Philmont, the ultimatein Scouting adventures. - Doubleknot

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Heart of Virginia Council 2015 Philmont Council Contingent ADULT LEADER APPLICATION

Philmont, the ultimate in Scouting adventures. It is a national high adventure base, owned and operated by the Boy Scouts of America. Philmont is large, comprising 137,493 acres or about 215 square miles of rugged mountain wilderness in the Sangre de Cristo (Blood of Christ) range of the Rockies. Philmont has high mountains, which dominate rough terrain with an elevation ranging from 6,500 to 12,441 feet. It is located in the northeastern area of New Mexico near the town of Cimarron. Philmont has a unique history of ancient Indians who chiseled writings into canyon walls…Spanish conquistadors who explored the Southwest long before the first colonist arrived on the Atlantic coast…the rugged breed of mountain men like Kit Carson who blazed trails across this land…the great land barons like Lucien Maxwell who built ranchos along the Santa Fe Trail…miners… loggers…cowboys. All these people left their mark on Philmont. WHEN:

The Heart of Virginia Council’s 2015 Philmont Council Contingent will take place June 20 - July 5, 2015.

COST:

Estimated cost is $2,250 for Adult Crew Leaders. All expenses include Philmont fees, travel, meals, lodging, entertainment, and gratuities. Ground transportation and roundtrip air transportation fare will determine final cost in November 2015.

AGE:

All adult leader applicants must be 21 years or older by June 20, 2015.

LEADER REQUIREMENTS: All adult leader applicants for consideration must be a registered Scouter, served in an adult leadership role in the local council, completed Leader Specific Training, Outdoor Leader Training, and the on-line safety training. Two members per crew must have current Red Cross, or equivalent, Adult CPR and Wilderness First Aid Training. LOCAL TROOP INFORMATION: No more than ten (10) Scout applicants will be selected from the same troop. CODE OF CONDUCT: All adult leader applicants must agree to and sign a code of conduct attached to the application. DEADLINE and SELECTION: This is a council contingent – not an individual troop crew. All applications must be in the Council Service Center by October 1, 2014. An information sheet and fee payment schedule will be sent to selected leaders in November. Consideration for acceptance includes: leadership, training, hiking experience, physical fitness, and Scoutmaster's and/or Committee Chairman’s recommendation. All adult applicants will be interviewed by the Council Philmont Selection Committee. Each Crew will have two adult leaders and could have participants from several different troops. MEDICAL INFORMATION: The 2014 BSA Medical (680-001) must be used for Philmont. The BSA Medical Parts A & B must be completed and returned with this application. BSA Medical Parts C with Philmont must be completed by a physician after August 1, 2014 and submitted to council prior to May 15, 2015. (Philmont has a height and weight ratio requirement-see chart on application). The Heart of Virginia Council 2015 Council Contingent will include four (4) crews. Each crew will have ten (10) Scouts plus two (2) Adult Advisors. All applications must be accompanied by a $450 non-refundable deposit per Scout. If you are put on the alternate list and not selected to participate, the deposit will be returned after the expedition leaves June 20, 2015. If selected to be a participant and you choose not to attend, the deposit will not be returned. It is understood that future payments will be refunded within thirty (30) days after completion of the expedition if you do not participate only if the expedition is sold out. (Just because you are put on an alternate list does not mean that you will not go to Philmont.)

(Keep this page for your information)

Heart of Virginia Council

Boy Scouts of America  

2015 Philmont Council Contingent  Adult Leader Application     

I am interested in the 2015 Philmont Expedition.  Enclosed is my $450 deposit, which is non‐refundable if I am selected  to participate. If I am put on the alternate list and not chosen to participate, I understand that the deposit will be  returned to me after the expedition leaves June 20, 2015.  Future payments will be refunded to me if I decide not to  participate, within thirty (30) days after completion of the expedition, only if it is sold out. 

