Ohio Regiment
Young Marines
Chris Freidhof, Regimental Commander
314 Schoenbrunn Drive NE
New Philadelphia, OH 44663
440.678.8243
Allen Zitney, Executive Officer
11140 Cheyenne Trail Unit A
Parma Heights, OH 44130
216.407.7138
!
!
From:!Chris!Freidhof,!Regimental!Commander!
To:!ALL!Young!Marines!and!Young!Marine!Parents/Staff!
Subject:!LETTER!OF!INSTRUCTION!(LOI)!FOR:!Buffalo!Naval!Park!Encampment!
!
Encl:1 (1)1Plan1of1the1Day1(POD)1
1
(2)1Gear1List1
1
(3)1YMMEDFORM11
1
(4)1YMMEDFORM21
1
(5)1Hold1Harmless1Agreement1
!
1) Purpose!The!purpose!of!this!LOI!is!to!provide!guidance!for!individual!planning!and!execution!of!the!
event!scheduled!to!take!place!on!Saturday,!November!22,!2014!6:30!am!to!Sunday,!November!23,!
2014.!!Every!Young!Marine,!Parent/Guest!and!Registered!Staff!involved!is!expected!to!read,!become!
familiar!with,!and!abide!by!the!instructions!published!herein.!
2) Situation!The!Young!Marines!from!multiple!Units!in!the!Ohio!Regiment!will!meet!at!Al!Koran!
Shriners,!1000!E.!Edgerton!Road,!Broadview!Heights,!OH!at!0600!on!November!22,!2014!in!
Camouflage!Uniform!with!Red!National!TXShirt!and!black!boots.!!Upon!arrival,!and!after!check!in,!
Young!Marines!will!board!busses!and!travel!to!Goat!Island!and!Buffalo!Naval!Park!for!an!overnight!
encampment.!
3) Mission!The!mission!of!the!Buffalo!Naval!Park!Encampment!will!be!to!experience!what!it!would!be!
like!to!be!stationed!on!a!Naval!Vessel!by!spending!the!night!in!actual!berthing!areas!of!the!U.S.S.!
Little!Rock!and!gaining!knowledge!of!U.S.!Naval!History.!
4) Safety!No!training!is!worth!injuring!or!harming!a!Young!Marine.!Accordingly,!the!following!actions!
will!take!place!at!all!levels:!
a) Registered!Adults!and!Young!Marine!NCOs!will!continually!monitor!their!subordinate!Young!
Marines!for!medical!conditions!and!physical!accountability.!
b) Prior!to!performing!unusual!activities,!safety!aspects!will!be!discussed,!as!well!as!safety!
debriefing!by!Registered!Adult.!
c) A!designated!AMO!will!be!on!deck!throughout!the!encampment!weekend.!The!AMO!will!
maintain!the!First!Aid!supplies!and!be!the!1st!echelon!responder!in!case!of!injury!to!a!Young!
Marine!member.!
5) Security!Each!Young!Marine!is!required!to!stay!with!their!Young!Marine!Unit.!Once!a!Young!Marine!
is!signed!in!that!Young!Marine!will!not!leave!the!unit’s!Area!of!Operation!with!anyone,!including!that!
Young!Marine’s!parents!until!properly!signed!out.!Every!Registered!Adult!and!Senior!Young!Marine!
is!charged!with!the!safety!of!every!Young!Marine!in!his!or!her!care.!
6) Administration!Each!Young!Marine!Unit!must!bring!a!copy!of!YMFORM2!(Emergency!Contact!
Information)!for!each!Young!Marine!in!attendance.!!Upon!arrival,!a!designated!member!from!each!
Unit!will!be!given!an!attendance!roster!of!their!YMs!and!will!be!responsible!for!maintaining!a!
returning!the!completed!roster!to!the!Regimental!Adjutant,!Joanna!Morrow,!at!the!end!of!the!event.!!1
Strengthening the Lives of America’s Youth
Ohio Regiment
Young Marines
Chris Freidhof, Regimental Commander
314 Schoenbrunn Drive NE
New Philadelphia, OH 44663
440.678.8243
Allen Zitney, Executive Officer
11140 Cheyenne Trail Unit A
Parma Heights, OH 44130
216.407.7138
a) Disciplinary1action.!All!Young!Marines!are!subject!to!disciplinary!action!by!the!Unit!Commander!
or!his!designee!for!this!event!if!found!guilty!of!breaking!Young!Marine!rules!and!regulations!as!
stated!in!the!Young!Marine!Guide.!
b) Conduct.!Conduct!between!the!Young!Marines!and!Young!Marine!Staff!will!be!on!the!officer!to!
enlisted!professional!level.!Conduct!among!Young!Marines!will!be!held!to!the!highest!degree!
especially!for!those!Young!Marines!of!NCO!rank,!and!between!Young!Marines!of!different!sexes.!
