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Leave No Trace Trainer Course

May 15th – 17th, 2015

Thank You and Welcome on behalf of the entire staff, to what we know will be an exciting

and worthwhile educational opportunity. The Boy Scouts of America, and the Leave No Trace

Center for Outdoor Ethics, are excited to see you become a Leave No Trace Trainer.

When – May 15th 6:00pm - 17th 4:30pm, 2015. The gate should be unlocked by 4pm. If

the early start time is a challenge for you please contact one of the instructors listed on page 5,

to see if arrangements can be made for you to arrive when your life permits. All 16 hours of

course material coverage is required for graduation.

Where – Emporia State University’s, Ross Natural History Reservation. Ross

Reservation has no physical address, the GPS coordinates are N38° 29.5847’ W96° 20.0485’ at the

entrance from the road. There are also several maps in the resources section of this activity on

the BSA Jayhawk Council Calendar online at http://www.jayhawkcouncil.org/Calendar . Ross

is 4 miles west and 1 mile south of the main intersection in Americus, Kansas. If you put “198

Road 230, Americus, Ks, 66835” into google, it will probably point you to the correct place.

This address will not work with most GPSs. It will have you 30 miles northeast in a field.

Who – This course is open to everyone. Part of the material may be somewhat

advanced/complex for those under age 11. Those under 14 do not always meet the graduation

criteria, but all younger past participants have still had a great time, and said they wanted to do

it again, so they are encouraged to come wither they graduate or not, just for the fun with a

purpose, as scouting is supposed to be.

Cost/Registration – $60.00, & Registration Closes May 7th, 2015. This covers all

course materials and food. Registration which is limited to the first 20 participants, closes May

7th 11:59pm, 2015 at http://www.jayhawkcouncil.org/Calendar . Registration is done on a first

come first serve basis, so register sooner than later.

What you need to bring – Yourself, your personal gear/stuff/paperwork. Your

clothing, hygiene, camping and cooking gear (while the food is provided you will be

responsible for preparing it), your presentation ready to go, something to take notes with if you

desire (recommended/not required), filled out and signed health form, parts A & B, and filled

out and signed LNT waiver/assumption of risk. Filled out Leave No Trace Lesson Plan.

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Upon successful completion, of the Leave No Trace Trainer Course each participant

will qualify as a Leave No Trace Trainer. Those who successfully complete the course will be

able to:

Understand, demonstrate, and teach minimum impact ethics, and techniques to troops,

packs, crews, sponsoring organizations, and other community groups.

Lead a discussion on outdoor ethics, and help others explore their own personal outdoor

ethic, and guide them toward effectively improving it if desired.

Conduct Outdoor Ethics Awareness Workshops (Leave No Trace 101, and others).

Participate in District and Council Activities and other events valuably where Outdoor

Ethics (Leave No Trace & Tread Lightly, the Outdoor Code, and the Land Ethic) can

be a usefully implemented tool in educating Scouts and Scout Leaders to the need for

developing a personal outdoor ethic.

Youth Trainers, age 14 to 18, will qualify for the Eagle rank approved, Position of

Responsibility in the Troop, called “Leave No Trace Trainer”, and for Crews it is age 14

to 21.

*For additional information or questions, please contact one of the instructors listed on page 5.

Outdoor Ethics Overview

Outdoor Ethics is comprised of – the Outdoor Code, the Land Ethic, Leave No Trace, and

Tread Lightly!

Leave No Trace (and Tread Lightly) are non-profit educational organizations, endorsed by the

National Parks Service, United States Forest Service, Bureau of Land Management, Fish and

Wildlife Service and the BOY SCOUTS OF AMERICA. One of the primary goals of these

organizations is to train Master and Trainer level educators who can help teach low-impact

outdoor ethics and skills to the general public, Scout Troops, Cub Packs, Venture Crews, or

other community organizations.

The mission of this course is to train Leave No Trace Trainers in both Front Country and

Back Country Ethics Principals, and teaching skills.

The Trainer Course is a vital component of the nationwide Leave No Trace program. It is a

shortened version of the week-long Leave No Trace Master Educator Course. Participants

receive introductory training in Leave No Trace (and are briefly introduced to Tread Lightly)

ethics and skills in a condensed two-day format. The Trainer Course assists the

students/participants in learning more about the seven principles of Leave No Trace and

techniques for using these low impact skills as well as briefly linking the five principals of

Tread Lightly for motorized vehicle/equipment use.

These courses are designed for educators, guides, agency employees, Scout Leaders, Scouts,

and other outdoor professionals, or anyone else (basically everyone).

