Notification Of Camp/outdoor Activity Form - Scouts Australia
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1SCOUTS AUSTRALIA, QUEENSLAND BRANCH INC.
Form: C4
NOTIFICATION OF CAMP/OUTDOOR
Issue: 07
Date:
09/05
ACTIVITY
PARENT’S COPY
________
______________________________________________ Group
Dear Parent/Guardian,
The following are arrangements for the next Troop/Patrol Camp/Hike at:
PLACE: _________________________________________________________________________________________
DURATION: from _______________________________ to ________________________________________________
ASSEMBLY: at _______________________________________________ at ____________________________ am/pm
RETURN: at _________________________________________________ at ____________________________ am/pm
Camp/Hike under control of Adult Leader/Patrol Leader: _________________________________________________
COST: $____________ Once this amount is paid and provisions purchased, no refund will be made through non-
attendance at the respective Activity except in special circumstances.
SUGGESTED CAMP KIT: Each Scout will wear full uniform and bring the following kit neatly stowed in a pack:
Groundsheet, two blankets or sleeping bag, pyjamas, old shirt, shorts, hat or cap, extra socks, sandshoes/joggers,
underclothing, handkerchiefs, eating utensils (2 deep plates, cup, knife, fork, spoon), teatowel, swimming togs, towel, soap,
comb, toothbrush and toothpaste, raincoat, warm clothes as required, sunscreen and insect repellent, personal first-aid kit.
NOTE: Camp Kit varies for Hikes, Overnight Canoe Activities etc.
Consult your Patrol Leader/Adult Leader.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LEADER’S COPY
THIS FORM TO BE FILLED IN BY PARENT OR GUARDIAN AND RETURNED, TOGETHER WITH CAMP FEE TO
THE LEADER-IN-CHARGE BY _____________________.
I approve of _____________________________________________________________________________________
(Scout’s Name)
Address: ________________________________________________________________________________________
attending camp from _________________________________
to _________________________________________
Should the necessity arise, I can be contacted at: ________________________________________________________
_______________________________________________________
Phone: (_______)_______________________
I submit the following details for your attention:
Medicare No. _________________________________
Is the Scout physically fit? __________ Points in Scout’s health requiring some special attention: __________________
_______________________________________________________________________________________________
Will medication and dosage instructions be carried? _____________________________________________________
If so, please supply details: _________________________________________________________________________
Date of last Tetanus Injection: _______________________________
Can the Scout swim? ____________________
If so, is he/she allowed? ___________________________________
In the event of injury to the Youth Member, where reasonable attempts to contact me are unsuccessful I give authority for
such medical treatment to be given to the youth member as is recommended by a medical practitioner and seems in the
opinion of the leader in charge to be reasonable and appropriate. I undertake to be responsible for any fees or charges
with respect to that treatment and to pay those costs on demand by the Association.
Signature of Parent or guardian: _____________________________________________________________________
Date: ____________________________
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