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Camp Fiesta Island 2015 Leaders Resource Guide A comprehensive guide containing general information and forms necessary for Camp Fiesta Island San Diego-‐ Imperial Council Boy Scouts of America 1207 Upas Street San Diego CA, 92103 CFI Leaders Resource Guide 2015 San Diego-‐Imperial Council 1 Planning Ahead For Camp Fiesta Island APRIL AND MAY 1. An updated statement will be e-‐mailed to your primary and secondary unit contact in April. 2. At least one adult leader should attend the Pre-‐Camp Leader’s Meeting in April. Our Camp Director will conduct the meeting, and it is a good opportunity to ask any questions you may have. Following the meeting, forms and other pertinent information will be posted online at http://camping.sdicbsa.org/CFI/Docs/BoyScoutSummerCampLeadersGuide2015.pdf 3. After the Leader’s Meeting begin planning by considering each Scout’s interests and advancement needs. The Online Merit Badge worksheet for Scouts is filled out. Your unit’s primary contact will receive an email with a link to register your Scouts and Adult Leaders for classes and programs online. TWO MONTHS BEFORE CAMP 1. Ensure that each Scout and adult leader has made arrangements for completion of the medical form including a full physical examination. 2. Supply each Scout with a personal equipment list. 3. Finalize program planning, considering each Scout’s wants and advancement needs. 4. A final statement will be e-‐mailed out to all units. Your deposit will be applied to your final balance. ONE MONTH BEFORE CAMP (30 days prior to camp) 1. Finalize Camp program plans and advancement needs. 2. Pay balance of fees to San Diego Imperial Council sixteen days prior to your departure at the latest. Please make sure parents are aware of this deadline. 3. All physical examinations for Medical Form should have been completed at this point. 4. The unit leader should collect individual Scout forms and medicals to be brought to Camp. 5. Unit Committee finalizes transportation needed to and from the camp. A FEW DAYS BEFORE CAMP 1. Hold a personal pack, gear, and uniform inspection. 2. Unit and Patrol equipment should be ready for packing. 3. Update online merit badge class signups as needed. 4. Make a final check on transportation. CFI Leaders Resource Guide 2015 San Diego-‐Imperial Council 2 REGISTRATION -‐ PRE-‐CAMP As you prepare your troop for resident camp this summer, here are a few points to keep in mind while going through the registration process. 1. Always keep a copy of all receipts and forms related to camp for your troop’s records. 2. Keep all your camp related receipts and forms together and have them with you any time you go to the Scout Service Center to make arrangements and payments for camp. 3. Always take all of your camp related receipts and forms to camp when your troop attends. 4. If whomever handled all the pre-‐camp registration will not be going to camp with the troop, then make sure that the leader who will be going to camp has all the necessary copies of receipts and forms. Make sure that they understand what the receipts and forms mean and are prepared to complete the registration process at the camp office. A few points to consider in regards to reservation deposits from the Council Camping Committee: 1. If your troop’s number of paid campers exceeds the number of available spaces in the campsite that you requested, then your troop will be relocated to a larger campsite to accommodate your increased numbers. If your troop brings more campers than our largest campsite can accommodate they will be allocated in neighboring campsites as best facilitates their size 2. If your troop’s number of paid campers does not fill the available spaces in the campsite that you requested prior to your arrival at camp, then it is possible that a) to accommodate a larger troop, your troop may be moved to a smaller campsite that will still hold your entire troop or b) your troop may have to share a campsite with another small troop. Boy Scout Camp Leader Guide 2014 CFI Leaders Resource Guide 2015 San Diego-‐Imperial Council 3 _____1. _____2. _____3. _____4. _____5. _____6. _____7. REGISTRATION CHECKLIST -‐ PRE-‐CAMP Distribute Campership Application Forms to interested families Deadline for completed submissions is April 30, 2015 at the Scout Service Center. Distribute new BSA Health Forms to all Scouts and adults going to camp Arrange for two adult leaders to be in camp at all times while troop is attending camp Arrange for adequate transportation of Scouts, adults and their gear to camp and home again Pay camp registration fees. Early Discount Fee deadline: April 30, 2015 Regular Fee deadline: Up to 30 days before camp Submit completed T-‐Shirt Order Form and complete payment by May 14, 2015. Collect completed BSA Health Forms from all Scouts and adults going to camp and make a second set of copies _____8. Collect all reservations and payments for Open House Night and other guest meals _____9. Collect any completed and signed Scout Release Forms _____10. Complete Scout & Adult Roster Forms and have three separate copies made of each _____11. Have copies of all camp related receipts and forms _____13. Submit Parent’s Night reservations and payments CFI Leaders Resource Guide 2015 San Diego-‐Imperial Council 4 Troop Forms
Merit Badge Sign-Up: A form, available online, is provided to help Scouts plan their
merit badge week. Once completed, Scouts give the forms to the adult leader
responsible for registration who enters the information online. Registration is to be
done before coming to camp.
Attendance Roster: The new attendance roster needs to be filled out and brought
to camp. It needs to have the up to date information on who is in camp. It will be
collected at the Trading post with the other paperwork upon your arrival to camp.
Troop Tour Plan: Any out of council troop attending camp needs to make sure they
file a troop tour plan with their council. All SDIC troops do not have to worry about
this.
Insurance: All Scouts and leaders who attend our camp must be covered by unit
accident insurance and must provide SDIC with the name of the unit's health and
accident insurance policy, the policy number and expiration date.
Individual Forms
Health Forms: All campers, adult and scouts, must provide completed Annual
Health and Medical Records forms. A school sports physical is not acceptable. Parts
A, B, and C must be filled out, with a physical having been completed within the past
twelve months. These forms can be found online at
http://www.scouting.org/scoutsource/HealthandSafety/ahmr.aspx Youth/Adult Permission Form: This is a double sided form that includes
permission to treat minors, permission for full program, and permission to use
firearms. This form needs to be filled out and brought to camp by both youth and
adults. Please remember to check for all signatures.
Merit Badge Prerequisite Form: This is needed to show that your Scouts have
successfully completed the requirements needed for their merit badge classes.
Individual Scout Activity Form: Please make sure that each scout has the proper
permission waivers completed for activities that are offered during camp and on
Wednesday.
CFI Leaders Resource Guide 2015 San Diego-‐Imperial Council 5 REGISTRATION CHECKLIST - AT CAMP
____1.
Arrive as a troop at camp by at 2:00pm
•
According to City Regulations no campsites will be assigned prior to 2:00pm
•
Wait in the parking lot with your troop until the whole Troop arrives
•
All vehicles must be returned to the camp parking lot after unloading in
designated areas only
•
Insure that all Troop members are wearing swimsuits under their field uniform
____2.
Check-in with Camp Director and meet your First Mate at the Quarterdeck
Verify all troop members have arrived and are ready to check-in
____3.
Check-in at the Youth Aquatic Center with the following items:
•
Speedy Check-in Form (from the Leader’s Guide)
•
All camp related receipts and any last-minute registrations and payments
•
Updated copy of Scout & Adult Roster Forms
•
Tour Permit
•
Council insurance documentation
•
Permission waivers for all required activities
____4.
Pick-up any pre-ordered t-shirts while at the Youth Aquatic Center
•
Have copies of receipts and order form for t-shirts
____5.
Your First Mate will escort your scouts and adults to your campsite to set-up and follow up
with campsite medical checks.
•
Campers need to submit their completed and signed BSA Health Forms to the Health
Officer
•
Prescription medications (can be administered by the Health Officer or stored in a
secure location)
____6.
First Mates will escort your scouts and adults to the bay front to check-in and to complete
their swim tests. (Campers should wear their swimming gear under their uniform when
arriving to Camp Fiesta Island)
____7.
Troops will also tour the island as part of their orientation.
____8.
Leader’s meeting, at least one adult leader troop in the
La Jolla Conference Room at 7:45 p.m.
Sunday Evening Schedule
Evening Flags- 6:20pm
Dinner - 6:30pm
Leaders Meeting – 7:45pm
Schedule Changes - after leaders meeting
Opening Camp Fire -9:00pm
Quiet Time – 10:00pm
CFI Leaders Resource Guide 2015 San Diego-‐Imperial Council 6 MONDAY MORNING CHECK-IN
Please contact the San Diego-Imperial Council office if you would like to check in on
Monday morning. Monday check-in is at 6:00 a.m. Although the check-in procedure is
mostly the same, it is imperative that the Camp Director has all unit information in
advance: roster, medical forms, scout/leader information forms, and fees. Failure to arrive
by 6:00 a.m. could result in swim checks being delayed until free time (4:00 p.m. - 5:00
p.m.). Swim checks are required to participate in any waterfront activity.