FIRST NAME___________________MIDDLE NAME________________LAST NAME_______________________   

ADDRESS___________________________________________________________________ZIP: ____________   

PHONE (H) ____________ PHONE (M)_____________ PHONE (W)_____________ NICK NAME          Adult T‐Shirt Size________    E‐MAIL ___________________________________BIRTH DATE_______________   

TROOP #________ SCOUTING POSITION__________________________ EXPIRATION  DATE_______________   

WEIGHT________ HEIGHT_________(Philmont has a height, weight ratio requirement.  See chart below)   

 A copy of my current BSA Medical, Parts A B C with Philmont is attached to this   application.       Parts C with Philmont must be completed by your physician AFTER August 1, 2014   

  

 

Have you attended Philmont Previously? _______   If yes, when? ______________   

Check all training completed by applicant and attach a copy of your card:     

 Wilderness First Aid  

 Leader Specific Training ____________________ 

 

 

 

 

 

 

 

 

 Adult CPR    

 

 Outdoor Leader Training 

(leader position trained) 

   

Please check all on‐line safety training completed by applicant:      

Training must be taken/retaken AFTER August 1, 2013.    All safety training is good for two (2) years from date of completion.    

 

 

 Youth Protection     Climb on Safely         Safety Afloat 

   Safe Swim Defense 

 

 Weather Hazards       Trek Safely     

CONTACT IN CASE OF EMERGENCY DURING THE PERIOD JUNE 20, 2015 TO JULY 5, 2015   

Name    

 

__ 

___________   

 

 

Relationship    

___________   

 

  

_______ 

 

 

 

 

 

 

 

 

 

Address   

 

 

Emergency Telephone (    

    ) 

 

Please submit this application on or before October 1, 2014 to:    

Heart of Virginia Council Philmont Selection Committee  P.O. Box 6809  Richmond, VA 23230   

(Please reproduce this application as needed) 

Height Weight Recommended 5’0” 97-138 5’1” 101-143 5’2” 104-148 5’3” 107-152 111-157   5’4” 5’5” 114-162 5’6” 118-167 5’7” 121-172 5’8” 125-178 5’9” 129-185 5’10” 132-188 5’11” 136-194 6’0” 140-199 6’1” 144-205 6’2” 148-210 6’3” 152-216 6’4” 156-222 6’5” 160-228 6’6” 164-234 170-240 6’7” & over

Max. Acceptance 166 172 178 183 189 195 201 207 214 220 226 233 239 246 252 260 267 274 281 295

  

Adult Leader Applicants must read this statement carefully before signing this application: I hereby approve and agree to all of the terms and conditions of this application and certify to its correctness. If selected, I agree to live by the Scout Oath and Law, to fully cooperate with my co-Philmont leaders, to meet my full responsibilities as a member of the Heart of Virginia Council Contingent, to take such preliminary Philmont training as may be required, including crew shakedown hikes, to wear the official Boy Scouts of America uniform, and to follow the code of conduct. I certify that I have now or will attain the age and the qualifications listed on this application and required of all participants. Further, I certify that I can meet and submit evidence of the health and physical fitness requirements of the Philmont Council Contingent and will be examined by a licensed health-care practitioner. In consideration of the benefits to be derived from participation in the 2015 Philmont Council Contingent, any and all claims against the Boy Scouts of America or Heart of Virginia Council, or any of the officers, employees, agents, or other representatives of any of them, or any other persons working under their direction or engaged in the conduct of their affairs, arising out of any accident, illness, injury, damage, or other loss or harm to or incurred or suffered by the applicant named above or to his property, in connection with or incidental to the 2015 Philmont Council Contingent, including preliminary training and travel, are hereby expressly waived by the applicant and the applicant’s family. I also agree to attend the Philmont Parent meeting.

I have read the Applicant’s Statement and agree with the contents. Adult Leader Applicant Signature

Date

The check for the $450 deposit is enclosed.