Young!Marines!will!treat!all!personnel!involved!(including!civilians)!with!respect.!
c) Parents.!The!LOI!must!be!signed!by!a!Parent!and!or!Legal!Guardian!and!Young!Marine!prior!to!
event.!Parent!and/or!Legal!Guardian!must!sign!in!the!Young!Marines!at!the!designated!
Formation!area,!and!must!provide!a!phone!number!to!be!contacted!in!case!of!an!emergency!or!
the!event!is!finished!early.!They!should!also!provide!the!name!and!phone!number!of!an!
alternate!point!of!contact!should!they!not!be!available!during!the!event.!
d) Use1of1drugs1and1alcohol.1Illegal!possession!of!drugs!or!the!use!of!unXauthorized!prescription!
drugs!by!any!Registered!Adult!and/or!Young!Marine!is!punishable!by!severe!disciplinary!action!
and/or!discharge.!The!Young!Marine!policy!is:!the!distribution,!possession,!or!use!of!illegal!
drugs,!tobacco!or!alcohol!is!not!tolerated!in!the!Young!Marine!Program.!
e) Personal1Weapons.!Personal!firearms!and!weapons!of!all!types!are!not!permitted!to!be!carried!
by!Young!Marines!at!this!event.!
f) Personal1Appearance.!All!Young!Marines!are!expected!to!maintain!traditional!high!standards!of!
appearance,!including!but!not!limited!to!HAIRCUTS!!Ladies!hair!pulled!back!in!a!bun!please.!
g) Uniforms.!The!uniform!of!the!day!is!Camouflage!Uniform!with!Red!National!TXShirt!and!Unit!TX
Shirt!and!black!boots,!along!with!gear!described!in!the!attached!Gear!List.!
7) Logistics1
a) Transportation.!Parents!are!responsible!for!getting!their!Young!Marines!to!and!from!Al!Koran!
Shriners.!!Carpooling!is!encouraged,!but!will!be!arranged!between!parents.!!If!your!Young!
Marine!is!carpooling,!please!insure!proper!permission!slips!are!on!file.!
b) Lodging:!!Designation!of!females,!staff,!and!Young!Marines!will!be!annotated!and!marked!onX
site.!!There!must!be!at!least!one!Registered!Adult!per!10!Young!Marines!sleeping!in!the!bivouac!
site!and!only!a!female!Registered!Adults!with!the!females!without!exception.!
c) Food1Service.!!Young!Marines!are!expected!to!eat!a!good!breakfast!prior!to!the!event.!Young!
Marines!will!need!to!bring!a!sack!lunch!for!Saturday,!November!22,!2014,!while!at!Goat!Island.!!
Lunches!will!be!stowed!in!the!cargo!area!of!the!bus.!!Breakfast!will!be!provided!by!Buffalo!Naval!
Park!on!Sunday!morning.!!However,!Saturday,!Dinner!and!Sunday!Lunch!will!be!the!
responsibility!of!the!Young!Marine.!!Please!send!enough!money!with!your!Young!Marine!to!
cover!these!two!meals.!!Money!should!be!placed!in!an!envelope!with!the!Young!Marine’s!name!
written!on!it.!!All!monies!will!be!locked!in!a!lock!box!until!it!is!needed.!
d) Spending1Money.!!There!is!a!Gift!Shop!located!on!the!USS!Little!Rock.!!Young!Marines!may!bring!
spending!money!if!they!wish!to!purchase!a!souvenir.!!Money!should!be!placed!in!an!envelope!
with!the!Young!Marine’s!name!written!on!it.!!All!monies!will!be!locked!in!a!lock!box!until!it!is!
needed.!
!
!
Strengthening the Lives of America’s Youth
Ohio Regiment
Young Marines
Chris Freidhof, Regimental Commander
314 Schoenbrunn Drive NE
New Philadelphia, OH 44663
440.678.8243
Allen Zitney, Executive Officer
11140 Cheyenne Trail Unit A
Parma Heights, OH 44130
216.407.7138
8) Medical1
a) Medications.!The!designated!AMO!will!collect!and!secure!all!medication!upon!each!Young!