Camp Mail
We encourage you to write to your son while he is at camp. Any mail arriving after your
son leaves camp will be returned to sender. All items should be addressed as follows:
(Scout or Leaders Name)
Troop # __________
Camp Fiesta Island
1207 Upas Street
San Diego, CA 92103
Note: UPS and FedEx do not deliver to the Island. Packages must be sent to the Upas
address above.
Camp Fiesta Island Telephone # - 619-298-6121 x227
Scout Office Telephone # - (619) 298-6121
Scout Office Fax # - (844) 269-8061
CFI Leaders Resource Guide 2015 San Diego-‐Imperial Council 7 DIRECTIONS
San Diego Youth Aquatic Center
1750 Fiesta Island Road
San Diego CA, 92109
From the North:
• Take the 5 to Sea World Drive
• Take a right off of the on ramp and follow it to
the stoplight.
• Take a right at the first stoplight.
• Take an immediate left turn onto Fiesta
Island
• Follow the one way street to the right.
• When the road forks, follow it to the right.
• The camp is on your right.
From the South or East:
• Take 8 West to get to the 5 North (From
south just take the 5)
• Exit Sea World Drive
• Take a left over the bridge
• Take a right at the next stoplight
• Take an immediate left turn onto Fiesta
Island
• Follow the one way street to the right
• When the road forks follow it to the right
• The camp is on your right.
NOTE: The entrance to Fiesta Island is closed every night from 10:00 p.m. until 4:00 a.m.
No cars are allowed to enter or exit the island during that time. CFI Leaders Resource Guide 2015 San Diego-‐Imperial Council 8 Map of Camp Fiesta Island
CFI Leaders Resource Guide 2015 San Diego-‐Imperial Council 9 PERSONS LEAVING CAMP
Adults
Any adult member of your troop who must leave camp during the week must sign-out and sign-in at the
camp office. A log book will be available at all times for this purpose. Every time they sign-in to camp,
they will be issued an ID bracelet that they must wear the entire time they are in camp.
If your troop will be using different leaders throughout the course of the week, make sure that the
rotation schedule is clearly indicated on the Adult Roster Form when turned-in. Scouts must have twodeep adult leadership at all times.
Scouts
Youth members of your troop may not leave camp without the permission of a parent or legal guardian
and a troop leader. A leader to make sure that the Scout is leaving with the right person must
accompany the Scout wishing to leave to the camp office. Any Scout leaving camp with anyone other
than a parent or guardian must present a Scout Release Request Form (See Forms Appendix)
completed and signed by their parent or legal guardian and be approved by the troop leader. The Scout
must also sign-out and sign-in the log book at the camp office.
Parents taking their Scout home before the end of a session must sign their Scout out.
All absentees or “no shows” will be verified with the troop leader at the camp office during check- in. The
Camp Director will request that the troop leader for each absent or “no show” member provide a reason.
Reason(s) for each absence may be verified, as necessary, by telephone with the parent or legal
guardian. The Camp Director, who will take action, as appropriate, and will promptly notify the Scout
Executive, will document irregularities.
VISITORS
Visitors are welcome throughout the week at camp. Please inform anyone from your troop who is
planning to visit camp that they must first report to the camp office where they will sign-in the logbook;
giving their name, the name of the Scout and/or campsite they’re visiting and/or the purpose of their
visit. At that time, they will be issued a colored wristband that they must wear the entire time they are in
camp. Once their visit has concluded, they must stop by the camp office again and sign-out and
surrender their colored wristband.
If a visitor is planning to join your troop for any meal, please have them pay (if they haven’t already
done so) at the trading post and pick up their meal ticket.
Breakfast - $9.00
Lunch - $9.00
Dinner - $9.00
CFI Leaders Resource Guide 2015 San Diego-‐Imperial Council 10 CHECK OUT CHECKLIST - FROM CAMP
1.
Check Merit Badge blue cards for their scouts at the Dining Hall on Saturday morning.
•Please ensure that each Scout has all of their blue cards.
•Directors will be present to answer any questions.
2.
Pack up all Troop gear to be prepared to load and go on Saturday Morning.
3.
Attend Breakfast.
4.
Head back to the Campsite for Scouts to prepare personal and troop gear.
5.
Meet your First Mate to go through the site check out process.
*Wipe down, wash, and rinse off picnic tables.
*Pick up all trash in and around your campsite.
*Clean out your fire ring
6.
Check-out at the Health Office and retrieve the following:
•BSA Health Forms for all Scouts and Adults
•Prescription medications and equipment
7.
Drop off your Unit Reservation Sheet for Camp Fiesta Island 2016 & turn in any remaining Adult
Leader and Youth evaluations at the Quarterdeck (If you haven’t already so)
8.
Check-out at the trading post to pick-up any last minute mementos
•Return items checked out from the Quartermaster.
9.
Make sure you have the proper number of Camp Fiesta Island 2015 patches.
10. Drive safely and enjoy wonderful memories of another great Summer at CFI
Saturday Morning Schedule
Breakfast-7: 45am
Camp Inspections- 10am
CFI Leaders Resource Guide 2015 San Diego-‐Imperial Council 11 General Information
Meals
-Meals are catered and served by the staff. Dining tables are set up on the “Bay View Terrace.”
-Meal tickets for guests can be purchased at the Trading Post at a cost of $9.00 each.
-As a courtesy to other campers, we ask that hands are clean before entering the food line.
-Hand sanitizer is available on the Bay View Terrace.
-Shirt and shoes must be worn at all meals. The Field Uniform is required for dinner.
-The designated service troop(s) will remain after dismissal to assist with clean-up.
Clean Up Duties
Each troop will have a cleaning assignment every day. Copies of these assignments will be
distributed on the first day of camp in addition to being posted on the Bayview Terrace. Your
First Mates will be available to assist and instruct your unit with its duties each day. Additionally,
every troop is expected to be present during camp wide clean-up (at the waterfront) each day at
5:00 p.m.
Trading Post
Our trading post will be open throughout the day for many of your camp needs. Campers will
find souvenirs, Scouting accessories, snacks, class materials, and other goods for sale. The
average amount of money a scout brings to camp is $30 to $50. Trading Post hours are as
follows:
Sunday: 8:00 pm- 9:00 pm
Mon-Fri: 8:30am - 9:00pm
Sat: 8:30 am - 10:00 am
CLOSED DURING MEALS
Uniform and Dress Code
The official field uniform is
appropriate to wear to and
from camp, during
evening flag ceremonies
and dinner. A more casual
uniform such as Scout
Shorts and a T-Shirt may
be worn during most other
activities. Activity appropriate footwear is required at all times in camp except when in or
entering the water to swim. Campers are encouraged to bring shoes, which will cover the entire
foot as well as beach footwear such as water shoes or sandals. Shoes and shirts are a
requirement for all meals.
CFI Leaders Resource Guide 2015 San Diego-‐Imperial Council 12 Health and Safety
Health Lodge
A qualified Health Officer is on duty at all times and trained in dealing with the emergency
and non-emergency medical needs of the camp. In the event of serious accident or illness,
transportation will be arranged to the closest, most appropriate medical care facility. A unit
leader must accompany any Scout leaving camp property to obtain medical assistance. Parents will be
contacted immediately in any case where the scout must leave camp property to obtain further medical
care.
Medical Forms
Each Scout and leader at camp must have a health examination prior to arrival at camp. Please bring 2
copies of medical forms to camp. Campers include a photocopy (front and back) of their health
insurance card with the medical forms. Parts A, B and C is required for camp. These forms are available
in the back of this guide and for download on the council website:
http://www.scouting.org/scoutsource/HealthandSafety/ahmr.aspx Prescription Medicine
Pursuant to National BSA regulations, all prescription medication must be kept locked up. Medications
needing refrigeration will be collected during check-in. Emergency medications i.e. rescue inhalers,
epi-pens, etc. should be kept with the camper. Furthermore, Camp Fiesta Island medical staff is not
responsible for ensuring that a Scout takes his/her medicine, this responsibility resides with the scout
and the unit adult leaders. Pursuant to State regulations all medications must be in the original
prescription container with the pharmacy label attached. Every troop must complete an “In Camp
Medication Form” (available in the appendix of this leaders guide) that explains which scouts require
medication. A copy of this form may be collected during check-in and stored at the health lodge.
