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Delaney Park / Knobstone Trail
Date: July 27-28, 2019
Location: Delaney Park / Knobstone Trail
Sign-up closes: July 20, 2019
Departure: Saturday, July 27th, 9:00AM
Return: Sunday, July 28th, approximately noon
We will camp at Delaney Park and hike the 6-mile Knobstone loop trail at the park.
The Knobstone Trail is the longest hiking trail in Indiana. Its southern terminus is about 15 miles north of Louisville, Kentucky in the Deam Lake State Recreation Area. The north end is at Delaney Creek Park near Salem, Indiana.
Be sure to bring...
- backpack or day pack
- sleeping bag (& pad if desired)
- meal kit (plate/bowl, utensil, cup)
- suitable closed-toe shoes or boots
- change of clothes
- extra socks
- water bottle
Venturer LAST Name
Venturer FIRST Name
Permission & Liability Release
I understand that participation in the above described activity involves a certain degree of risk. I have carefully considered the risk involved and have given consent for my child to participate in the activity. I understand that participation in the activity is entirely voluntary and requires participants to abide by applicable rules and standards of conduct. I release the Boy Scouts of America, the local council, the chartered organization (St. Elizabeth Ann Seton Church and the Catholic Diocese of Lafayette-in-Indiana), the activity coordinators, and all employees, volunteers, related parties, or other organizations associated with the activity from any and all claims or liability arising out of this participation. In case of emergency involving my child, I understand every effort will be made to contact me. In the event I cannot be reached, I hereby give my permission to the medical provider selected by the adult leader in charge to provide proper treatment, including hospitalization, anesthesia, surgery, or injections of medication for my child. Medical providers are authorized to disclose to the adult in charge examination findings, test results, and treatment provided for purposes of medical evaluation of the participant, follow-up and communication with the participant's parents or guardian, and/or determination of the participant's ability to continue in the program activities. --------------------------- Enter the name of the parent who is completing this registration.
Please enter this youth's unique PIN to confirm that his/her parent is completing the registration.
Please list any SPECIAL CONSIDERATIONS, including late arrival, early departure, dietary restrictions, acute health conditions (asthma rescue inhaler, bee sting allergy), medications to be administered during the outing, etc. Venturers are expected to arrive on time and remain with the group throughout the event. If none, enter "None".
Primary Emergency Contact
Enter the NAME of the primary emergency contact who will be available during this outing.
Primary Emergency Phone
Enter the PHONE NUMBER at which the primary emergency contact may be reached on the day(s) of the outing. Format: XXX-XXX-XXXX
Secondary Emergency Contact
Enter the NAME of a back-up emergency contact in case the primary emergency contact cannot be reached.
Secondary Emergency Phone
Enter the PHONE NUMBER at which the back-up emergency contact may be reached on the day(s) of the outing. Format: XXX-XXX-XXXX
If you plan to attend with the Crew, enter the full NAME of the adult.
Is this adult an approved camper in Crew 202? In order to be an approved adult camper, you must be at least 21 years old and must either be registered in Crew 202 or be a parent of a Crew 202 Scout. You must have completed BSA Youth Protection training since February 2018 and Diocese Protocol "Safe and Sacred" training within the last 3 years.
If you plan to drive youth on this outing, enter the full NAME of the driver.
Is this adult an approved driver in Crew 202? In order to be an approved adult driver, you must be at least 25 years old and must either be registered in Crew 202 or be a parent of a Crew 202 Venturer. To drive youth other than your own child, you must have completed BSA Youth Protection training after 2/1/18, Diocese Protocol "Safe and Sacred" training within the last 3 years, and BSA driver training. You must also have submitted license and insurance information to the Crew 202 Training Coordinator (Mr. Considine). The driver must self-report any driving violations other than routine moving violations incurred prior to or after being placed on the approved driver list. All drivers must complete the BSA Driver Pledge.
Driver Info - Cell Phone
Complete this question only if an adult plans to drive to the outing. Enter the driver's cell phone number. This should be the cell phone number the Adult Planner can reach you at while enroute to THIS OUTING. Format: XXX-XXX-XXXX
Driver Info - Vehicle
Complete this question only if an adult plans to drive to the outing. Enter the year, make and model of the driver's vehicle you plan to drive for THIS OUTING. (Example: 2016 Honda Civic)
Driver Info - Seatbelts
Complete this question only if an adult plans to drive to the outing. Enter the number of seatbelts, including the driver's seat, in the vehicle you plan to drive for THIS OUTING.
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