APPRAISAL OF APPLICANT (BY HOME UNIT SCOUTMASTER/COMMITTEE CHAIRMAN) CONFIDENTIAL - Required before consideration of leadership position Check appropriate line Scouting Record

Attitude

Community Participation

Personal appearance

Scouting ideals

(Including religious life)

(including proper heightweight ratio)

(exemplifies Scout Oath and Law)

How adult Scouter relates to others

Excellent

Good

Fair

Poor Not able to evaluate

List Backpacking Experience:

Recommended by Home Unit Scoutmaster/Committee Chairman Signature (Signature must be different from the adult applicant signature)

Date

Adult leadership record

Camping and outdoor experiences

ADULT CREW LEADER 2015 HEART OF VIRGINIA PHILMONT COUNCIL CONTINGENT Statement of Understanding and Participant Code of Conduct NAME: Please Print

Statement of Understanding: All adult participants are selected to represent their local council based on their qualifications in character, camping skills, physical and personal fitness, and leadership qualities. Therefore, all adult participants and their Scoutmasters are asked to sign the Statement of Understanding and Code of Conduct as a condition of participation, with the further understanding that serious misconduct or infraction of established rules and regulations may result in expulsion, at the participant’s expense, from Philmont or during the Philmont tour. Ultimately we want each participant to be responsible for his or her own behavior, and only when necessary will the procedure be invoked to send a participant home from the expedition. All youth and adult participants are expected to abide by the Code of Conduct as follows: The expedition’s adult leadership (Tour Director and 12. Neither the unit leader, nor the Tour Director, Advisor, Advisors) are responsible for the supervision of its or Heart of Virginia Council, BSA will be responsible membership in respect to maintaining discipline, security for loss, breakage or theft of my personal items. I will and the participant Code of Conduct. label all my personal items and check items of value at 2. The Scout Oath and Law will be my guide throughout the director of adult advisors. Theft will be grounds for the expedition. expulsion. The Council Contingent Advisor or Tour 3. I will set a good example by keeping myself neatly Director reserves the right to search either the person or dressed and presentable. (The official Scout uniform and property of an individual participant should there be Philmont identifying items are the only acceptable reasonable cause. apparel at appropriate specific times.) 13. While participating in the various activities, I will obey 4. I will attend all scheduled programs and participate as the safety rules and instructions of all supervisors and required in cooperation with other unit members and staff members. leadership. 14. Adult advisors and youth are prohibited from having 5. In consideration of other unit participants, I agree to firearms and weapons in possession in accordance with follow the bedtime and other schedules of the unit, or as U.S. local and state laws. otherwise directed by the program. 15. The Tour Director and Adult Advisors will be guided by 6. I will be responsible for keeping my tent and personal the Scout Oath and Scout Law and will obey all laws of gear labeled, clean, and neat. I will adhere to all the U.S. local and state laws. recycling policies and regulations. I will do my share to 16. The Tour Director and Adult Advisors must receive prevent littering of the grounds. Youth Protection Training and follow the guidelines 7. I understand that the purchase, possession, or therein prior to Philmont council contingent training. consumption of alcoholic beverages or illegal drugs by 17. Hazing has no place in Scouting. Nor does running the any youth and adult advisor is prohibited. This standard gauntlet, belt lines or similar physical punishment. shall apply to adult participants, both youth and adult Leaders and older youth must prevent all youth from advisors. being “initiated” into the crews with a hazing activity. 8. Serious and/or repetitive behavior violations by youth 18. Adult leaders should have the good judgment to avoid and adults including use of tobacco, alcohol, drugs, trading souvenirs or patches with a child or youth cheating, stealing, dishonesty, swearing, fighting and member in Scouting. Youth members may trade with cursing may result in expulsion from the expedition or youth members. Adult leaders may trade only with other serious disciplinary action and loss of privileges. The adults 18 years of age or older. expedition advisor must be contacted for the expulsion 19. Adult leaders and youth leaders must instruct other procedure to be invoked. There are no exceptions. participants to avoid confrontation with groups, 9. I understand that gambling of any form is prohibited. demonstrations, or hecklers and must assume a passive 10. I understand that possession or detonation of fireworks is reaction to name calling from individuals or groups. prohibited. Units or groups must be removed from the area of 11. I will demonstrate respect for crew, expedition or leased potential conflict immediately. property, as well as lodging, eating and entertainment 20. Serious violations of this code may result in expulsion facilities while traveling to and from Philmont, and be from the expedition at the participant’s own expense. personally responsible for any loss, breakage, or All decisions will be final vandalism of property as a result of my actions. 1.