Dietary Restrictions
Our caterers will work hard to accommodate any dietary restrictions that Scouts or leaders may
have. Be sure to let us know before arriving at camp what special dietary needs people have,
then check with the Camp Director once you arrive at camp to make sure he understands
the situation. Please email camp dietary needs to Charles Jezycki ([email protected])
at least 30 days before camp.
CFI Showers and Bathrooms
A Scout is Clean. Personal cleanliness should be maintained. Leaders should ensure that Scouts wash
their hands before preparing food or eating. The camp provides showers for leaders and for scouts.
Shower/ Bathroom hours are as follows; they will be posted in camp and given upon check-in. Leaders
ensure that all participants follow the designated shower/ bathroom hour
Leaders 12:00 a.m. - 7:00 am
Scouts 7:00 a.m. - 12:30 pm
Leaders 12:30 p.m. - 2:00 pm
Scouts 2:00 p.m. - 4:00 pm
Closed 4:00 p.m. - 6:00 pm
Leaders 6:00 p.m. - 9:00 pm
Scouts 9:00 p.m. - 10:30 pm
Leaders 10:30 p.m. - 12:00 am
CFI Leaders Resource Guide 2015 San Diego-‐Imperial Council 13 Troop Equipment
Existing Equipment in Camp Sites:
• Barbecue Grill
• Picnic Table(s)
• Fire Pit
• Potable Water Spigot
Recommended Troop Equipment:
•Tents and Ground Cloths
• 1st Aid Kit
• Hand Washing Station
• U.S. Flag
•Troop Flag
• Patrol Flag(s)
•Water Cooler with Cups
• Durable Dining Fly (subject to strong
winds)
• Bulletin Board and/or Clipboards
• Gateway
Recommended For Unit Leaders:
• Alarm Clock
• Advancement Records
• Scoutmaster Handbook
• Scout Handbook
• Lantern
• Merit Badge Blue Cards
• Current Merit Badge Pamphlets
• Rope and Poles for Gateway
• Clothesline
•Blue Cards
•Tour Permits
•Permission Slips
•All Camp Paperwork
• Contact information for parents of all
Scouts
(also the parents who will be on vacation)
• Fun attitude!
Limited internet access will be available in camp office for Leaders use only.
CFI Leaders Resource Guide 2015 San Diego-‐Imperial Council 14 Recommended Personal Gear
- Complete Scout Uniform
- Jacket/ Sweatshirt
- Underwear
- Socks (at least 3 pair)
- Shoes
- Shoes to get wet
- Sleepwear
- Pants/Shorts
- Shirts
- Sleeping Bag
- Sleeping Pad/ Cot
- Raingear
- Handkerchief/ Kleenex
-Water bottle
- Flashlight
- Pencil and Notebook
- Broad Brimmed Hat
- Sunscreen (Over SPF 15)
- Sunglasses
- Lip Balm
-Watch
- Scout Handbook
- Ten Essentials
- Merit Badge Pamphlets
- 2 Swimsuits
- 2 Towels and washcloths
- Toiletries (soap, shampoo,
toothbrush, toothpaste,
comb)
Optional Personal Gear
- Compass
- Pocketknife
- Camera and Film
- Fishing Gear
- Bible / Prayer Book
- Sewing Kit
- OA Sash
- Musical Instrument
Leave at Home
- Fireworks
- Radio
- Boom Boxes
- CD Players
- Sheath Knives
- Rifles / Handguns
- Archery Equipment
- Ammunition
- Electronic Games
- Slingshots /Wrist Rockets
- Skateboards
- Roller Blades
- Scooters
- Valuables
Camp Fiesta Island has a zero tolerance policy in regards to illegal and controlled substances.
In accordance with BSA National Policy, Scouts and leaders found in possession of items such
as alcohol, illegal drugs, tobacco (if under age 18), firearms of any type, fireworks,
slingshots/wrist rockets, and pornography will be immediately removed from camp.
CFI Leaders Resource Guide 2015 San Diego-‐
Imperial Council 15 Statement of Camp Policies & Procedures
1.
The camp will be operated on the chartered unit basis (troops and packs under their own
leadership), which is recognized as the ideal method for Scout Camping.
2. The camp program will be organized on a troop/pack basis and administered on the
principal that it is a camp being operated and maintained for the benefit of all units and
the youth members of the Susquehanna Council, Boy Scouts of America.
3. Unit leaders will deal directly with the Scouts. The services of the camp staff are
counseling, coaching and of a supervisory nature. The purpose of camp is to provide
experiences for the units that will make them better able to conduct their own program.
4. The program of the camp will be based upon the needs and desires of the units to the
greatest possible extent that camp resources will permit.
5. Unit leaders should see to it that all new campers are properly oriented and assisted to
get the most out of the camp facilities and to assure the Scouts of a positive experience.
6. Each youth camper must be a registered member of the Boy Scouts of America to attend
these camps. Boy Scout camp participants must be registered as Boy Scouts or Varsity
Scouts. It is not permitted because of health, safety and insurance reasons for younger
children of unit leaders or other non-registered youth to stay in campsites during camp.
7. There shall be a minimum of two adult leaders in each unit campsite. The unit leader or
anyone serving as a unit leader must be at least 21 years of age and a registered
member of the Boy Scouts of America. The second adult may be a registered Scouter 18
years of age or older, or a registered parent of a participating youth member. Registration
must be paid registration with a unit, district or the council. The sharing of qualified
leaders between units in the same campsite is permitted under a mutual agreement
between chartered organizations in that each accepts the other’s unit leader. Such
agreements must be stated in writing. Beyond the minimum of two registered leaders, any
third or fourth leader would not need to be registered as long as they are the parents or
guardians of a participating unit member.
8. Each participant will be provided accident and sickness insurance by the Susquehanna
Council as long as they are currently registered with the Susquehanna Council.
Participants who are not members of Susquehanna Council units must provide evidence
of their own accident insurance as they are not covered by the council policy.
9. The buddy system is used at all times. The adult leader is responsible for carrying out this
regulation. Whenever a Scout leaves his group for any reason, his buddy must
accompany him. This applies also to the necessary trip to the latrine at night.
10. Hazing, initiation or any type of physical or emotional abuse to any person in camp
will not be tolerated at any time. Immediate action will be taken to correct these
occurrences should it be necessary.
11. Any emergency in camp will be handled quickly and effectively. All campers are asked to
go immediately to the parade field upon hearing the long rings of the siren located at the
dining hall. Unit leaders should take roll call of their Scouts and await further instructions
from a staff member. These steps should be followed regardless of the type of
emergency.
CFI Leaders Resource Guide 2015 San Diego-‐
Imperial Council 16 Statement of Camp Policies & Procedures continued
12. The Boy Scouts of America have some firm policies regarding situations, which could
occur in camp. Any camp staff member, adult leader, Scout, or visitor unwilling to abide
by these policies is unacceptable in camp. These are not negotiable. illegal, Immoral or
Unacceptable Acts
As a character-building organization caring for other people’s children in camp, any illegal or
immoral activity has no place in the Boy Scouts of America.
13. Possession, use or being under the influence of narcotics or dangerous drugs (including
marijuana) will not be tolerated on the properties of the Boy Scouts of America.
This does not involve the proper use of prescribed medications by a patient under the
care of a licensed physician.
14. Possession, consumption or being under the influence of alcohol (including beer) will not
be tolerated on the properties of the Boy Scouts of America. Action Taken on Above
Violations
15. The San Diego Imperial Council observes the Smoke Free Policy of the Boy Scouts of
America which prohibits smoking in all facilities of the council and of the Boy Scouts of
America. Therefore, tobacco use is not permitted in any building, storage shed, program
area or other facilities for general use of Scouts, leaders and visitors. An adult who must
use tobacco is asked to use discretion and not smoke around Scouts and other youth in
camp, as well as not in any enclosed facility, which includes tents. Fiesta Island is a
smoke free zone.
When an individual is suspected of having committed an act of an unacceptable nature, the
following steps will be taken:
1. The Camp Director is to be notified immediately. If the matter is of a serious nature, the
Scout Executive will be immediately notified.
2.All inquiries will be undertaken in a careful and confidential manner by the Camp Director or
Scout Executive. The Boy Scouts of America supports all local laws, ordinances and codes of
government bodies in whose territory we operate our facilities.
CFI Leaders Resource Guide 2015 San Diego-‐
Imperial Council 17 Scoutmaster Merit Badge
Staff members will initial requirements as they are completed. Program Director must sign at
the bottom upon completion.
