The following is a list of all of the Gold Rush events. You may participate in an or all of the available events. GOLD RUSH For more information about the event and directions to the campsites go to www. bsa-brmc.org on the homepage find “Gold Rush” under upcoming activities, ONLINE registration is available. GREAT VALLEY District: May 8-9 Come learn and spend a Registration deadline: May 1st Location: CAMP VA JAYCEE, Blue Ridge, VA Contact: Kevin Owens P: 540-353-0499 | E: [email protected] DAN RIVER DISTRICt: may 2-3 Registration Deadline: April 24th Location : WAYSIDE PARK, Hurt, VA Contact: Chris Adcock P: 434-228-0860 | E: [email protected] CAMPOUT MOUNTAIN EMPIRE DISTRICT: May 1-3 Registration Deadline: April 24th Location: CAMP DICKENSON, Fries, VA Contact: Crystal Dawson P: 276-620-0896 | E: [email protected] NEW RIVER DISTRICt: may 2-3 ly Registration Deadline: April 24th Location: RANDOLPH PARK, Dublin, VA Contact: Bill Crisp P: 540-994-0087 | E: [email protected] Registration Deadline: April 24th Location: FAIRVIEW CHRISTIAN CHURCH CAMPGROUND Contact: Frank Bowman P: 434-854-1221 | E: [email protected] Blue Ridge Mountains Council Boy Scouts of America PO BOX 7606 Roanoke, VA 24012 PIEDMONT DISTRICt: MAY 1-3 mi a F ut o c S b Cu PATRICK HENRY DISTRICT: MAY 2-3 Registration Deadline: April 24th Location: FRANKLIN CO REC PARK, Rocky Mount, VA Contact: Becky Stefo P: 540-238-1016 | E: [email protected] 5 1 20 ng pi m a C Blue Ridge Mountains Council Boy Scouts of America CAMPOUT Description: Come and enjoy a Cub Scout Family Camping experience. It doesn’t take a great deal of preparation, as you do not need a lot of stuff. Enjoy an activity filled day, food, a campfire, and a night of great camping with your family. COST: Early bird registration is $20/ Scout and $15 for each additional family member. After the registration deadline the cost increases by $5/ person. Includes all activities, camping, crafts, and 2 meals. All attending Cub Scouts and registered leaders will receive the “2015 GOLD RUSH” participant’s patch. Items to Bring: t Tent t Sleeping Bag t Flashlight t Water t Rain Gear t Toiletries t Change of Clothes BSA Medical Form (Parts A & B) for ALL participants (youth and adult). This can be downloaded from the forms page of our website, and does NOT require a doctors signature. TO Register: Complete the registration form (on the right) and send it in with your payment to: GOLD RUSH Blue Ridge Mountains Council , BSA PO BOX 7606 Roanoke, VA 24019 Guidelines 1. Younger children should be with parents at all times. 2. No vehicles are allowed in the camping area. ___ Great Valley ___Mtn Empire ___ Piedmont ___ Dan River ___New River ___Patrick Henry Cub Scout Name (s) Pack # Grade 1.____________________________ ___________ 2. ___________________________ ______ _____ 3. ___________________________ ______ _____ 3. No Pets or animals are allowed 4. No Open Flames are allowed in tents 1. ____________________________________ _____ 5. No Motor homes or camper trailers 6. Activity fees are non refundable and non transferable. 7. No Alcohol, firearms, BB guns, archery equipment, or sheath knives are permitted 8. Cub Scouts must practice family camping rules. Age 2. ____________________________________ _____ Parent (s) /Guardians 1. __________________________________________ Attending? ___yes ___no Registered Leader? ___yes ___no 2.___________________________________________ Attending? ___yes ___no Registered Leader? ___yes ___no If a parent is not attending, Adult responsible for Scout: 9. All participants are required to provide a completed BSA medical form (parts A & B) _________________________________________________ It is not required that you stay overnight. You may come just for the days activities, however the fee remains the same. City/State/Zip______________________________________ Schedule: T-Shirt Order: $10 each (List quantities for each size) YOUTH :Small___ Medium ___ ADULT: Small___ Medium ___ Large ____ XL _____ XXL ______ XXXL ___ PLEASE NOTE: Each district schedule is slightly different depending on the size and activities that are offered. Go to the website www.bsa-brmc.org and click on the “GOLD RUSH” link to find the specific schedule with start times and directions to the event location BASIC SCHEDULE: Saturday: Set up and Registration ………….…………. Morning Online Registration is available on the GOLD RUSH page of our website www.bsa-brmc.org Dinner & evening activities ………….…………5:30—7:30 Susan McKimmy Event Registrar at [email protected] or call (540) 777-7972 (Please print clearly) Check Session (Dates on reverse side of form) Sibling (s) Attending Space is limited and registrations are accepted on a first come first serve basis. Tee Shirts are not guaranteed after the listed deadline. NO WALK INS PERMITTED. For additional Information Contact: GOLD RUSH 2015 REGISTRATION FORM Activity and Rotations........Start between 10:30 and noon Scouts Address_____________________________________ Address___________________________________________ Daytime Phone_____________________________________ Early Registration: # of Scouts attending event # of Family attending event Late Registration fee # of T-Shirts ordered ____ @$20each = $_____ ____ @$15each = $_____ ____ @$5.each = $_____ ____ @10each = $______ Total fees enclosed $________ Payment Method: ______ Check or Money order enclosed Evening Campfire ………….… Starts between7:30—8:00 ______ Visa Sunday: Breakfast ………….………….………….……… Morning Exp. Date________________ Amount__________________ Chapel………….………….………….………… Morning Break camp / Camp Closes at 10:00am ______Discover _____Master Card Card # ___________________________________________ Name on Card :____________________________________ Signature_________________________________________ Date____________________ Acct. Code: 6CCS
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