I certify I have read the Statement of Understanding and agree to abide by the conditions of the Code of Conduct as a participant in the Heart of Virginia Council, BSA 2015 Philmont Council Contingent. Signature of Adult Crew Leader_______________________________ Troop # ________ Phone # ____________ Date __________ Signature of Scoutmaster ___________________________________ Troop # ________ Phone # ____________ Date __________ or

Signature of Committee Chairman_____________________________ Troop # ________ Phone # ____________ Date __________ (second signature must be different from adult crew leader)

Part A: Informed Consent, Release Agreement, and Authorization High-adventure base participants:

Full name: _________________________________________ Expedition/crew No.:________________________________ DOB:

_________________________________________

Informed Consent, Release Agreement, and Authorization

I understand that participation in Scouting activities involves the risk of personal injury, including death, due to the physical, mental, and emotional challenges in the activities offered. Information about those activities may be obtained from the venue, activity coordinators, or your local council. I also understand that participation in these activities is entirely voluntary and requires participants to follow instructions and abide by all applicable rules and the standards of conduct. In case of an emergency involving me or my child, I understand that efforts will be made to contact the individual listed as the emergency contact person by the medical provider and/or adult leader. In the event that this person cannot be reached, permission is hereby given to the medical provider selected by the adult leader in charge to secure proper treatment, including hospitalization, anesthesia, surgery, or injections of medication for me or my child. Medical providers are authorized to disclose protected health information to the adult in charge, camp medical staff, camp management, and/or any physician or health-care provider involved in providing medical care to the participant. Protected Health Information/ Confidential Health Information (PHI/CHI) under the Standards for Privacy of Individually Identifiable Health Information, 45 C.F.R. §§160.103, 164.501, etc. seq., as amended from time to time, includes examination findings, test results, and treatment provided for purposes of medical evaluation of the participant, follow-up and communication with the participant’s parents or guardian, and/or determination of the participant’s ability to continue in the program activities. (If applicable) I have carefully considered the risk involved and hereby give my informed consent for my child to participate in all activities offered in the program. I further authorize the sharing of the information on this form with any BSA volunteers or professionals who need to know of medical conditions that may require special consideration in conducting Scouting activities.

or staff position:____________________________________

With appreciation of the dangers and risks associated with programs and activities, on my own behalf and/or on behalf of my child, I hereby fully and completely release and waive any and all claims for personal injury, death, or loss that may arise against the Boy Scouts of America, the local council, the activity coordinators, and all employees, volunteers, related parties, or other organizations associated with any program or activity. I also hereby assign and grant to the local council and the Boy Scouts of America, as well as their authorized representatives, the right and permission to use and publish the photographs/film/videotapes/electronic representations and/or sound recordings made of me or my child at all Scouting activities, and I hereby release the Boy Scouts of America, the local council, the activity coordinators, and all employees, volunteers, related parties, or other organizations associated with the activity from any and all liability from such use and publication. I further authorize the reproduction, sale, 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 BSA, and I specifically waive any right to any compensation I may have for any of the foregoing.

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NOTE: Due to the nature of programs and activities, the Boy Scouts of America and local councils cannot continually monitor compliance of program participants or any limitations imposed upon them by parents or medical providers. However, so that leaders can be as familiar as possible with any limitations, list any restrictions imposed on a child participant in connection with programs or activities below.

List participant restrictions, if any:

!

None

________________________________________________________ I understand that, if any information I/we have provided is found to be inaccurate, it may limit and/or eliminate the opportunity for participation in any event or activity. If I am participating at Philmont, Philmont Training Center, Northern Tier, Florida Sea Base, or the Summit Bechtel Reserve, I have also read and understand the supplemental risk advisories, including height and weight requirements and restrictions, and understand that the participant will not be allowed to participate in applicable high-adventure programs if those requirements are not met. The participant has permission to engage in all high-adventure activities described, except as specifically noted by me or the health-care provider. If the participant is under the age of 18, a parent or guardian’s signature is required.