Aquatics (complete 5 of the following)
______Pass the swim test.
______Sail a boat.
______Go kayaking for 30 minutes.
______Swim 1 mile.
______Work a Lifeguard shift.
______Participate in a Sludge Swim.
______Assist with boat clean-up
______Take an Aquatics Supervision class (while at camp)
______Complete Safe Swim Defense (while at camp).
______Complete Safety Afloat (while at camp).
Crafts (complete 2 of the following)
______Carve a neckerchief slide.
______Make a lanyard.
______Build a basket.
______Build a stool.
Land (complete 4 of the following)
_______Demonstrate a tripod lashing.
_______Prepare a survival kit.
_______Go on a 5 mile hike (with Mariners Program or a buddy). _______Complete the Burley Boatswain (also counts for mile swim above).
_______Attend Space Exploration merit badge rocket launch (Friday).
_______Tie a bowline, clove hitch, sheepshank and sheet bend.
_______Demonstrate an eye splice.
_______Demonstrate how to tie a sling using a triangular bandage.
_______Participate in IOLS
Leisure (complete 5 of the following )
______Take a nap.
______Take a shower (we’ll take your word on this one).
______Eat a meal.
______Eat/drink something from the trading post.
______Meet someone from another council.
______Complete Nap Safely Program (To be signed off
only by the Camp Management
Camp Management Signature: __________________________________________
CFI Leaders Resource Guide 2015 San Diego-‐
Imperial Council 18 Camp Fiesta Island
Required Forms
Summer Camp Roster
BSA Medical Form
In-Camp Medication Form
CFI Special Dietary Needs Forms
Scout Participation Permission Form
Merit Badge Activity Roster
Application for Camp Fiesta Island
Honor Troop Award
CFI Campsite Inspections
CFI Leaders Resource Guide 2015 San Diego-‐
Imperial Council 19 Summer Camp Roster
Dates: ______/______/______ to ______/_______/_______
Council: ________________________ Troop Number: __________________
Camp Sites: ____________________
SM ASM ASM LDR LDR LDR SPL ASPL Last Name Smith First Name John Page _____ of _____
Medical Form X Age 16 Permission Form X CFI Leaders Resource Guide 2015 San Diego-‐
Imperial Council 20 All Scouts and leaders attending
Camp Fiesta Island must have a
Boy Scouts of America Medical Form
when arriving at camp
http://www.scouting.org/filestore/HealthSafety/pdf/680-001_AB.pdf
CFI Leaders Resource Guide 2015 San Diego-‐Imperial Council 21 In-Camp Medication Form
Unit #: _______________ Camp Dates: _________________ Campsite(s): _________________
Scoutmaster Name: _____________________________________________________________
This form identifies each Scout in the troop requiring medication. All prescription drugs (including those requiring
refrigeration) must be kept in locked storage in the health lodge. An exception may be made for a limited amount
of medication to be carried by a camper, leader, parent or staff member for life threatening conditions including
bee sting, heart medication or inhalers. R (Refrigerated Medication)
Scout's Name
Medication
R
Frequency
Notes
CFI Leaders Resource Guide 2015 San Diego-‐Imperial Council 22 Camp Fiesta Island 2015
CFI Special Dietary Needs Forms
Dietary Needs Forms Must Be Submitted 30 Day prior to Your Arrival Troop:_____________________ Sessions:___________________________ Name
Contact Information
Special Dietary Needs
CFI Leaders Resource Guide 2015 San Diego-‐Imperial Council 23 Scout Participation Permission Form
Please Print Legibly
Scout’s Name: __________________________________________ Unit #: ______________
Age: __________ Birth Date: _______________ Dates Attending Camp: ___________________
Address:_____________________________________________________________________
City: _________________________________ State: ___________ Zip: __________________
Parent/Guardian’s Name:_________________________________________________________
Phone (Home): _________________________ Phone (Mobile): __________________________
Email: _______________________________________________________________________
Pick-up Permission
The following persons are allowed to pick-up my son from camp (no one else will be allowed):
Name: __________________________ Relation: ___________Phone (Mobile): ______________
Name: __________________________ Relation: ___________Phone (Mobile): ______________
Name: __________________________ Relation: ___________Phone (Mobile): ______________
Parent/Guardian Signature: _______________________________________ Date: ___________
Photograph/Recording Release
I hereby assign and grant to the Boy Scouts of America the right and permission to use and
publish the photographs, film, videotapes, electronic representations and/or sound recordings
made of me or my Scout this date by the Boy Scouts of America, and I hereby release the Boy
Scouts of America from any and all liability from such use and publication.
I hereby authorize the reproduction, copyright, exhibit, broadcast, electronic storage and/or
distribution of said photographs, film, videotapes, electronic representations and/or sound
recordings without limitation at the discretion of the Boy Scouts of America and I specifically
waive any right to any compensation I may have for any of the foregoing.
Parent/Guardian Signature: ________________________________________Date: ___________
CFI Leaders Resource Guide 2015 San Diego-‐Imperial Council 24 Merit Badge Activity Roster
Troop #:__________________________
Scout
Period 1
Period 2
Period 3
Period 4
Period 5
CFI Leaders Resource Guide 2015 San Diego-‐Imperial Council 25 Application for Camp Fiesta Island
Honor Troop Award
Troop # __________________________Council _________________________________
Camp Dates ______________________________________________________________
Scoutmaster (Please Print) ___________________________________________________
SPL (Please Print) __________________________________________________________
Number of youth at camp ________________ Number of adults at camp _______________
1. Lead a Flag Ceremony before a meal.
2. Sing a Song at Morning or Evening Flags.
3. Wear full and correct Field Uniforms to evening Flags and Dinner each night.
4. Fulfill Meal Cleanup and other assigned Cleanup Duties during the week.
5. Complete a Conservation Project in Camp.
6. Demonstrate Scout Spirit: Live the Scout Oath, Law, Motto, Slogan and Outdoor Code during the
week.
7. Maximum Participation at the Scout’s Own Service is Expected.
8. Participate in a Skit/Song at the Friday Night Campfire.
This troop has qualified for the CFI Honor Troop Candidate Award in all respects as indicated above
and as evidenced by the signatures of all Senior and Junior Leaders.
Scoutmaster (Signature) _____________________________________________________
ASM (Signature) ___________________________________________________________
SPL (Signature) ____________________________________________________________
ASPL (Signature) __________________________________________________________
CFI Leaders Resource Guide 2015 San Diego-‐Imperial Council 26 CFI Campsite Inspections
Your campsite will be inspected daily by our Camp Commissioner. In order to be eligible for the prestigious Camp Fiesta Island Honor Troop Award, you must have an overall average of 90 points. Please plan ahead and think about what you might need to fulfill some of the requirements. For your reference, the chart below explains what the inspector will be looking for and how many points each item are worth. Value Monday Tuesday Wednesday Thursday Friday 1. American Flag Displayed 5 2. Troop Identification (Unit 5 Number Displayed) 3. Gateway 10 4. Tents Properly Pitched (Lines 10 Flagged) 5. Tent Flaps Closed 10 6. Bulletin Board 5 7. Fire Station (Fireguard Chart, 15 Rake & Shovel) 8. Clean Campsite a. No Trash 20 b. Gear Stowed 10 9. Camp Improvement Projects 10 Total 100 1. Additionally, we recommend that international troops fly the flag of their country.
2. Unit numbers may be displayed by using a Troop Flag, signs, rocks, sticks, seashells, etc.
3. Gateways must have two free standing poles with guidelines or two tripods; additionally, a cross section of wood, rope or
a banner must be attached.
4. Flagging may consist of duct tape, flagging tape, brightly colored yarn or aluminum foil.
5. All tent flaps must be closed, when not in tent, due to the aggressive mammals we have in camp.
6. A bulletin board can be made of cork, wood, plastic, medal, or cardboard. Place all pertinent information pertaining to your
troop on the board, include this campsite inspection sheet.
7. A fireguard chart must be filled out completely. Rakes and shovels should be placed next to the fire ring.
8. Each campsite has a trash can; don’t throw trash on the ground or in the FIRE RING. Stow all gear in your tent and hang
wet clothes on your clothes line or canopy
9. A camp improvement project or camp decoration needs to be completed daily prior to the inspection. Some examples
might include; but are not limited to; gateways, clotheslines, weather rocks, sun dials, monkey bridges, decretive raking,
designs made from shells or rocks, and Zen gardens.
