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1
TimestampEmail AddressFirst NameMiddle InitialLast NameCell PhoneTroop Covid PolicyTransportationAcknowledgementAgeGuardian
Is the Participant Vaccinated?
Is the participant vaccinated AND do they have permission to tent with someone else?
Can you pull the trailer(Adults Only)?
2
8/29/2021 13:10:11
jason.seppy2@gmail.com
JasonASeppy301-467-2899
The participant has read and understands the Troop's Covid Policy and agree to adhere to it. Policy is located at https://drive.google.com/file/d/1AeMugZx1TTuXeWCGE2sxj7vuL9Sj5b_6/view
The participant understands that (per troop Covid policy) they are responsible for their own transportation to and from this activity. The troop will not arrange for or be responsible for carpools.
The participant understands that "participation in this activity is entirely at the discretion of the Scout and their family and is not mandatory. If the participant has experienced any symptoms of Covid 19 or flu-like symptoms in the 2 weeks prior to the event or if the participant has been around anyone with such symptoms, they must stay home. BSA recommends that no one in the higher-risk category take part in person and those who take part in person should avoid contact with higher-risk individuals for 14 days after the event."
11Stacy SeppyNoNot Applicable
3
8/31/2021 18:49:52
cmb.troop.291@gmail.com
CameronJBurke615-310-8882
The participant has read and understands the Troop's Covid Policy and agree to adhere to it. Policy is located at https://drive.google.com/file/d/1AeMugZx1TTuXeWCGE2sxj7vuL9Sj5b_6/view
The participant understands that (per troop Covid policy) they are responsible for their own transportation to and from this activity. The troop will not arrange for or be responsible for carpools.
The participant understands that "participation in this activity is entirely at the discretion of the Scout and their family and is not mandatory. If the participant has experienced any symptoms of Covid 19 or flu-like symptoms in the 2 weeks prior to the event or if the participant has been around anyone with such symptoms, they must stay home. BSA recommends that no one in the higher-risk category take part in person and those who take part in person should avoid contact with higher-risk individuals for 14 days after the event."
13Maria BurkeNoNot Applicable
4
8/31/2021 18:51:03
mariaburke818@gmail.com
MariaRBurke6153108882
The participant has read and understands the Troop's Covid Policy and agree to adhere to it. Policy is located at https://drive.google.com/file/d/1AeMugZx1TTuXeWCGE2sxj7vuL9Sj5b_6/view
The participant understands that (per troop Covid policy) they are responsible for their own transportation to and from this activity. The troop will not arrange for or be responsible for carpools.
The participant understands that "participation in this activity is entirely at the discretion of the Scout and their family and is not mandatory. If the participant has experienced any symptoms of Covid 19 or flu-like symptoms in the 2 weeks prior to the event or if the participant has been around anyone with such symptoms, they must stay home. BSA recommends that no one in the higher-risk category take part in person and those who take part in person should avoid contact with higher-risk individuals for 14 days after the event."
AdultNoNo
5
9/2/2021 18:27:44
brent.jessica.bland@gmail.com
BrentWBland240-750-3820
The participant has read and understands the Troop's Covid Policy and agree to adhere to it. Policy is located at https://drive.google.com/file/d/1AeMugZx1TTuXeWCGE2sxj7vuL9Sj5b_6/view
The participant understands that (per troop Covid policy) they are responsible for their own transportation to and from this activity. The troop will not arrange for or be responsible for carpools.
The participant understands that "participation in this activity is entirely at the discretion of the Scout and their family and is not mandatory. If the participant has experienced any symptoms of Covid 19 or flu-like symptoms in the 2 weeks prior to the event or if the participant has been around anyone with such symptoms, they must stay home. BSA recommends that no one in the higher-risk category take part in person and those who take part in person should avoid contact with higher-risk individuals for 14 days after the event."
15Les BlandYesNo
6
9/2/2021 20:47:42stacy.seppy@gmail.comRyanJSeppy301-467-2899
The participant has read and understands the Troop's Covid Policy and agree to adhere to it. Policy is located at https://drive.google.com/file/d/1AeMugZx1TTuXeWCGE2sxj7vuL9Sj5b_6/view
The participant understands that (per troop Covid policy) they are responsible for their own transportation to and from this activity. The troop will not arrange for or be responsible for carpools.
The participant understands that "participation in this activity is entirely at the discretion of the Scout and their family and is not mandatory. If the participant has experienced any symptoms of Covid 19 or flu-like symptoms in the 2 weeks prior to the event or if the participant has been around anyone with such symptoms, they must stay home. BSA recommends that no one in the higher-risk category take part in person and those who take part in person should avoid contact with higher-risk individuals for 14 days after the event."
13Stacy SeppyYesNot Applicable
7
9/6/2021 22:26:23
DouglasClark99@HotMail.Com
DanielGClark3015297943
The participant has read and understands the Troop's Covid Policy and agree to adhere to it. Policy is located at https://drive.google.com/file/d/1AeMugZx1TTuXeWCGE2sxj7vuL9Sj5b_6/view
The participant understands that (per troop Covid policy) they are responsible for their own transportation to and from this activity. The troop will not arrange for or be responsible for carpools.
The participant understands that "participation in this activity is entirely at the discretion of the Scout and their family and is not mandatory. If the participant has experienced any symptoms of Covid 19 or flu-like symptoms in the 2 weeks prior to the event or if the participant has been around anyone with such symptoms, they must stay home. BSA recommends that no one in the higher-risk category take part in person and those who take part in person should avoid contact with higher-risk individuals for 14 days after the event."