Participant’s signature:_________________________________________________________________________________________ Date:_______________________________

Parent/guardian signature for youth:______________________________________________________________________________ Date:_______________________________

(If participant is under the age of 18)

Second parent/guardian signature for youth:_______________________________________________________________________ Date:_______________________________

(If required; for example, California)

Complete this section for youth participants only: Adults Authorized to Take to and From Events:

You must designate at least one adult. Please include a telephone number. Name: _______________________________________________________

Name: _______________________________________________________

Telephone: ___________________________________________________

Telephone: ___________________________________________________

Adults NOT Authorized to Take Youth To and From Events: Name: _______________________________________________________

Name: _______________________________________________________

Telephone: ___________________________________________________

Telephone: ___________________________________________________

680-001 2014 Printing

Part B: General Information/Health History High-adventure base participants:

Full name: _________________________________________ Expedition/crew No.:________________________________ DOB:

_________________________________________

or staff position:____________________________________

Age:____________________________ Gender:_________________________ Height (inches):___________________________ Weight (lbs.):_____________________________ Address:_________________________________________________________________________________________________________________________________________ City:___________________________________________ State:___________________________ ZIP code:_______________ Telephone:_______________________________ Unit leader:_________________________________________________________________________________ Mobile phone:__________________________________________ Council Name/No.:___________________________________________________________________________________________________ Unit No.:_____________________ Health/Accident Insurance Company:__________________________________________________ Policy No.:____________________________________________________

!

Please attach a photocopy of both sides of the insurance card. If you do not have medical insurance, enter “none” above.

!

In case of emergency, notify the person below: Name:____________________________________________________________________________ Relationship:____________________________________________________ Address: _____________________________________________________________ Home phone:________________________ Other phone:__________________________ Alternate contact name:_____________________________________________________________ Alternate’s phone:_______________________________________________

Health History Do you currently have or have you ever been treated for any of the following? Yes

No

Condition Diabetes

Explain Last HbA1c percentage and date:

Hypertension (high blood pressure) Adult or congenital heart disease/heart attack/chest pain (angina)/heart murmur/coronary artery disease. Any heart surgery or procedure. Explain all “yes” answers. Family history of heart disease or any sudden heartrelated death of a family member before age 50. Stroke/TIA Asthma

Last attack date:

Lung/respiratory disease COPD Ear/eyes/nose/sinus problems Muscular/skeletal condition/muscle or bone issues Head injury/concussion Altitude sickness Psychiatric/psychological or emotional difficulties Behavioral/neurological disorders Blood disorders/sickle cell disease Fainting spells and dizziness Kidney disease Seizures

Last seizure date:

Abdominal/stomach/digestive problems Thyroid disease Excessive fatigue Obstructive sleep apnea/sleep disorders

CPAP: Yes £

List all surgeries and hospitalizations

Last surgery date:

No £

List any other medical conditions not covered above 680-001 2014 Printing

Part B: General Information/Health History High-adventure base participants:

Full name: _________________________________________ Expedition/crew No.:________________________________ DOB:

_________________________________________

or staff position:____________________________________

Allergies/Medications Are you allergic to or do you have any adverse reaction to any of the following? Yes

No

Allergies or Reactions

Explain

Yes

No

Allergies or Reactions

Medication

Plants

Food

Insect bites/stings

Explain

List all medications currently used, including any over-the-counter medications. CHECK HERE IF NO MEDICATIONS ARE ROUTINELY TAKEN. IF ADDITIONAL SPACE IS NEEDED, PLEASE INDICATE ON A SEPARATE SHEET AND ATTACH. Medication



YES

NO

Dose

Frequency

Reason

Non-prescription medication administration is authorized with these exceptions:_______________________________________________

Administration of the above medications is approved for youth by: _______________________________________________________________________ /________________________________________________________________________



Parent/guardian signature

MD/DO, NP, or PA signature (if your state requires signature)

Bring enough medications in sufficient quantities and in the original containers. Make sure that they are NOT expired, including inhalers and EpiPens. You SHOULD NOT STOP taking any maintenance medication unless instructed to do so by your doctor.

