MERIT BADGE DAY

Saturday, December 7, 2013

The Church of Jesus Christ of Latter-day Saints 23 Lake Road, Irvine, 92604

OPEN TO ALL BOY SCOUTS

Sponsored by Troops 356 and 856. Approved by BSA O.C. Council.

REGISTRATION:

ONLINE REGISTRATION IS PREFERRED.

Visit http://www.formstack.com/forms/Troop356-MBDForm to register. No registration at the door. To mail registration, complete form on opposite side of this sheet. All forms and fees must be received by Wednesday, November 27, 2013. (Register earlypopular classes are likely to fill up far in advance of the deadline.) COST: $20.00 for up to two sessions $5.00 for pizza/drink lunch Snacks also available for purchase 7:15 a.m. Check-in 8:00 a.m. Opening Ceremony 8:15 a.m. 10:45 a.m. 1st session (with one 5-minute break) 10:50 a.m. 11:25 a.m. BREAK/LUNCH 11:30 a.m. 2:00 p.m. 2nd session (with one 5-minute break)

SCHEDULE:

MERIT BADGES OFFERED AND PREREQUISITES

Numbers in bold indicate requirements that should be completed in advance, with proof to be presented to the counselor. Underlined numbers indicate requirements that should be prepared in advance, to be presented/discussed during class. 1. American Cultures 1, 4, 5 2. American Heritage 2, 3c, 4 3. American Labor 2, 5, 7, 9 4. Architecture 1, 5 5. *Citizenship/Nation 2, 3, 6 6. *Citizenship/World 4, 7 7. Coin Collecting 6, 7, 9, 10 8. *Communication - 3, 4, 5, 6, 7, 8 9. Computers 6, 7, 9 10. Dentistry 3, 4c, 6 11. Disabilities Awareness - 2,3,4,5, 7 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. Electronics 6 *Emergency Prep.- 1, 2b, 2c,7, 8,9 Fingerprinting Fire Safety 6, 11, 12 *First Aid 1, 2d Genealogy 2, 3, 4, 6, 7 Indian Lore Inventing 2, 3c, 5, 6, 7, 8, 9 Journalism 2, 3, 4 Law 4, 6, 9 Music 1, 3 23. 24. 25. 26. 27. 28. 29. 30. 31. Nuclear Science 4, 5, 8 Photography 4, 5 Public Speaking 1, 2, 4 Salesmanship 3, 5, 6, 7 Sports 4, 5 *Swimming 3, 10c Traffic Safety 5 #Trail to First Class, Course 1 #Trail to First Class, Course 2

*Eagle-Required Merit Badge Double Session: Requires attendance at both sessions. To take the Swimming class a scout, must be able to pass the BSA swimmer test, which will be administered at the beginning of the class. Also please note that the swimming merit badge will be an full-day session. #A scout taking a Trail-to-First-Class course should bring a written note from his Scoutmaster approving his attendance. Each scout will receive a written list of requirements passed off (listed below), to be returned to his Scoutmaster for recording. ^Only 1 of the Merit Badges earned at the event can be an Eagle required Merit Badge Trail to First Class, Course 1: Tenderfoot: 4 (whip/fuse, knots), 12 (first aid); Second Class: 7a (hurry cases), 7c (first aid) Trail to First Class, Course 2: Second Class: 2c (knife/saw/ax safety)(can earn Totin Chip); First Class: 8a (bowline), 8b (bandages), 8c (transport), 8d (CPR)

INSTRUCTIONS & REQUIREMENTS

THINGS TO DO IN ADVANCE: Buy or borrow the appropriate merit badge pamphlet(s). Study all information for each badge and complete the prerequisites shown above. Come dressed in Class A uniform (except for those completing Swimming Merit Badge). Be prepared to discuss, report, demonstrate and be tested on all requirements. THINGS TO BRING: (a) Proof of completion for prerequisites, signed by Scoutmaster or leader; (b) A completed Blue Card for each merit badge, signed by Scoutmaster (blue cards will not be issued on-site); (c) The merit badge pamphlet for each class; (d) A notebook, pen, and other materials called for in each merit badge book. Each merit badge counselor has the right and authority to disapprove prior work done if it does not meet requirements or is not properly documented. All BSA requirements will be strictly followed. Parents and Scout leaders are welcome. Each troop should be accompanied and supervised by an appropriate number of adult leaders. Note: The Swimming Merit Badge will be taught at a Blue Lake Swim Club pool on Summerstone in Irvine. For More Information, Contact Skylar Huth or Kathe Espinili E-mail: MBDay356@gmail.com For an electronic copy of this form, go to http://www.formstack.com/forms/Troop356-MBDForm

