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PACK #
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Camp Site COMPLETE
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Main Contact:"H&S" FORM + UPDATE ROSTER
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RETURN FRIDAY CRACKERBARREL
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RIVER RATS / SWAMP FOX
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Health and Safety Checklist
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:> Some positions are the Pack responsibility at this activity <:
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Date Held (circle):
RR
APRIL 24 - 26
MAY 1 - 3
MAY 8 - 10
MAY 15 - 17
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SF
SEPT 11 - 13
SEPT 18 - 20
SEPT 25 - 27
OCT 2 - 4
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Fill in a Pack individuals name below:
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PACK EVENT DIRECTOR:
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·         Responsible for general safety of all programs
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·         NAME: _____________________________________________________________
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·         CELL #: _____________________________________________________________
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PACK HEALTH OFFICER:
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·         Responsible for injuries in the unit and reports to the event First Aid Officer
·         Responsible for injuries in the unit and reports to the event First Aid Officer
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·         Each unit must provide a first aid kit and individual health forms for ALL participants (Bring to the check-in)
·         Each unit must provide a first aid kit and individual health forms for all participants (Bring to the CHECK-IN)
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·         Incident/accident reports must be turned in to the event chairman
·         Incident/accident reports must be turned in to the event chairman
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·         NAME: _____________________________________________________________
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·         CELL #: _____________________________________________________________
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PACK EVENT FIRE OFFICER:
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·         Responsible for ensuring safe use of fire materials and extinguishing fires.
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·         If appropriate, each campsite should have a fire officer
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·         NAME: _____________________________________________________________
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·         CELL #: _____________________________________________________________
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PACK WEATHER OFFICER
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·         Responsible for Camp site preparedness and Head Counts. Instituting severe weather procedures when necessary.
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·         NAME: _____________________________________________________________
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·         CELL #: _____________________________________________________________
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EMERGENCY CONTACTS
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Event Chairman - Geno Sjoberg
Staff Advisor - Mike Urbanek
HEALTH OFFICER - X 111
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·         Cell phone number – (262) 893-2450
·         Cell phone number – (262) 951-5062
·         Phone number – (920) 533-8258
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