Marine’s!arrival!and!distribute!meds!in!accordance!with!dispensing!instructions!provided!by!
Young!Marine’s!personal!physician.!!Medications1must1be1in1the1original1containers.!
b) Medical1Forms.!!All!Young!Marines!must!provide!completed!YMMEDFORM1!and!YMMEDFORM2!
that!are!attached.!!
9) Command1and1Signal1
a) Officer1in1Charge1(OIC).!!Mr.!Chris!Freidhof,!the!Greater!Cleveland!Unit!Commander!and!Ohio!
Regimental!Commander,!will!be!on!site!to!oversee!the!events!during!the!execution!of!the!
encampment.!
b) Command1Post.!!Staff!will!establish!a!centralized!known!command!post!(CP)!upon!arrival!to!
Buffalo!Naval!Park.!
c) Emergency1Numbers.!!!
Greater1Cleveland1Young1Marines1
Chesty1Puller1Young1Marines1
Chris!Freidhof:!
Unit!Commander!
Ron!Pownall:!
Unit!Commander!
!
! 440.567.6720!
!
! 330.807.7174!
James!Morgan:!
Executive!Officer!
Gary!Pfau:!
Executive!Officer!
!
! 910.581.4862!
!
! 330.933.7466!
!
!
Richland1County1Young1Marines1
Greater1Lorain1Young1Marines1
Colette!Prosser:!
Unit!Commander!
Dale!Metcalf:!
Unit!Commander!
!
! 419.565.0871!
!
! 440.541.8405!
Eric!Prosser:!
Executive!Officer!
Allen!Zitney:!
Executive!Officer!
!
! 419.544.3477!
!
! 216.407.7138
!
!
!
Strengthening the Lives of America’s Youth
Ohio Regiment
Young Marines
Chris Freidhof, Regimental Commander
314 Schoenbrunn Drive NE
New Philadelphia, OH 44663
440.678.8243
Allen Zitney, Executive Officer
11140 Cheyenne Trail Unit A
Parma Heights, OH 44130
216.407.7138
!
ACKNOWLEDGMENT1STATEMENT1
!
Young!Marines!without!this!form!signed!by!them!and!a!parent!or!legal!guardian!will!not!be!allowed!to!
attend!this!event.!
!
I!have!read,!or!had!read!to!me,!and!fully!understand!the!contents!of!this!LOI!for!the!2014!Buffalo!Naval!
Park!Encampment.!As!a!Young!Marine,!I!fully!understand!the!intent!of!the!LOI!and!will!comply!with!the!
rules!that!have!been!stated.!
!
!
_______________________________________!!
_______________________________________!
YM!Printed!Name!
!
!
!
!
YM!Signature!
!
_______________________________!
Date!
!
As!a!parent,!I!fully!understand!the!intent!of!the!LOI!and!will!comply!with!the!rules!that!have!been!stated.!
!
!
_______________________________________!!
_______________________________________!
Printed!Name! !
!
!
!
!
Parent/Guardian!Signature!
!
_______________________________!
Date!
Strengthening the Lives of America’s Youth
!
!!
Ohio Regiment
Young Marines
Chris Freidhof, Regimental Commander
314 Schoenbrunn Drive NE
New Philadelphia, OH 44663
440.678.8243
Allen Zitney, Executive Officer
11140 Cheyenne Trail Unit A
Parma Heights, OH 44130
216.407.7138
Gear Checklist
Clothing
_______
_______
_______
Boots* (Black Jungle Boots)
T-shirts*-Unit & National
Camouflage Utilities
_______
_______
_______
_______
_______
Black Socks/extra socks*
Sweatshirt/jacket*
Underwear*
Sleep clothes*
Rain gear*
Bedding
_______
_______
_______
Sleeping bag*
Blanket
Pillow*
Personal Items
_______
_______
_______
_______
_______
_______
Comb/brush*
Razor
Hygiene gear
Other personal items
Personal medications* – Turned
in to Medical Officer
Basic First Aid Kit
DO NOT BRING:
Jewelry and Valuables
Hairspray
Cologne
Perfume
Other Items
Authorized for the bus trip to and from Buffalo only. Not allowed aboard the
Naval Park property. (The Young Marines are not responsible If lost, stolen,
damaged!!!!)
Pagers/Cell Phones
Radios/CD players/tape players
NOTE: Every item must be clearly marked with the Young Marine’s name. Any
unidentified gear left at camp will be discarded.