CFI Leaders Resource Guide 2015 San Diego-‐Imperial Council 27 CITY OF SAN DIEGO PARK & RECREATION DEPARTMENT Parking General Rules and Regulations for Fiesta Island Youth Camp -‐There are (3) loading / unloading zones with a 20 minute time limit throughout the campgrounds. (Violators will be cited) -‐There is no parking or stopping in the red zone for loading or unloading. (Violators will be cited) -‐No vehicles are allowed on the turf and dirt areas within the campsites at any time. (Violators will be cited) -‐All vehicles must park in the Main Parking Lot only. Parking overnight in the loading zone is prohibited. (Violators will be cited) -‐No RV’s / or 5th wheel trailers are permitted at the youth camp-‐only tents and / or sleeping bags are permitted. Fires -‐All unused firewood brought into the youth camp must be taken home. -‐Only clean wood. Any wood with nails, paints or chemicals, which include pallets is not permitted. No tree clippings and / or cardboard are allowed in the fire pits. Misc. -‐No bikes are allowed within the campgrounds at anytime. -‐NO ALCOHOL, NO SMOKING, NO GLASS CONTAINERS, NO ANIMALS of any kind are allowed at the Youth Camp. (Service dogs are allowed) -‐No posting of any signs or attaching anything to City property. This included trees and/ or shrubs. Restricted Areas -‐Stay out of the vegetation areas. (Signs are posted in these areas) -‐Stay off the small island (with the small palm tree) across from the Sea Star and Barracuda Cluster Scout Master/Asst. Scout Master: ________________________________Signature: ________________________ Troop: ______________________ Campsites: ___________________________ Week: ___________________________ CFI Staff Name: _____________________________________ Signature: _______________________________________ Date: ____________________________ CFI Leaders Resource Guide 2015 San Diego-‐Imperial Council 28 Camp Fiesta Island
Additional Forms
The following forms are required for those
participating in these additional activities:
Mission Bay Special Events Waiver (Water Sports/Surfing)
Bike and Kayak Waiver (Snorkeling)
Solid Rock (Rock Climbing)
CFI Leaders Resource Guide 2015 San Diego-‐Imperial Council 29 Entered By______________ Date _______
SPECIAL EVENT, CLASS & ACTIVITY WAIVER FORM
Mission Bay Aquatic Center/Associated Students of SDSU
Group Name or Activity____________________________________________________ Activity Date________________
*required fields
First Name*_________________________________ Last Name*________________________________ M.I. ______
Date of Birth*___________________
Male
Female
Home Address*________________________________________________________________________________
City*________________________________________________________ State*___________ Zip*______________
Cell/Primary Phone* (_______) ________________________ Other Phone (_______) _________________________
E-mail Address*_________________________________________________________________________________
I do not want to receive monthly eNewsletter
Participant Type* (choose one) Our City lease requires that we track the affiliation of participants to SD area colleges.
General Public/Youth/None of the Below
Current Student of:
SDSU
UCSD
ID # _______________________
Current Student Other SD Area College School_________________________ ID # _______________________
Faculty/Staff at SD Area College
School_________________________ ID # _______________________
Alumni: SDSU
UCSD
USD
Person with Disability/Accessible Watersports Participant
Emergency Contact Name* ____________________________________ Relation*____________________________
Phone* (_______) __________________________
Phone 2 (_______) __________________________
PARTICIPANT WAIVER
In consideration of the USE OF THE FACILITIES, EQUIPMENT OR OTHER PROPERTY AND/OR SERVICES OR ACTIVITIES (hereafter
collectively referred to as "The Activities") of Mission Bay Aquatic Center, the undersigned AGREES as the participant (hereafter
referred to as "The Participant") or legal guardian of The Participant to the following:
1.RISK FACTORS. The undersigned understands and acknowledges the participation in water sports and related activities of the
Mission Bay Aquatic Center involves various physical risks such as but not limited to the following: RISK OF BODILY INJURY, DEATH,
and/or PROPERTY DAMAGE.
2.ASSUMPTION OF THE RISK. The undersigned ASSUMES ANY AND ALL RISK INVOLVED IN OR ARISING FROM THE ACTIVITIES,
including without limitation the risk of DEATH, BODILY INJURY, or PROPERTY DAMAGE resulting from collision; overturning;
unavailability of emergency medical care; or the negligent or deliberate act of another person.
3.ACKNOWLEDGEMENT OF POLICIES AND PROCEDURES. The participant will be informed of the policies and procedures relating to
The Activities and the undersigned understands that the safe and proper use of the facilities or property or participation in The
Activities is dependent upon carefully following such policies and procedures.
4.PREREQUISITE SKILLS AND TRAINING. The undersigned acknowledges that The Participant has the requisite physical abilities,
skills, qualifications and training necessary to properly and safely use the facilities or property or participate in water sports and
related activities of the Mission Bay Aquatic Center. The undersigned agrees that if he or she has any questions as to what physical
abilities, skills, qualifications, or training is necessary for The Participant to properly use the facilities, property, or participate in The
Activities then they shall direct such questions to the organization or instructor supervising The Activities.
5.RELEASE. The undersigned RELEASES the State of California, Trustees of the California State Universities, the Regents of the
University of California, the Associated Students of San Diego State University and all of their officers, employees, and agents and
agrees NOT TO SUE them on account of or in connection with any claims, causes of action, injuries, damages, cost or expense arising
***PLEASE SIGN OTHER SIDE***
CFI Leaders Resource Guide 2015 San Diego-‐Imperial Council 30 out$of$The$Activities,$including$those$based$on$death,$bodily$injury$or$property$damage$whether$or$not$caused$by$the$negligence$or$
other$fault$of$the$parties$being$released.$
6.WAIVER.)The$undersigned$waives$the$protection$afforded$by$any$statue$or$law$in$any$jurisdiction$including$California$Code$S$1542$
whose$purpose,$substance$and/or$effect$is$to$provide$that$a$general$release$shall$not$extend$to$claims,$material$or$otherwise$which$
the$person$giving$the$release$does$not$know$or$suspect$to$exist$at$the$time$of$executing$the$release.$This$means,$in$part,$that$the$
undersigned$is$releasing$unknown$future$claims.$
7.INDEMNIFY)AND)DEFEND.)The$undersigned$agrees$to$INDEMNIFY$AND$DEFEND$the$State$of$California,$the$Trustees$of$the$
California$State$University,$the$Regents$of$the$University$of$California,$the$Associated$Students$of$San$Diego$State$University$and$all$
of$their$officers,$employees$and$agents$(hereinafter$jointly$referred$to$as$“indemnitee”)$against$and$hold$them$harmless$from$any$
and$all$claims,$causes$of$action,$damages,$judgments,$cost$of$expenses,$including$attorney$fees$which$in$any$way$arise$from$The$
Activities$or$this$agreement$and$which$include$but$are$not$limited$to$damages$to$or$destruction$of$any$property$of$the$indemnitee$or$
any$others,$injury$or$death$to$the$undersigned$or$anyone$else$or$any$liability$arising$from$the$act$or$negligent$act$of$the$indemnitee,$
the$undersigned$or$anyone$else.$
8.PAY.)The$undersigned$agrees$to$pay$for$any$and$all$damages$to$any$property$of$indemnitee$caused$by$The$Participant$either$
negligently,$willfully$or$otherwise.$
9.LEGAL)FEES.)In$the$event$of$any$controversy,$claim$or$dispute$between$the$parties$arising$out$of$or$relating$to$this$agreement$or$
the$breech$hereof$or$the$activity,$the$prevailing$party$shall$be$entitled$to$recover$from$the$losing$party$reasonable$expenses,$
attorney$fees$and$cost.$
10.REPRESENTATIVES.)The$undersigned$enters$into$this$agreement$on$behalf$of$The$Participant$for$himself,$his$heirs,$assigns$and$
legal$representatives.$
11.ACKNOWLEDGEMENT.)The$undersigned$has$read$and$understands$this$agreement$and$realizes$it$relates$to$surrendering$and$
releasing$valuable$legal$rights$and$does$so$freely$and$voluntarily.$
APPROVAL)OF)PARTICIPANT)or)APPROVAL)OF)LEGAL)GUARDIAN)OF)PARTICIPANT)(if$participant$is$under$18$years$of$age)$
I$am$the$participant$or$the$legal$guardian$of$the$participant$named$earlier$on$this$form.$I$have$read$and$understand$the$agreement$
and$I$realize$the$agreement$involves$surrendering$valuable$legal$rights$of$The$Participant$and$of$myself.$I$agree$to$be$bound$by$all$
the$terms$of$the$agreement.$I$also$give$consent$to$the$participation$in$water$sports$and$related$activities$by$The$Participant.$I$also$
give$my$consent$for$The$Participant$to$be$included$in$photographs,$videos,$slides,$and$movies$taken$at$the$Center$by$students,$staff,$
TV,$Radio$and/or$other$news$media.$I$understand$that$pictures$become$property$of$Associated$Students$of$SDSU,$and$might$appear$
in$promotional$materials$and$publications:$
SIGN)HERE)X
_____________________________________________________________________)________________)
Signature)of)participant)LORL)signature)of)legal)guardian)of)participant)DATE)
EMERGENCY)TREATMENT)CONSENT:)I$am$the$participant,$or$legal$guardian$of$the$participant,$named$on$the$reverse$side$of$this$
form.$I$have$agreed$to$the$participation$in$The$Activities.$I$hereby$give$my$consent$to$medical$treatment$for$The$Participant$in$case$
of$a$medical$emergency.$
SIGN)HERE)X
_____________________________________________________________________)________________)
Signature)of)participant)LORL)signature)of)legal)guardian)of)participant)DATE)
SWIM)TEST)VERIFICATION:)To$participate$in$The$Activities$The$Participant$must$be$"watersafe"$(be$able$to$swim$100$yards$and$
tread$water$for$5$minutes,$or$in$the$case$of$accessible$events$is$able$to$turn$faceYup$from$a$faceYdown$position$unassisted$and$float$
comfortably$in$the$water$wearing$a$lifejacket).$I$certify$that$The$Participant$is$watersafe$and$can$swim$100$yards$and$tread$water$for$
5$minutes,$or$in$the$case$of$accessible$events$can$complete$the$definition$of$watersafe$listed$above.$
SIGN)HERE)X
_____________________________________________________________________)________________)
Signature)of)participant)LORL)signature)of)legal)guardian)of)participant)DATE)
MISSION$BAY$AQUATIC$CENTER,$1001$SANTA$CLARA$PLACE,$SAN$DIEGO,$CA$92109$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$
PH$$$$$$$$$$$$$$$PHONE$(858)$488Y1000$FAX:$(858)$488Y9625!