17Douglas ClarkYesNot Applicable
8
9/11/2021 13:06:42stacy.seppy@gmail.comStacyASeppy3014672899
The participant has read and understands the Troop's Covid Policy and agree to adhere to it. Policy is located at https://docs.google.com/document/d/1tWyAqK5kC40nFrFEJF_nGi0SjpLzcGDnJ4NRMtlzsxM
The participant understands that (per troop Covid policy) they are responsible for their own transportation to and from this activity. The troop will not arrange for or be responsible for carpools.
The participant understands that "participation in this activity is entirely at the discretion of the Scout and their family and is not mandatory. If the participant has experienced any symptoms of Covid 19 or flu-like symptoms in the 2 weeks prior to the event or if the participant has been around anyone with such symptoms, they must stay home. BSA recommends that no one in the higher-risk category take part in person and those who take part in person should avoid contact with higher-risk individuals for 14 days after the event."
AdultNoNo
9
9/13/2021 20:41:57
dereksmithdc@yahoo.com
DerekSSmith2404770312
The participant has read and understands the Troop's Covid Policy and agree to adhere to it. Policy is located at https://docs.google.com/document/d/1tWyAqK5kC40nFrFEJF_nGi0SjpLzcGDnJ4NRMtlzsxM
The participant understands that (per troop Covid policy) they are responsible for their own transportation to and from this activity. The troop will not arrange for or be responsible for carpools.
The participant understands that "participation in this activity is entirely at the discretion of the Scout and their family and is not mandatory. If the participant has experienced any symptoms of Covid 19 or flu-like symptoms in the 2 weeks prior to the event or if the participant has been around anyone with such symptoms, they must stay home. BSA recommends that no one in the higher-risk category take part in person and those who take part in person should avoid contact with higher-risk individuals for 14 days after the event."
17Sean SmithYesNot Applicable
10
9/13/2021 22:48:48tykygav@msn.comGavinMJohnston240-477-9365
The participant has read and understands the Troop's Covid Policy and agree to adhere to it. Policy is located at https://docs.google.com/document/d/1tWyAqK5kC40nFrFEJF_nGi0SjpLzcGDnJ4NRMtlzsxM
The participant understands that (per troop Covid policy) they are responsible for their own transportation to and from this activity. The troop will not arrange for or be responsible for carpools.
The participant understands that "participation in this activity is entirely at the discretion of the Scout and their family and is not mandatory. If the participant has experienced any symptoms of Covid 19 or flu-like symptoms in the 2 weeks prior to the event or if the participant has been around anyone with such symptoms, they must stay home. BSA recommends that no one in the higher-risk category take part in person and those who take part in person should avoid contact with higher-risk individuals for 14 days after the event."
16Susan JohnstonYesNo
11
9/15/2021 9:04:58
steven_antolick@yahoo.com
MatthewSAntolick2409941272
The participant has read and understands the Troop's Covid Policy and agree to adhere to it. Policy is located at https://docs.google.com/document/d/1tWyAqK5kC40nFrFEJF_nGi0SjpLzcGDnJ4NRMtlzsxM
The participant understands that (per troop Covid policy) they are responsible for their own transportation to and from this activity. The troop will not arrange for or be responsible for carpools.
The participant understands that "participation in this activity is entirely at the discretion of the Scout and their family and is not mandatory. If the participant has experienced any symptoms of Covid 19 or flu-like symptoms in the 2 weeks prior to the event or if the participant has been around anyone with such symptoms, they must stay home. BSA recommends that no one in the higher-risk category take part in person and those who take part in person should avoid contact with higher-risk individuals for 14 days after the event."
17Steven AntolickNoNo
12
9/15/2021 9:05:38
steven_antolick@yahoo.com
StevenGAntolick2409941272
The participant has read and understands the Troop's Covid Policy and agree to adhere to it. Policy is located at https://docs.google.com/document/d/1tWyAqK5kC40nFrFEJF_nGi0SjpLzcGDnJ4NRMtlzsxM
The participant understands that (per troop Covid policy) they are responsible for their own transportation to and from this activity. The troop will not arrange for or be responsible for carpools.
The participant understands that "participation in this activity is entirely at the discretion of the Scout and their family and is not mandatory. If the participant has experienced any symptoms of Covid 19 or flu-like symptoms in the 2 weeks prior to the event or if the participant has been around anyone with such symptoms, they must stay home. BSA recommends that no one in the higher-risk category take part in person and those who take part in person should avoid contact with higher-risk individuals for 14 days after the event."
AdultNoNo
13
9/16/2021 7:21:21mccueis@yahoo.comSeanmMcCue2024372070
The participant has read and understands the Troop's Covid Policy and agree to adhere to it. Policy is located at https://docs.google.com/document/d/1tWyAqK5kC40nFrFEJF_nGi0SjpLzcGDnJ4NRMtlzsxM
The participant understands that (per troop Covid policy) they are responsible for their own transportation to and from this activity. The troop will not arrange for or be responsible for carpools.
The participant understands that "participation in this activity is entirely at the discretion of the Scout and their family and is not mandatory. If the participant has experienced any symptoms of Covid 19 or flu-like symptoms in the 2 weeks prior to the event or if the participant has been around anyone with such symptoms, they must stay home. BSA recommends that no one in the higher-risk category take part in person and those who take part in person should avoid contact with higher-risk individuals for 14 days after the event."
17In Su McCueYesNo
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