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Successful graduates of the Trainer Course gain the skills to teach Outdoor Ethics

techniques and skills. Participants learn the concepts of Outdoor Ethics and prepare to teach

Outdoor Ethics in a variety of settings: schools, camps, parks, wilderness areas, backcountry,

frontcountry, and any other location. Workshop topics include the underlying ethics, seven

principles of the Leave No Trace program, and the five principles of the Tread Lightly!

program:

The OUTDOOR CODE The LAND ETHIC

LEAVE NO TRACE PRINCIPLES TREAD LIGHTLY PRINCIPLES

Plan Ahead and Prepare Travel Responsibly

Travel and Camp on Durable Surfaces Respect the Rights of Others

Dispose of Waste Properly Educate Yourself

Leave What You Find Avoid Sensitive Areas

Minimize Campfire Impacts Do Your Part

Respect Wildlife

Be Considerate of Other Visitors

We look forward to your participation in this exciting and vital training opportunity. Once your

registration is received, you will be contacted regarding the topic for your presentation (one of

the preceding principals, or an associated topic, or expanded related topic). Presentations do not

need to be typical classroom type presentations, a game, an activity, or a trail walk with a

purpose, and guidance, or a combination of presentation types, are encouraged. In the

meantime, if you have any questions, please contact one of the instructors listed on page 4:

SOME REMINDERS:

Bring a current copy of your Health Form. Parts A and B – needs to be filled out prior to

arrival. Located either on the website where you got this packet, or click on the less than

72 hours download at; http://www.scouting.org/scoutsource/HealthandSafety/ahmr.aspx

Notify Staff of any medical conditions or food allergies. There is not a dependable

refrigerator on site. If you have medication that needs to be kept cool bring a cooler.

Bring a signed, and filled out copy, of the Leave No Trace Assumption of Risk document

(page 11 & 12) filled out prior to your arrival, to turn in at check-in.

Prepare your presentation to last 15-20 minutes (no longer), and bring the Leave No

Trace Lesson Plan (page 7) filled out except for the Evaluation Section. Presentations do

not need to be a traditional class room type presentation, a game, an activity, a trail walk

with a purpose are all encouraged as well. See the Additional Presentation Topics (Page

4), and Tips for Teaching (page 6).

Pack for the weekend as you would any other outing. Everything should ideally be

packed in a back pack if convenient. You need to bring you, your camping and cooking

gear (while the food is supplied you will be responsible for preparing your food), your

presentation ready to go, and ideally some way to take notes. See Gear List (page 8)

Consider the time of year and weather conditions, and come prepared to be comfortable

outdoors, for long periods of time.

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Additional Presentation Topics

Outdoor Ethics Topics:

• Minimum-impact camping in bear country, this could include animals at

camp i.e. (bear, deer, raccoon, skunks, squirrels, etc.)

• Water purification (chemical, filtration, and UV sterilization)

• Impacted site rehabilitation (what impact does your Crew, Troop, or Pack

leave?)

• Challenges for Venture Crews, Scout Troops, and Cub Packs to educate

users

• Local ecology/ecosystems

Audience-specific LNT teaching:

• Leave No Trace adaptations for hunter education

• Leave No Trace adaptations for youth

• Leave No Trace adaptations for Front Country

• Adaptations for ethnically diverse groups

• Leave No Trace practices for specific activities, i.e. stock use, rivers, rock

climbing, mountain biking, Troop Campouts

• Leave No Trace and special needs

• Peak Program: http://www.lnt.org/programs/peak/index.html

• TEEN program: https://lnt.org/teach/teen

• Leave No Trace and the Frontcountry:

Frontcounhttps://lnt.org/teach/outdoor-ethics-frontcountrytry Leave No

Trace Guide

• Leave No Trace Women’s Specific Considerations

https://lnt.org/teach/tools-and-activities-educators

BSA Specific Topics

• Need for Leave No Trace

• Age-Appropriate Leave No Trace

• Leave No Trace and Large Groups

• Leave No Trace in BSA Advancement and Awards

• Leave No Trace Resources in Scouting

• Leading a Leave No Trace Trainer Course

• Beginning Leave No Trace in Scouting

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In conclusion, required paper work to bring, completed prior to arrival.

1. Health Form, Parts A & B, New Version, Singed by Adult Guardian, and

youth, for youth, and Adult only, for Adults (Adult is age 18 and older,

youth is age 17 and younger).

2. Leave No Trace Assumption of Risk, Singed by Adult Guardian, and

youth, for youth, and Adult only, for Adults (Adult is age 18 and older,

youth is age 17 and younger).