CFI Leaders Resource Guide 2015 San Diego-‐Imperial Council 31 San Diego Bike & Kayak Tours, Inc.
Assumption of Risk, Release, Waiver of Liability and Indemnity Agreement
1. Acknowledgement and Assumption of Risks: I acknowledge that the activities of kayaking, snorkeling, and boogie boarding involve
certain inherent risks that are associated with the activities and the ocean. These risks include but are not limited to the following: (1)
unpredictable and changing ocean conditions, tidal currents, wave action and ships’ wakes; (2) collision with other kayaks, my own kayak if I
capsize, other water craft and other objects such rocks and reefs; (3) exposure to extreme sun and inclement weather; (4) hypothermia and
drowning; (5) potentially harmful marine life that may bite or inject venom, including but not limited to stingrays and jellyfish; and (6) fatigue,
chill and dizziness, any of which may diminish my reaction time and ability to perform activities safely; (7) equipment failure and/or operator
error. I understand that these risks may result in serious injury or death, and that no amount of care, caution, instruction or expertise can
eliminate this inherent danger. I agree and promise to accept and assume full responsibility for all of the known and unknown risks referenced
above, including the risks of serious injury or death. My participation in this activity is voluntary, and I elect to participate in spite of the
known and unknown risks.
(Initials____)
1(b). Acknowledgement of Bicycling Risks: I acknowledge that the activity of bicycling involves certain inherent risks. These risks include but are
not limited to the following: (1) collision with traffic, other bicycles, parked vehicles, pedestrians; (2) exposure to extreme sun, inclement
weather and slick roads; (3) potholes, debris and other road hazards; (4) equipment failure and operator error; and (5) fatigue, lack of balance
and dizziness, any of which may diminish my reaction time and ability to perform these activities safely. I understand that these risks may
result in serious injury or death, and that no amount of care, caution, instruction or expertise can eliminate this inherent danger.(Initials____)
2. Assumption of Risk: I agree and promise to accept and assume full responsibility for all of the known and unknown risks referenced above, including the
risks of serious injury or death. My participation in these activities is voluntary, and I elect to participate in spite of the risks.
(Initials____)
3. Representation of Fitness: I am physically fit and do not have any medical condition that would limit or inhibit my ability to engage in
this activity. If I have any medical condition that may affect my abilities, including but not limited to pregnancy, heart conditions, asthma,
diabetes or hypoglycemia, I have discussed my condition with San Diego Bike & Kayak Tours, Inc. and have taken all necessary steps to
ensure that my condition will not affect my safety or the safety of others during this activity. I am not under the influence of alcohol or drugs. I
am capable of performing this activity, am able to swim and am comfortable being in the open ocean. I agree to cease my participation in this
activity immediately if I feel I am not capable of continuing.
(Initials____)
4. Release and Waiver of Liability: In consideration for being permitted to participate in this activity, I, for myself, my heirs, representatives
and assigns, do hereby release, waive, discharge and covenant not to sue the City of San Diego, San Diego Bike & Kayak Tours, Inc. and/or
their owners, officers, employees, representatives and agents from and for all liability for any loss or damage, and any claim or demand
therefore on account of injury to person, death or property damage, whether caused by negligence or otherwise, which are in any way related to
my participation in this activity or my use of equipment, facilities or services provided by San Diego Bike & Kayak Tours, Inc. (Initials____)
5. Indemnity: In consideration for being permitted to participate in this activity, I further agree to indemnify and hold harmless the City of
San Diego, San Diego Bike & Kayak Tours, Inc. and their owners, officers, employees, representatives and agents and each of them from any
and all liabilities or claims made by other individuals resulting from or related to my participation in this activity and to reimburse them for any
and all damages, claims, liabilities costs and expenses, including attorney’s fees and other litigation or pre-litigation expenses. (Initials____)
6. Agreement to Follow Rules: I agree to follow all rules of San Diego Bike & Kayak Tours, Inc. while participating in this activity, as set
forth on “Attachment A” hereto. I understand that it is my responsibility to follow these rules without being reminded or told to do so, and that
any failure on my part to follow these rules may increase the risk of serious injury or death.
(Initials_____)
6(b). Agreement to Follow Helmet Requirements: I understand that helmets are required for the duration of bike tours, bike rentals, and/or
kayak tours. I understand that by refusing to accept or wear the helmet I have been offered, I may be endangering myself or exposing myself to
unnecessary injures and/or death. I understand that if I elect not to wear a helmet, I am doing so in spite of the serious risks of injury and/or
death, and despite the recommendations of San Diego Bike and Kayak, Inc.
(Initials_____)
7. Authorization of Medical Treatment: I hereby authorize any medical treatment deemed necessary in the event of any injuries while
participating in the activities. I either have appropriate insurance or, in its absence, agree to pay for all costs of rescue, emergency and medical
services that may be incurred on my behalf, even if I am not in fact injured or in need of such services. In the event San Diego Bike & Kayak
Tours, Inc. incurs such costs on my behalf, I agree to provide reimbursement for such costs.
(Initials_____)
8. Governing Law and Severability: I further agree that this Assumption of Risk, Release, Waiver of Liability and Indemnity Agreement is
intended to be as broad and inclusive as is permitted by the law of the State of California and that if any portion thereof is held to be invalid or
unenforceable, that the remainder of this agreement shall, notwithstanding, continue in full legal force and effect.
(Initials_____)
9. Photo and Video Release: I authorize San Diego Bike & Kayak Tours, Inc. to use any photographs or video taken of me during my
participation in this activity for reproduction, sale, advertising or other display without any compensation to me.
(Initials_____)
10. Parent or Legal Guardian of Minor Child [When Applicable]: I am the parent or legal guardian of the children or minors named
__________________________DOB:______, __________________________DOB:______, __________________________DOB:______,
__________________________DOB:______, __________________________DOB:______, __________________________DOB:______,
and, as such, I am authorized to enter into this agreement. I agree that the minor child and I are bound by and subject to the terms of this
agreement. I further agree to indemnify and hold harmless the City of San Diego, San Diego Bike & Kayak Tours, Inc. and their owners,
officers, employees and agents and each of them from any and all liabilities or claims made on behalf of the minor child that are in any way
related to the minor child’s participation in this activity and to reimburse them for any and all damages, claims, liabilities costs and expenses,
including attorney’s fees and other litigation or pre-litigation expenses.