All gear should fit in a small carry-on luggage bag. It is for one night. Young
Marines will wear Red National to Buffalo and Unit T on the return trip and their
camouflage utilities.
* Required Item!
Authorization for Medical Treatment
PLEASE PRINT (Update for each event requiring medication)
Last Name ___________________First Name _________________Middle Initial______
Age ______
Date of Birth ___/____/____
Social Security Number _________________
Home Street Address _____________________________________________
City _______________ State___ Zip Code ______
Parent/Guardian Name ________________________________
Relationship _______________
Home Street Address ____________________________________________
City _______________ State___ Zip Code ______
Home Number (____)_____________ Work Number (____)_____________
Mobile Number (____)____________
Pager Number (____)_____________
Other Number (_____)____________
PART I: Medical Consent (Parent or Legal Guardian is required to complete)
I certify that I am the parent, legal guardian, or other person in legal control of the above identified child and
request and authorize that my child be administered appropriate first aid and/or taken to the nearest medical
facility for emergency treatment as necessary.
Parent or Legal Guardian _____________________________ Date ____________
PART II: Permission to Use Over-the-Counter Medication (If not completed, Young Marines will
not receive medication)
My child, ___________________________, has my permission to take any over-the-counter
medications in accordance with label instructions as needed with the exception of:
___________________________________________________________________________ while
attending Young Marine Activities.
Parent or Legal Guardian ______________________________ Date ___________
(YMMEDFORM1)
PART III: Permission to Dispense Prescription Medication (If not completed, Young Marines will not
receive medication)
I request and authorize that my child, ____________________________, be administered the following prescription
medication:
______________________________________________________________________________________________per the
medical doctor’s instructions on the original and un-expired pharmacy label. I certify that my child has a valid health reason
for taking the medication during the Young Marine Activities. This permission is valid from (beginning date) __________
to (ending date) __________.
Parent or Legal Guardian _______________________________ Date __________
PART IV: Medication Administration Record
Medication Name __________________________ Strength _____________
Form of Medication: ___ Liquid ____Tablet ___Aerosol ___Ointment ___ Other
Dosage & Time ___________________
Medication Name __________________________ Strength _____________
Form of Medication: ___ Liquid ____Tablet ___Aerosol ___Ointment ___ Other
Dosage & Time ___________________
Medication Name __________________________ Strength _____________
Form of Medication: ___ Liquid ____Tablet ___Aerosol ___Ointment ___ Other
Dosage & Time ___________________
Medication Name __________________________ Strength _____________
Form of Medication: ___ Liquid ____Tablet ___Aerosol ___Ointment ___ Other
Dosage & Time ___________________
(YMMEDFORM2)
YOUNG MARINES NATIONAL HEADQUARTERS
P.O. Box 70735 Southwest Station
Washington DC 20024-0735
Telephone: 800-717-0060 Fax: 202-889-0502
Email:
[email protected]
[email protected]
Website: www.youngmarines.com
Hold Harmless Agreement (Please read fill-in the blanks, and sign in the appropriate space.)
1. In consideration of permitting: ___________________________________________
(Print Applicant’s Name) to participate in any Young Marines activity, understand the program will involve rigorous
physical, recreational and outdoor activities. The undersigned voluntarily releases,
discharges and relinquishes any claim, actions or causes of action for personal injury,
property damage or wrongful death that may arise in connection with the above-described
activity may continue.
2. The undersigned, for himself or herself and for his or her heirs, administrators or executors
releases, waives and discharges any action which may hereafter arise and agrees that he or
she or his or her heirs, executors or administrators will not make any claim for personal
injury or property damage against the Young Marines, Marine Corps League, the U.S.
Marine Corps, Department of the Navy, Department of Defense and/or any participating
Military/National Guard Base, Station, Installation, Training Center, or Federal, State agency
or against any officers, employee or administrator or the same or any agents hired or
volunteer acting on behalf or for the Young Marines, Inc.
3. The undersigned agrees to hold harmless and to indemnify the Young Marines, Marine
Corps League, U.S. Marine Corps, Department of the Navy, Department of Defense and
National Guard and to defend any claims or actions against the same, or any of its officers,
employees or administrators which may arise out of the above described activities.
4. The undersigned agrees that he or she read this release, understands its contents and has
signed it voluntarily. The undersigned further represents that he or she has not relied on any
promise or representations by any of the persons or entities being released.
_____________________________________
Parent or Guardian Signature
__________
Date
_____________________________________
Youth Applicant Signature
__________
Date