3. Leave No Trace Lesson Plan filled out except for the Evaluation section.

“A thing is right when it tends to preserve the integrity, stability, and beauty of the biotic community. It is wrong when it tends otherwise”. ---Aldo Leopold, A Sand Country Almanac

Have any question, comments, concerns, and or thoughts they are all welcome.

Please contact either of the Leave No Trace Master Educators Leading your course.

Howie Peer

913-638-6025

dont_leave_me_an_email@yahoo.com

If you call leave a message and expect a return call between 2 hours, and 2 days, the email

address is real and the response time for emails is approximately the same, so which ever you

prefer.

Raven Peer

913-232-0217

mangekyoufireball@yahoo.com

If you call leave a message, and be prepared to leave a second message 24 hours later if you do

not hear back, phone is notorious for eating voice mails, email response time can be more than a

week some times.

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Tips for Teaching

Make It an Adventure – It's easy to help your group learn Outdoor Ethics skills in a fun and interesting atmosphere. The following tips provide insight into the teaching and learning process.

Be Prepared – Advance preparation of meetings helps ensure a quality experience for you and

your audience. Some activities require you to assemble materials, to have participants come prepared, or to select special meeting locations. Keep the following in mind:

Find a relaxing spot and review the entire activity ahead of time. Reviewing will give you time to familiarize yourself with the necessary information, assemble materials, choose a meeting location, or make assignments prior to teaching the activity. Carefully reading this information will keep you one step ahead of your audience members and allow you to support them in understanding each new Outdoor Ethics principle.

Assemble materials ahead of time. The materials needed for each activity are readily available and require minimum time to gather.

Make arrangements for the meeting location in advance. Be sure there are adequate space, lighting, and other important elements to help make the participants comfortable.

Assign tasks before the meeting, and give individuals plenty of time and direction to complete their assignments in advance.

Teaching and Learning Styles—Diversity Is the Spice of Life – Each of us teaches

and learns with our own unique style. Anyone who has worked with people knows that different people are inspired by different teaching and learning techniques. Most young people generally prefer active, hands-on, minds-on learning.

Visual learner. The visual learner likes to learn through seeing—video, chart, picture, and model.

Auditory learner. The auditory learner likes to learn through listening—lecture, discussion, debate.

Kinesthetic learner. The kinesthetic learner likes to learn by using his or her body—dance, drama, movement, and hiking.

Tactile learner. The tactile learner likes to learn through touching and feeling—hands-on activities and projects.

Experiential learner. The experiential learner likes to learn by experiencing the activity first-hand.

A Guide on the Side, Not a Sage on the Stage – People learn better when being guided to

discover and think for themselves. Learning through lectures from the "expert" is seldom interesting and easily forgotten. When teaching Outdoor Ethics, remember to

Encourage involvement. Allow individuals to discover and think for themselves, rather than providing them with all the answers.

Learn together. You will have some foundational knowledge because you have reviewed the necessary information. Allow yourself to learn along with your group as you experience each activity. You do not have to be an Outdoor Ethics expert.

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Please fill out this form for your presentation prior to arrival. Give it to the Course

Director before you begin your presentation.

Leave No Trace

Lesson Plan Make additional copies as needed

Presenter: __________________________ Topic: __________________________________ Materials Needed: Motivator:

Presentation:

Goal:

Objectives:

Participants will be able to:

1.

2.

Conclusion:

3.

4. Evaluation:

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The weather at Ross Reservation at course time of May 15th – 17th, 2015, is just about anyone’s guess, but

according to NOAA the average low is 53°and the high is 76° with a monthly average precipitation of 4.3

inches. Please adjust your personal clothing to meet the needs accordingly. Be prepared for rain or snow! Make

sure you stay dry and warm. In other words, Plan Ahead and Prepare!!!

Personal Gear

Sleeping clothes

Shorts and/or Pants 1or 2 pair

T-Shirt 2

Underwear

Hiking boots

Camp shoes

Socks – 3 pair

Long sleeve shirt 1

Light wind breaker or fleece jacket/pullover

(check weather ahead of course, maybe

heave coat also).

Rain gear: packable rain suit or poncho

Personal First Aid kit/ pocket knife

Medication ( let instructor know you have it

and where it will be stored)

Bug spray

Personal Hygiene stuff (camp soap,

toothbrush, toothpaste, comb, sun block,

Chap Stick, Camp towel, feminine hygiene

products, etc. Place all smellables in a

separate bag.)

