingents** It is critically important that the information below be printed carefully and is

legible. Please submit this form to [email protected] Country Group

Number of Patrols Number of Scouts Number of Adults

Contingent Leader Information

Last Name First Name

Email

Date of Birth (mm/dd/yy) Age Gender

Address

City State Zip 2nd Leader Information

Last Name

First Name

Email

Date of Birth (mm/dd/yy) Age Gender

Address City State Zip

NOTE: Due to (U.S.) Boy Scouts of America policy, if an International Contingent is traveling with female scouts then (1) registered leader must be female. This

is in addition to the registered male leader for the male scouts.

Page 20: Boys Scouts of America Central Florida Council …...Boys Scouts of America Central Florida Council presents Central Florida Council 3rd International Jamborette Jamborette Leader’s

Central Florida International Jamboree Application

Contingent Leader Information – July 18-29, 2015

Please complete and submit this page for each contingent

Location: Camp La-No-Che, Paisley, FL

**United States Contingents** It is critically important that the information below be printed carefully and is

legible. Please submit this form to [email protected] Council Unit

Number of Patrols Number of Scouts Number of Adults

Contingent Leader Information

Last Name First Name

Email

Date of Birth (mm/dd/yy) Age Gender

Address

City State Zip 2nd Leader Information

Last Name

First Name

Email

Date of Birth (mm/dd/yy) Age Gender

Address City State Zip

NOTE: Due to (U.S.) Boy Scouts of America policy, if an International Contingent is traveling with female scouts then (1) registered leader must be female. This

is in addition to the registered male leader for the male scouts.