Equipment Checkout Form

Equipment

Number Needed

Replacement Cost

Tents (2 campers per tent)

$150

Backpack (1 camper per backpack)

$100

Stoves (2 campers per stove)

$65

Sleeping Pads (1 camper per sleeping

$25

pad)

Week #________ Dates_______________________

Troop/Crew #: ____________________________________________________

Adult Leader Contact Name: _________________________________________

City, State: _______________________________________________________

Phone Number: ___________________________________________________

Email Address: ___________________________________________________

# Youth in Crew: ______________ # Adults in Crew: ____________________

Please return this form to:

Longs Peak Council, BSA

Attn: Cindy

PO Box 1166

Greeley, CO 80632-1166

Or Fax to:

970-330-7961

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Parent category: Life

Equipment Checkout Form - Longs Peak Council