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!

Immunization The following immunizations are recommended by the BSA. Tetanus immunization is required and must have been received within the last 10 years. If you had the disease, check the disease column and list the date. If immunized, check yes and provide the year received. Yes

No

Had Disease

Immunization Tetanus Pertussis Diphtheria Measles/mumps/rubella Polio Chicken Pox Hepatitis A

Date(s)

Please list any additional information about your medical history: _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ DO NOT WRITE IN THIS BOX Review for camp or special activity.

Reviewed by:_____________________________________________

Hepatitis B

Date:____________________________________________________

Meningitis

Further approval required:

Influenza

Reason:_________________________________________________

Other (i.e., HIB)

Approved by:_____________________________________________

Exemption to immunizations (form required)

Date:____________________________________________________

Yes

No

680-001 2014 Printing

Part C: Pre-Participation Physical This part must be completed by certified and licensed physicians (MD, DO), nurse practitioners, or physician assistants.

High-adventure base participants:

Full name: _________________________________________ Expedition/crew No.:________________________________ DOB:

_________________________________________

or staff position:____________________________________

You are being asked to certify that this individual has no contraindication for participation inside a Scouting experience. For individuals who will be attending a high-adventure program, including one of the national high-adventure bases, please refer to the supplemental information on the following pages or the form provided by your patient.

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Examiner: Please fill in the following information: Yes

No

Explain

Medical restrictions to participate Yes

No

Allergies or Reactions

Explain

Yes

No

Allergies or Reactions

Medication

Plants

Food

Insect bites/stings

Explain

Height (inches):__________________ Weight (lbs.):__________________ BMI:__________________ Blood Pressure:__________________/__________________ Pulse:__________________ Normal

Abnormal

Explain Abnormalities

Examiner’s Certification I certify that I have reviewed the health history and examined this person and find no contraindications for participation in a Scouting experience. This participant (with noted restrictions):

Eyes

True

Ears/nose/ throat

False

Explain Meets height/weight requirements. Does not have uncontrolled heart disease, asthma, or hypertension.

Lungs

Has not had an orthopedic injury, musculoskeletal problems, or orthopedic surgery in the last six months or possesses a letter of clearance from his or her orthopedic surgeon or treating physician.

Heart

Has no uncontrolled psychiatric disorders. Has had no seizures in the last year.

Abdomen

Does not have poorly controlled diabetes. If less than 18 years of age and planning to scuba dive, does not have diabetes, asthma, or seizures.

Genitalia/hernia

For high-adventure participants, I have reviewed with them the important supplemental risk advisory provided.

Musculoskeletal

Examiner’s Signature:____________________________________ Date: ________________ Provider printed name:_________________________________________________________

Neurological

Address:_______________________________________________________________________ City:______________________________________ State:_____________ ZIP code:__________

Other

Office phone:__________________________________________________ Height/Weight Restrictions If you exceed the maximum weight for height as explained in the following chart and your planned high-adventure activity will take you more than 30 minutes away from an emergency vehicle/accessible roadway, you may not be allowed to participate. Maximum weight for height: Height (inches)

Max. Weight

Height (inches)

Max. Weight

Height (inches)

Max. Weight

Height (inches)

60

166

65

195

70

226

75

Max. Weight 260

61

172

66

201

71

233

76

267

62

178

67

207

72

239

77

274

63

183

68

214

73

246

78

281

64

189

69

220

74

252

79 and over

295 680-001 2014 Printing

High-Adventure Risk Advisory to Health-Care Providers and Parents Phone: 575-376-2281

Website: www.philmontscoutranch.org

Philmont Scout Ranch Experience.

