Unit Roster

TWIN RIVERS COUNCIL, INC.

BOY SCOUTS OF AMERICA

SHORT TERM CAMPING UNIT ROSTER

Camp Boyhaven, BSA Middle Grove, NY

Please Check One:

___ Cabin

___ Lean-to(s)

___ Tenting

___ Day Hike

___ Other

Unit/Organization: ________________________________ Dates in Camp: ______________

LEADERS IN CAMP (List additional leaders on the back)

(21+) 1. _____________________________________	Phone: ______________________
(18+) 2. _____________________________________	Phone: ______________________
(18+) 3. _____________________________________	Phone: ______________________

NAMES OF YOUTH MEMBERS ATTENDING (List additional youth on the back)

1. __________________________	11. __________________________
2. __________________________	12. __________________________
3. __________________________	13. __________________________
4. __________________________	14. __________________________
5. __________________________	15. __________________________
6. __________________________	16. __________________________
7. __________________________	17. _________________________
8. __________________________	18. __________________________
9. __________________________	19. __________________________
10. ________________________	20. __________________________

NOTE: This roster is required for all units that participate in short-term camping in the Twin Rivers Council camps.

The youth members and adult leaders listed on this page were in attendance at weekend camp. I have been given a copy of the camp rules and regulations. I have reviewed all items. I understand that a minimum of two adult leaders is required for all outings and at least one of these leaders must be 21 years of age or older.

Camp Leader's Signature: _____________________________ Date: _____________

THIS ROSTER MUST BE SUBMITTED TO THE CAMP OFFICE UPON ARRIVAL

ALONG WITH THE $25 DAMAGE DEPOSIT!