Extra glasses, sun glasses

Hat and/or cap

Camp chair

Camera/batteries

Flashlight/batteries

Extra pen or pencil

New BSA Health Form Required!!!

Camping Gear

All the gear should be packed into a pack large enough to accommodate both camping, personal gear, and

additional supplies such as stove, cook gear, and eating utensils.

Back pack

Tent

Sleeping bag

Sleeping pad

Ground trap

Plate or Bowl plastic

Eating utensils

Cup or Mug

Backpacking stove, or camp stove

Small Cook set

Book bag or Day pack

Water bottle

The building has bathrooms in it, slim chance of Porta potty/Jonny on the spot instead if the

bathrooms are under construction.

This Gear list is a generic recommended list, you may

adjust it as you like, as you are responsible for you

being comfortable.

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Schedule for LNT Trainer Class

May 15th-17th 2014

“Life is what happens to you while you're busy making other plans.”

Quote by John Lennon

Friday May 15th 2015

4:30 PM – 5:30 PM Staff Arrive and begin setup and preparations.

5:30 PM - 6:00 PM Participants arrive and set up camp.

6:00 PM - 8:00 PM Form groups, full orientation, introduction of students, and full introduction

of staff, hand out training materials, go over action plan sheet.

8:00 PM - 8:30 PM Need for Leave No Trace, and Tread Lightly, and their History

8:30 PM - 10:00 PM How to teach, teaching styles, learning styles, audience appropriate, and

introduce authority of the resource

10:00 PM Cracker Barrel, and finish camp set up.

11:00 PM Suggest sleeping for those that are not already.

Saturday May 16thth 2015

7:00 AM - 7:30 AM Breakfast

7:30 AM - 8:30 AM Complete How to Teach

8:30 AM - 10:30 AM Personal Presentations

10:30 AM - 12:00 NOON Plan Ahead and Prepare

12:00 NOON - 12:30 PM Lunch

12:30 PM - 1:30 PM Travel and Camp on Durable Surfaces

1:30 - 3:00 PM Dispose of Waste Properly

3:00 PM - 4:00 PM Leave What You Find

4:00 PM - 6:00 PM Minimize Campfire Impact

6:00 PM - 7:00 PM Dinner

7:00 PM - 10:00 PM Respect Wild Life

10:00 PM Cracker Barrel

11:00 PM Suggest sleeping for those that are not already.

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Sunday May 17th 2015

7:00 AM - 7:30 AM Breakfast

7:30 AM - 8:00 AM Religious Service (Leave No Trace Associated)

8:00 AM - 9:00 AM Respect Wildlife

9:00 AM - 10:00AM Be Considerate of Other Visitors

10:00 AM - 11:30 AM Leave No Trace in the rest of the world

11:30 AM - 11:45 AM LNT Resources

11:45 AM - 12:00 NOON BSA LNT Awards

12:00 NOON - 12:30 PM Lunch

12:30 PM - 1:00 PM Go over Action Plans

1:00 PM - 2:00 PM Bringing and Encouraging LNT to and in the BSA, and information about

continuing on to be a LNT ME

2:00 PM - 2:30 PM Take down and clean up camp.

2:30 PM - 3:00 PM Overnight camp area review

3:00 PM - 3:30 PM Discuss how the course has affected and changed participants Environmental

Ethics.

3:30 PM - 4:00 PM Course Evaluations, Council records sheet, and the Center participant roster

entry

4:00 PM - 4:30 PM Hand out Certificates and shirts, hats, cup, Frisbee, or water bottle, pin,

patches, bag, sticker, or whatever goodies we have to give away.

4:30 PM Leave with no Trace (well maybe cleaner than we found it)

This Schedule will probably change (if not it will be a

first).

This is our plan, but over the next 46 hours we need to cover the topics listed,

beyond that it is all flexible, the order may change, the presenter may change, and

the time allotted may change as this is not a class that is taught it is an experience

that is lead, as the most valuable information is the experiences of you the

participants, and thoughts of you the participants, as you share, discuss, and debate

the information, that is when you will decide for yourself, if and how you will

change your personal environmental ethic, how you can share your progress with

others, and encourage, and motivate them to raise their personal ethic.

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LEAVE NO TRACE CENTER FOR OUTDOOR ETHICS

COURSE PARTICIPANT ACKNOWLEDGMENT, ASSUMPTION OF RISKS,

RELEASE AND INDEMNITY AGREEMENT

For all Leave No Trace course participants: Please read this document carefully.