The Philmont experience is not risk-free. Staff will instruct participants in safety measures. Be prepared to listen to and follow these measures. Accept responsibility for the health and safety of yourself and others. Each participant must be able to carry 25 to 35 percent of their body weight while hiking 5 to 12 miles per day in an isolated mountain wilderness ranging from 6,500 to 12,500 feet in elevation over trails that are steep and rocky. Summer/ autumn climate includes temperatures from 30 to 100 degrees, low humidity (10 to 30 percent), and frequent, sometimes severe, thunderstorms. Winter climatic conditions can range from –20 to 60 degrees. During a Winter Adventure experience, each person will walk, ski, or snowshoe along snow-covered trails pulling loaded toboggans or sleds for up to 3 miles—or even more on a cross-country ski trek.

Risk Advisory.

Philmont has an excellent health and safety record and strives to minimize risks to participants by emphasizing appropriate safety precautions. Because most participants are prepared, are conscious of risks, and take safety precautions, they do not experience injuries. If you decide to attend Philmont, you should be physically fit, have proper clothing and equipment, be willing to follow instructions, work as a team with your crew, and take responsibility for your own health and safety. Philmont staff members are trained in first aid, CPR, and accident prevention. They can assist the adult advisor in recognizing, reacting to, and responding to accidents, injuries, and illnesses. Each crew is required to have at least two members trained in wilderness first aid and CPR. Response times can be affected by location, terrain, weather, or other emergencies and could be delayed for hours or even days in a wilderness setting. All Philmont participants should understand potential health risks inherent at or above 6,700 feet in elevation in a dry Southwest environment. High elevation; a physically demanding highadventure program in remote mountainous areas; camping while being exposed to occasional severe weather conditions such as lightning, hail, flash floods, and heat; and other potential problems, including injuries from tripping and falling, falls from horses, heat exhaustion, and motor vehicle accidents, can worsen underlying medical conditions. Native wild animals such as bears, rattlesnakes, and mountain lions usually present little danger if proper precautions are taken. Guests attending Philmont Training Center conferences and family programs who are unfamiliar with the backcountry should review the supplemental information available on the Philmont website, especially information about activities that may be new to them. Please call Philmont at 575-376-2281 if you have any questions. All participants and guests should review all materials and websites related to the experiences they are planning to have at Philmont Scout Ranch.

Food.

Philmont Scout Ranch

If the diet described in the participant guide does not meet the participant’s special dietary needs, contact Philmont directly. Visit the Philmont Scout Ranch website for sample menus and more information.

Medication.

Each participant who needs medication must bring enough medicine for the duration of the trip. Consider bringing two or three supplies of vital medication. People with allergies that have resulted in severe reactions or anaphylaxis must bring an EpiPen that has not expired.

Immunizations.

Each participant must have received a tetanus immunization within the last 10 years. Recognition will be given to the rights of those Scouts and Scouters who do not have immunizations because of philosophical, political, or religious beliefs. In such a situation, the Immunization Exemption Request form is required; it is located on the Philmont website.

High Blood Pressure.

Upon arrival at Philmont, all adult participants will have their blood pressure checked. Participants should have a blood pressure less than 140/90. People with hypertension (greater than 140/90) should be treated and controlled before attending Philmont, and should continue on medications while participating. The goal of treatment should be to lower the blood pressure to normal levels. Those individuals with a blood pressure consistently greater than 160/100 at Philmont may be kept off the trail until their blood pressure decreases.

Seizures (Epilepsy). The seizure disorder must be

well-controlled by medication. A well-controlled disorder is one in which a year has passed without a seizure. Exceptions to this guideline may be considered on an individual basis, and will be based on the specific type of seizure and likely risks to the individual/other members of the crew.

Diabetes Mellitus.

Both the person with diabetes and one other person in the group need to be able to recognize signs of excessively high or low blood sugar. An insulin-dependent person who was diagnosed or who has had a change in delivery system (e.g., insulin pump) in the last six months is advised not to participate. A person with diabetes who has had frequent hospitalizations or who has had problems with low blood sugar should not participate until better control of the diabetes has been achieved. If an individual has been hospitalized for diabetesrelated illnesses within the past year, the individual must obtain permission to participate by contacting the Philmont Health Lodge at 575-376-2281.

