IN-COUNCIL CAMP USE REQUEST FORM

IN-COUNCIL CAMP USE REQUEST FORM

Black Warrior Council, BSA - Serving West Alabama
Choose the facility*

Camp HorneCamp O'RearWhite Bluff
You can check availability for council properties on the Camp Availability Calendar located on the Black Warrior Council website. Click HERE to access the calendar!
- The Camp Use Permit MUST BE submitted at least 2-weeks prior to use of facilities. Any payments for facilities must be paid at least 5-days before arriving at camp to insure use of facilities.
- Although the Black Warrior Council will make every attempt to avoid canceling an approved permit, we retain the right to do so.
- Only a registered Unit Leader or Advisor, 21 years of age or older, may submit a Camp Use Permit.
- It is the responsibility of the registered Unit Leader or Advisor to see that all Youth Protection guidelines and the standards as listed in the most current printing of BSA’s Guide to Safe Scouting are adhered to. ALL adults that will be staying on the property MUST be current with Youth Protection Training.
- The Camp Use Permit must be signed by the registered Unit Leader or Advisor and the Council Program Director.

UNIT INFORMATION
Type of Unit*
Unit Number*
Council*
District*
Your unit/organization is not a member of the BLACK WARRIOR COUNCIL. You will need to complete the OUT OF COUNCIL CAMP USE REQUEST FORM found HERE.
Name of Event*
Arrival Date & Approximate Arrival Time*

MonthDayYear
DateHourMinutesAM/PM Option
Departure Date & Approximate Departure Time*

MonthDayYear
DateHourMinutesAM/PM Option
# of Youth*
# of Adults *
Minimum of 2
Does this request involve an aquatic activity?*
*AQUATIC ACTIVITY*
Units involved in aquatic activities must adhere to the Safe Swim Defense Plan and Saftey Afloat Plan of the BSA. This includes having at least ONE adult trained within the last year in these programs. The Leader is responsible for seeing that all conditions of these plans are met (Reference Guide to Safe Scouting).
Aquatic Activity Trained Adult:

GENERAL RULES AND PROCEDURES WHILE ON CAMP PROPERTY
- The Leader in charge will check-in upon arrival. Check-in can be accomplished by calling the Camp Horne Ranger @ 205-393-8293 or the Camp O’Rear Caretaker @ 205-388-2660. If you are unable to reach either one, please call the McAbee Scout Service Center @ 205-554-1680.
- No pets are allowed at any time.
- No alcoholic beverages or illegal drugs of any kind are permitted on the premises.
- Everyone must follow the Scout Oath and Law at all times.
- Speed limit is 10 miles per hour at all properties.
- All vehicles will be parked in designated areas. No Scouts/Adults are permitted to ride in the back of a truck, open trailer, or back of an ATV. All ATVs MUST be inspected and approved by the Camp Ranger/Caretaker.
- Fires will be kept in designated ares and must have constant supervision.
- Scouts will always use the “Buddy System” while on camp property.
- CAMP HORNE ONLY - Groups will be charged a $25 cleaning fee for putting trash in the CARDBOARD dumpster. Trash goes in the dumpster in the Hulsart Center parking lot.
- All Black Warrior Countil, local, state, and national health and safety standards MUST be adhered to.
- Before departing, each group must clean up all areas used and check-out with the Ranger or Caretaker.
- ALL adults MUST have be current with Youth Protection training.
Rules and Procedures acknowledgement*

I have read the rules and procedures above and agree to abide by them.

LEADER / ADVISOR INFORMATION
Leader / Advisor Name*

First NameLast Name
E-mail*
Cell Phone Number*

Area CodePhone Number
Youth Protection Expiration Date*

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Assistant Leader / Advisor Name*

First NameLast Name
Cell Phone Number*

Area CodePhone Number
Email
example@example.com
Youth Protection Expiration Date

MonthDayYear
Date
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please include details about your activity and include any questions or comments you may have:

As the Leader/Advisor in charge of this group, I understand my responsibilites as listed in the most current printing of the Guide to Safe Scouting, Youth Protection Policies, and the procedures listed on this form. It is also understood, that any willful property damage or damage by negligence is the responsibilty of my unit/lodge/district, and all costs to rebuid or repair such property will be our responsibility.
Signature*

Clear
*
Should be Empty:

UNIT INFORMATION