(Initials_____)
10. Acknowledgement of Understanding: I have read this Agreement. No other oral representations, statements or inducement have been
made to me. I understand that I am giving up substantial legal rights, including my right to sue. I am signing this agreement voluntarily
and intend my signature to be a complete and unconditional release of all liability to the greatest extent allowed by law.
Print Name:_______________________________
Signature:_______________________________
Date:_______________________
Address: _________________________________
State:_________ Zip:__________ Phone :_____________________
DOB :________
For Company
Use Below:
CFI Leaders Resource Guide 2015 San Diego-‐Imperial Council - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - -
GROUP NAME:______________________________________ Time: __________________ Item: _______________________________
32 !
!
GROUP!USE:!!
RELEASE!AND!
WAIVER!OF!LIABILITY!!
All Group Use participants must be accompanied by a SolidRock Gym instructor during their below listed use of the
SolidRock Gym (hereafter referred to as SRG). This waiver is only valid for a supervised Group Use of the SRG.
Return visits as an individual will require completion of the overall Release, Acknowledgement of Risk, Waiver of
Liability, and Indemnification Agreement. THIS AGREEMENT IS LEGALLY BINDING. If any aspect of this agreement
requires clarification, have an SRG employee fully explain, before signing. In signing this document, you are waiving
the right to bring a court action to recover compensation or obtain any other remedy for any personal injuries,
damage to property, accident of any kind arising out of use, supervised or unsupervised, of the SRG facilities,
climbing walls, equipment, participation in classes, or activities sponsored by the SRG.
I hereby, agree to release, indemnify and hold harmless the landlord of the SRG, any persons who have designed,
manufactured, or installed the facilities, climbing walls, or equipment at SRG. I agree to release, indemnify and hold
harmless all persons at SRG; officers, agents, employees, volunteer assistants, other climbers, visitors, or persons
who may be present, from any cause of action, claims, or demands whatsoever. This agreement is binding even if
the released persons have contributed to injuries through their individual or collective negligence. This agreement is
binding on me, my heirs, next of kin, assigns, and personal representatives.
!
Rock climbing, as a sport, has inherent risks. There is an assumed risk of injury rock climbing; this also applies to the
controlled environment of SRG. I hereby acknowledge and agree the sport of rock climbing and the use of SRG™’s
facilities, equipment, climbing walls, taking of classes, and/or participating in activities sponsored by SRG has inherent
risks. Risks include, but are not limited to: injuries resulting from; patrons negligent misuse of the facilities, climbing
walls, or equipment; cuts and abrasions resulting from ropes or skin contact with the climbing wall; failure of the
facilities, climbing walls, or equipment of SRG; slips, trips, falls, or other, in using the facilities, walls, or equipment of
SRG; personal health problems, physical conditions, or other personal areas of concern; individual or collective
negligence of the owners, employees, or volunteer assistants, other climbers, visitors, or persons who may be present
acting
in an individual capacity; negligence or lack of adequate training of any person(s) who seek to assist with
medical or other help.
!
!
!
I have been warned and am aware of these and numerous other inherent risks in using the SolidRock Gym facilities,
climbing walls, and equipment. I fully and voluntarily assume complete responsibility for those risks and for the
injuries that may occur as a result of those risks even if injuries occur in a manner that is not foreseeable at the time
I sign this agreement. In consideration of using SolidRock Gym, I, the undersigned, agree to release all from liability,
discharge, and promise not to sue.
MY SIGNATURE BELOW INDICATES I HAVE READ THE ABOVE.
Dated
/
Participant Name
/
Adult Signature
Print Name
Participant date of birth
/
/
Participant Address
If participant is less than eighteen years of age a parent or guardian release is required. I understand this waiver
authorizes the below named youth to participate in activities at SRG, possibly without my presence at the facility. I
understand SRG has several regulations that affect youth participant use (those 17 years or younger) during group
use activities and during regular public hours. I am the parent or guardian of the minor and I am signing this release
on behalf of the minor.
!
Youth Name
Youth date of birth
/
/
Youth Address
Adult Signature
CFI Leaders Resource Guide 2015 San Diego-‐Imperial Council 33 Appendix
CFI Leaders Resource Guide 2015 San Diego-‐Imperial Council 34 !!!!!!!!!!!!2015!!Week!At!A!Glance!At!CFI
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
6:00!A.M!!!!
5:30A.M!!!!!
5:30A.M!!!!!
5:30A.M!!!!!
5:30A.M!!!!!
Monday!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
Extreme!Adult!
Extreme!Adult!
Extreme!Adult!
Extreme!Adult!
Check;in
Leaders!Program Leaders!Program Leaders!Program Leaders!Program
7:00A.M!Sludge!
7:00A.M!Sludge!
Swim
Swim
7:45!A.!M.!!!!!!!!!!!!!!!!! 7:45!A.!M.!!!!!!!!!!!!!!!!! 7:45!A.!M.!!!!!!!!!!!!!!!!! 7:45!A.!M.!!!!!!!!!!!!!!!!! 7:45!A.!M.!!!!!!!!!!!!!!!!! 7:45!A.M.!
Flags
Flags
Flags
Flags
Flags
Breakfast
8:00!A.M.!
8:00!A.M.!
8:00!A.M.!
8:00!A.M.!
8:00!A.M.!
Breakfast!
Breakfast!
Breakfast!
Breakfast!
Breakfast!
8:15!A.M.!!!!!!!!!!!!!!!! 8:30!A.M.!!!!!!!!!!!!!!!! 8:30!A.M.!!!!!!!!!!!!!!!! 8:30!A.M.!!!!!!!!!!!!!!!! 8:30!A.M!!!!!!
SPL!Meeting
SPL!Meeting
SPL!Meeting
SPL!Meeting
Leaders!Breakfast!
8:45!A.M!!!!!!!!!
Water!Safety!
Training
9:00!A.M.!!!!!!!!!!!!!!!!!! 9:00!A.M.!!!!!!!!!!!!!!!!!!!!!!
9:00!;12:00!!!!!!
1st!Period
1st!Period
Open!Water
10:10!A.M.!!!!!!!!!!! 10:10!A.M.!!!!!!!!!!!
2nd!Period
2nd!Period
11:20!A.M!!!!!!!!!!!! 11:20!A.M!!!!!!!!!!!!
3rd!Period!
3rd!Period!
12:30!P.M.!!!!!!
12:30!P.M.!!!!!!
12:30!P.M.!!!!!!!!!!
Lunch
Lunch
Box!Lunch
9:00!A.M.!Camp!
Breakdown!and!
9:00!A.M.!!!!!!!!!!!!!!!!!! 9:00!A.M.!!!!!!!!!!!!!!!!!!
Check!Out
1st!Period
1st!Period
10:10!A.M.!!!!!!!!!!! 10:10!A.M.!!!!!!!!!!!
2nd!Period
2nd!Period
11:20!A.M!!!!!!!!!!!! 11:20!A.M!!!!!!!!!!!!
3rd!Period!
3rd!Period!
12:30!P.M.!!!!!!
12:30!P.M.!!!!!!
Lunch
Lunch
2:00!P.M.!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
1:50!P.M.!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
1:50!P.M.!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
2:00;5:00!!!!!!!!!
1:50!P.M.!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
1:50!P.M.!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
Check!in!Begins
4th!Period
4th!Period
Open!Water!
4th!Period
4th!Period
3:00!P.M.!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
3:00!P.M.!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
3:00!P.M.!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
3:00!P.M.!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
5th!Period!
5th!Period!
5th!Period!
5th!Period!
6:20!P.M.!!!!
Evening!Flags
6:30!P.M.!!!!!!!!!!
Dinner!
7:45!P.M.!!!!!
Leaders!Meeting
9:00!P.M.!Opening!
Campfire
10:00!P.M.!!!!!!!
Quiet!Hour!
11:00!P.M.!!!!!!!
Lights!Out
4:00!P.M.!!!!!!!!!
Open!Water!!!!!!!
CPR!Refresher
5:00!P.M.!
Emergency!
Mobilization!Drill!
5:15!P.M.!Camp!
Wide!Clean!Up
4:00!P.M.!!!!!!!!!
Open!Water!!!!!!!
CPR!Refresher
5:00!P.M.!!!!!!!!!
Camp!Wide!!!!!!
Clean!Up
6:30!P.M.!!!!!
Evening!Flags!
6:40!P.M.!!!!!!!
Dinner!
6:20!P.M.!!!!
Evening!Flags
6:30!P.M.!!!!!!!!!!
Dinner!
7:30!P.M.!!!!!!!
Scouts!Own!
Amphitheatre
8:00!P.M.!!!!!