Asthma. Asthma must be well-controlled before participating

at Philmont. This means: 1) the use of a rescue inhaler (e.g., albuterol) less than once daily; 2) no need for a rescue inhaler at night. Well-controlled asthma may include the use of long-acting bronchodilators, inhaled steroids, or oral medications such as Singulair. You may not be allowed to participate if: 1) you have asthma not controlled by medication; or 2) you have been hospitalized/gone to the emergency room to treat asthma in the past six months; or 3) you have needed treatment by oral steroids (prednisone) in the past six months. You must bring an ample supply of your medication and a spare rescue inhaler that are not expired. At least one other member of the crew should know how to use the rescue inhaler. Any person who has needed treatment for asthma in the past three years must carry a rescue inhaler on the trek. If you do not bring a rescue inhaler, you must buy one before you will be allowed to participate.

680-001 2014 Printing

High-Adventure Risk Advisory to Health-Care Providers and Parents Phone: 575-376-2281

Website: www.philmontscoutranch.org

Recommendations for Chronic Illnesses. Adults or youth with any of the following conditions should undergo an evaluation by a physician before considering participation at Philmont.

1. Chest pain, myocardial infarction (heart attack) or family history of heart disease in any person before age 50 2. Heart surgery, including angioplasty (balloon dilation), to treat blocked blood vessels or place stents 3. Stroke or transient ischemic attacks (TIAs) 4. High blood pressure 5. Claudication (leg pain with exercise, caused by hardening of the arteries) 6. Diabetes 7. Smoking or excessive weight The physical exertion at Philmont may precipitate either a heart attack or stroke in susceptible people. Participants with a history of any of the seven conditions listed above should have a physician-supervised stress test. Even if the stress test results are normal, the results of testing are done at lower elevations, without backpacks, and do not guarantee safety. If the test results are abnormal, the individual is advised not to participate.

Allergy or Anaphylaxis. People who have had an

anaphylactic reaction from any cause must contact Philmont before arrival. If you are allowed to participate, you will be required to have appropriate treatment with you. You and at least one other member of your crew must know how to give the treatment. If you do not bring appropriate treatment with you, you will be required to buy it before you will be allowed to participate.

Recent Musculoskeletal Injuries and Orthopedic Surgery. Participants will put a great

Philmont Scout Ranch Psychological and Emotional Difficulties.

Parents and advisors should be aware that no high-adventure experience is designed to assist participants in overcoming psychological or emotional problems. Experience demonstrates that these problems frequently become worse, when a participant is under the stress of the physical and mental challenges of a remote wilderness setting. Medication must never be stopped prior to participation and should be continued throughout the entire Philmont experience.

Weight Limits.

Weight limit guidelines (see Part C) are used because overweight individuals are at a greater risk for heart disease, high blood pressure, stroke, altitude illness, sleep problems, and injury. These guidelines are for all Scouting highadventure activities. Each participant’s weight must be less than the maximum acceptable limit in the weight chart. Participants 21 years and older who exceed the maximum acceptable weight limit for their height at the Philmont medical recheck WILL NOT be permitted to backpack or hike at Philmont. They will be sent home. For participants under 21 years of age who exceed the maximum acceptable weight for height, the Philmont staff will use their judgment to determine if the youth can participate. Philmont will consider up to 20 pounds over the maximum acceptable; however, exceptions are not made automatically and discussion with Philmont in advance is required for any exception. Philmont’s telephone number is 575-376-2281. Due to rescue equipment restrictions and evacuation efforts from remote sites, under no circumstances will any individual weighing more than 295 pounds be permitted to participate in backcountry programs.

Philmont Approval.

Staff and/or staff physicians reserve the right to deny the participation of any individual on the basis of a physical examination and/or medical history. Each participant is subject to a medical recheck at Philmont.

deal of strain on their joints. Individuals who have significant musculoskeletal problems (including back problems) or orthopedic surgery/injuries within the last six months must have a letter of clearance from their treating physician to be considered for approval, and Philmont should be contacted in advance of participation. Permission is not guaranteed. Ingrown toenails are a common problem and must be treated 30 days prior to arrival.

680-001 2014 Printing