TROOP 356/856 2013 MERIT BADGE DAY REGISTRATION

Complete and mail with payment, or http://www.formstack.com/forms/Troop356-MBDForm Please print clearly. Make checks payable to Westpark Ward Mail to: Merit Badge Day, Attn: Daniel Ricks, 307 Tropea Aisle Irvine CA 92606 Enrollment confirmation will be e-mailed to you. First Name __________________ Last Name __________________ Troop# _________ Rank ______________ Your Troop Sponsor:_________________________

Address ________________________________________________________________________ City ____________________ State _____ Zip _________ Phone _______________ E-mail address __________________________________ Merit badge choices in order of preference: 1st ________________________ 3rd ________________________ Registration Fee: 2nd _____________________________ 4th _____________________________

$20.00 Two Sessions

$5.00 Prepaid Lunch

Total Sent: $______________ [Because of planning and scheduling requirements, refunds will only be given when requested before Wednesday, November 27, 2013] Emergency Contact Information: Parent or Guardian _____________________________________ Address_________________________________________________________________________ City ________________________ State ______ Zip ________ Phone_____________________

Email _________________________________________ Cell/Emergency____________________

I hereby certify that I am the parent or legal guardian of the Boy Scout identified above (Participant). Should any injur y or medical emergency involving the Participant arise during his participation in the Troop 356/856 Merit Badge Day, I hereby authorize Troop 356/856 and its leaders to procure, and I hereby consent to the provision of, the services of physicians, nurses, emergency medical technicians, or associated personnel to provide the Participant with medical assistance or treatment, and I agree to be financially responsible for the cost of such assistance and/or treatment. I understand such treatment will be based on information provided herein. I hereby authorize emergency transportation of the Participant to a medical treatment facility should an individual listed above consider it to be warranted. If signed up for Swimming Merit Badge, I acknowledge the Participant may be transported to a pool located near the church site. I hereby release, discharge, and otherwise indemnify Troop 356 or 856, its members and leaders, The Church of Jesus Christ of Latter-day Saints, its leaders and members, and the employees and associated personnel of these organizations, against any claim by or on behalf of the Participant named above as a result of his participation in the Troop 356/856 Merit Badge Day on Dec. 7, 2013.

Signature of Parent or Guardian: _____________________________ Date: _______________________

Troop 356/856 Merit Badge Day 2013 Swimming Merit Badge Day Plan SUMMARY The Merit Badge Day Swimming event will be held at Blue Lake Swim Club in Irvine. It is a large, heated, Olympic size pool, with diving area and boards. It has lifeguards on duty on Saturdays and the bottom of the pool is fully visible. Troop 356/856 will (1) comply with the BSA Safe Swim Defense guidelines, and (2) ensure that each Scout fully achieve each requirement through appropriate adult supervision. We will have a adult ratio of no less than 8:1, and will have at least one lookout. All counselors will be experienced swimmers who have taught the Merit Badge in the past. Compliance with SAFE SWIM DEFENSE required
1. Qualified Supervision. All counselors will have completed the Safe Swim Defense training, have a card on his/her possession, and agree to use the Safe Swim Defenses. Each of the counselors and aides will be experienced swimmers and will know the 8 defenses of the Safe Swim Defense Program. 2. Swimmer Fitness. We will require evidence of fitness for swimming activity with a complete acknowledgment of the Scouts health history from the parent or legal guardian and a waiver. 3. Safe Swimming area. The Blue Lake pool is very safe and manned by lifeguards. It is no deeper than 12 feet in any area. In the last two years, no markings were needed, and Scouts were allowed full use of the pool. 4. Lifeguards and Supervision. Blue Lake pool has trained lifeguards, and we anticipate a counselor/adult/aide-to-Scout ratio of no more than 1:8. The lifeguards have contingency plans, and Troop 356/856 will review those plans on the activity day. 5. In addition to the lifeguards, Troop 356/856 will appoint one person as a lookout, to review all swimmers during the activity. 6. Abilities. This is not a swimming teaching activity, but rather a swimming merit badge completion. Parents will be asked to confirm prior to the activity that their Scout can pass the Swimmer test, swimming at least 100 yards, with a sharp turn, with a float rest after completion, (if a scout cannot pass the swimmer test he will be asked to leave). 7. Buddy system. We will require the buddy system, with a check to be done at least every 20 minutes. 8. Discipline. All Scouts will be taught the SSD program, and required to comply with each rule. While one warning may be issued, a Scout may be asked to leave if he does not comply.