Evening!Programs
8:45!P.M.!!!!!!!!!!
8:45!P.M.!!!!!!!!!!
Night!Kayak
Night!Kayak
10:00!P.M.!!!!!!!
10:00!P.M.!!!!!!!
Quiet!Hour!
Quiet!Hour!
11:00!P.M.!!!!!!!
11:00!P.M.!!!!!!!
Lights!Out
Lights!Out
7:30!P.M.!!!!!
Evening!Programs
4:00!P.M.!!!!!!!!!
4:00!P.M.!!!!!!!!!!
4:00!P.M.!!!!!!!!!!!!!! Open!Water!!!!!!!
Mile!Swim!
CPR!Refresher
CPR!Refresher RainGutter!Regatta
5:00!P.M.!!!!!!!!!
5:00!P.M.!!!!!!!!!
5:00!P.M.!!!!!!!!!
Camp!Wide!!!!!!
Camp!Wide!!!!!!
Camp!Wide!!!!!!
Clean!Up
Clean!Up
Clean!Up
6:00!P.M.!!!!!!!!!!!!!!!
In!Camp!Cooking
6:20!P.M.!!!!
Evening!Flags
6:30!P.M.!!!!!!!!!!
Dinner!
6:20!P.M.!!!!
Evening!Flags
6:30!P.M.!!!!!!!!!!
Dinner!
7:00!P.M.!!!!!!!!!
Dutch!Oven!!!!!!
7:30!P.M.!!!!!
Cook!Off
Evening!Programs
8:30!P.M.!!!!!
Closing!Campfire
8:45!P.M.!!!!!!!!!!
Night!Kayak
10:00!P.M.!!!!!!!
Quiet!Hour!
11:00!P.M.!!!!!!!
Lights!Out
8:45!P.M.!!!!!!!!!!
Night!Kayak
10:00!P.M.!!!!!!!
Quiet!Hour!
11:00!P.M.!!!!!!!
Lights!Out
10:00!P.M.!!!!!!!
Quiet!Hour!
11:00!P.M.!!!!!!!
Lights!Out
CFI Leaders Resource Guide 2015 San Diego-‐Imperial Council 35 !!!!!!!!!!!!!!!!!!!!2015!Daytime!Program!Schedule
!!!!!!!Class! Periods
Other
Activity!/Handicrafts
8"P.M."to"9"P.M.""""""""""
Basketry
2
4
Composite"Materials
2
4
5
Indian"Lore
1
2
5
Leatherwork
1
3
Sculpture
1
3
5
Woodcarving
3
4
Photography
Wednesday Art/"Finger"Printing
Scout!Skills
1
3
4
Camping
1
2
Emergency"Preparedness
3
5
Fire"Safety
2
3
5
First"Aid
1
2
3
Fishing
2
Geocaching
"""""""""""""""""""""""""""""""""Periods"1"through"3
Mariners"Program"1
"""""""""""""""""""""""""""""""""Periods"3"through"5
Mariners"Program"2
1
4
Medicine
1
Orienteering
4
5
Pioneering
4
5
Search"&"Rescue
4
5
Signs,"Signals"&"Codes
2
Wilderness"Survival
Nature!/!Civics
4
Astronomy
1
Bird"Study"&"Nature
2
3
4
Citizenship"in"the"Nation"
3
4
5
Citizenship"in"the"World"
4"&"5
4"&"5
Communications"&"Public"Speaking"
1
2
5
Environmental"Science"
5
Mammal"Study
1
3
4
Mining"in"Society"/"Geology
3
Music
2
3
4
Oceanography
2
4
Reptile"and"Amphibian"Study
3
5
Salesmanship
5
Scholorship
1
2
Space"Exploration"/"Model"Design
Wednesday Sports
1
2
Theater
Aquatics
2
3
4
5
Board"Sailing
1
2
3
4
5
Canoeing
""Periods"3"V"5"&"Free"Time
Flying"Hull
1
2
3
4
5
Kayaking"
1"& 2
4"& 5
Lifesaving
1
2
3
4
5
Motorboating
Thursday"
"""""""""""""""1"&"2
Overnight"5pm Nautical"Survival
2
3
4
5
Paddle"Boarding
""""""""""""Periods"1"V"3
"""""Periodss"4"V5"&"Free"Time
Personal"Water"Craft
1
2
3
Rowing
"""""""""""""""""Periods"1"through"5"&"Free"Time"daily
Scuba"Diving
1
2
3
4
5
Small"Boat"sailing
1
2
3
4
5
Swimming
"""""""""""""""""1"P.M."V"5"P.M.
Water"Sports"""""""""""""""""""""""
CFI Leaders Resource Guide 2015 San Diego-‐Imperial Council 36 !!!!!!!!!!!!!!!!!2015!Daytime!Program!Details
Activity
Handicrafts
Basketry
Composite!Materials
Indian!Lore
Leatherwork
Sculpture
Woodcarving
Photography
Art/!Finger!Printing
Scout8Skills
Astronomy
Camping
Emergency!Preparedness
Fire!Safety
First!Aid
Difficulty
Cost
**
**
*
*
**
*
**
*
$21
$15
$5
$5!D!$10
$10
$5
$10.00
***
**
Mariners!Program!
Medicine
Orienteering
*
**
**
Notes
This!covers!all!three!baskets
Totin!Chip
1:00D4:00!Wednesday
**
*
***
*
**
Fishing
Geocaching
Prerequisites
Thursday!Night!Class!Required
70**
4b,!5e,!7b,!8c,!8d,!9
8c,!!personal!kit!to!camp
6a,!11!&!Totin!Chip
2d
#9!or!must!catch,!clean!and!
cook!a!fish!at!camp
Pamphlet!Encouraged
2ed!Class!Recommened
**!Deep!Sea!Fishing!Trip!option!!!!!!!!!!!!!!!!!!!!!!!!!
Read!Fishing!Program!
Learn!the!Scout!skills!that!will!be!needed!to!
advance!towards!2ed!and!1st!Class
2ed!Class!Recommened
Pioneering
Search!&!Rescue
Signs,!Signals!&!Codes
Wilderness!Survival
Nature8/8Civics
**
***
**
***
$7
Bird!Study!&!Nature
**
Citizenship!in!the!Nation!
Citizenship!in!the!World!
***
***
Communications!&!Public!Speaking!
Environmental!Science!
Mammal!Study
Mining!in!Society!/Geology
Music
Oceanography
Reptile!&!Amphibian!Study
Salesmanship
Scholorship!
Space!Exploration!/!Model!Design
Sports
Theater
Aquatics
Board!Sailing
Canoeing
Flying!Hull
Kayaking
Lifesaving
Motorboating
***
***
*
**
**
**
**
**
*
*
*
*
***
**
***
*
***
*
Nautical!Survival
Paddle!Boarding
***
**
Personal!Water!Craft
Rowing
***
**
$190
Scuba!Diving
Small!Boat!Sailing
Swimming
Water!Sports!!!!!!!!!!!!!!!!!!!!!!!!
***
**
**
***
$265
Tenderfoot,!4a!&!4b!!!!!!!!!!!!!
1st!Class!7a
2ed!Class!Recommened
!Identify!10!birds/dates!seen!
inadvance!to!camp.
$5!D!$10
#2!&!6!choose!speech!and!
bring!a!copy
Pamphlet!Encouraged
#7
Pamphlet!Encouraged
#5,!bring!notes!on!the!
Pamphlet!Encouraged!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
meeting!and!also!report
2!sessions!2!merit!badges
#6,!bring!research!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
#1
Scoutmaster!or!parent!can!sign!off!on!this
#4
Scoutmaster!or!parent!can!sign!off!on!this
$20.00
CFI!Swim!Test
Very!Difficult!Not!a!Merit!Badge
CFI!Swim!Test
Small!Boat!Sailing!MB
Not!a!Merit!Badge
CFI!Swim!Test
Swimming!Merit!Badge
CFI!Swim!Test
Age!14+!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
Class!is!Two!Sessions!Long!!!!!!!!!!!!!!!!!!!!!!!!!!
No!Exceptions
Over!Night!Trip!on!Thursday
$180
Age!16+!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
No!Exceptions
CFI!Swim!Test
Swimming!MB!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
Scouts!must!provide!their!own!Dive8Rated!
Gear!(Boots,!gloves,!mask,!snorkle!and!fins)
Age!13+
CFI!Swim!Test
CFI!Swim!Test
CFI!Swim!Test
CFI Leaders Resource Guide 2015 San Diego-‐Imperial Council 37