Leave No Trace Center for Outdoor Ethics (“the Center”) is an educational non‐ profit dedicated to the responsible

enjoyment and active stewardship of the outdoors by all people worldwide, focusing its education efforts on ways for human

powered recreational visitors to reduce their impacts on the natural area and the experience of other visitors, by developing and

distributing educational curriculum and materials. The Center does not teach, oversee or conduct specific courses, but provides

other organizations and individuals trained as Master Educators or Trainers with the materials to teach the Center’s curriculum.

The Center has no control over course content; course conduct; scheduling; training of Master Educators, Trainers, or the quality

of their training or expertise, other than courses taught by Center staff. The Center does not control their conduct, and does not

warrant or guarantee the quality or expertise of any course or individual instructor.

The Center welcomes your interest in and devotion to the Leave No Trace program. The role of the Center is to

provide educational curriculum to Master Educators and Trainers. Likewise, the Center is available as a resource for you as you

go forth and spread the Leave No Trace word. If you have questions or concerns about Leave No Trace, vis‐ a‐ vis your course,

please feel free to contact the Center at the number below. Thanks again for your interest in promoting Leave No Trace.

800.332.4100; www.LNT.org.

Participants are advised to independently review and examine the qualifications of individuals or

organizations providing Leave No Trace courses.

Course Participants – Release, Acknowledgment & Assumption of Risks In consideration for being allowed to participate in the training courses, the undersigned hereby agrees to release,

indemnify, and discharge Leave No Trace Center for Outdoor Ethics, and its respective members, participants,

volunteers, agents, employees, subcontractors, and all other persons or entities acting in any capacity on its behalf

(collectively referred to as “the Center”) on behalf of the undersigned, his or her spouse, children, parents, siblings, heirs,

assigns, personal representative and estate as follows:

1. Leave No Trace courses provide participants with information and techniques so that they can engage in minimum‐impact outdoor ethics and principles. Those who successfully complete a Leave No Trace course can then teach others about

outdoor ethics. Leave No Trace courses focus on outdoor ethics but Leave No Trace courses do not teach traditional outdoor

skills such as mountain climbing, river crossings, camping backpacking, horse packing, rafting, etc. However, some Leave No

Trace courses must be taught in an outdoor or wilderness setting. Activities vary, but can include hiking, camping, rafting and

horseback riding and students should have basic outdoor skills before attending a course.

2. As the Center has no control over the actual course(s) being taught (other than courses taught by Center staff),

the Center cannot know of the specific dangers that may be associated with the course(s). However, these activities

necessarily include inherent and other risks, hazards and dangers which may result in hypothermia, dehydration,

frostbite, drowning, falling, high altitude sickness, colliding with objects or people, heart or lung problems, broken bones,

burns, property damage, illness, physical or emotional trauma, or other injury, disability, damage, death, or loss. The

following are some, but not all, of the most common risks, hazards and dangers that may be associated with any

course(s):

a. Risks present in an outdoor environment. These risks include travel in mountainous or wilderness terrain, both on and off

trails. While traveling in these areas, hazards may not be marked, weather is unpredictable year around, and lightning, rapidly

moving rivers/whitewater, falling rocks, snow and ice, high altitudes, avalanche dangers, fallen timber, stinging insects, wild

animals, and hazardous plant life;

b. Risks involved in horseback riding. Horses (including donkeys or mules) are unpredictable in all circumstances, can react to

the environment, and the conduct of other riders and persons. Equipment may break, saddles may slip, and other riders may

not control their animals;

c. Risks connected with cooking and camping chores. While camping, participants may cook over a gas stove or an open fire

and are subject to the risk of gas explosion or burns. Participants may need to disinfect water before use;

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d. Risks in staff decision making and conduct. Master Educators and Trainers have difficult jobs to perform. They seek safety,

but they are not infallible. They might be unaware of a participant's fitness or abilities. They may give incomplete warnings

or instructions, they could misjudge the weather, terrain, water level, or route location. Each participant should question the

individual instructor(s) of the course to learn the associated risks and safety precautions employed;

e. Risks associated with travel. Travel may be on foot, or by vehicle, boat or other means, and may be over difficult terrain or

via lakes and rivers, in adverse weather conditions;

f. Risks connected with geographic location. Remote locations may create difficulties in communication and transportation

and delays in evacuation and medical care;

g. Risks regarding equipment. Equipment used in an activity may break, fail or malfunction;

h. Risks regarding conduct. It is possible that you, other participants or third parties (e.g. driver, rescue squad, hospital) may act

negligently or recklessly.

3. By voluntarily agreeing to participate, you assume and accept full responsibility for yourself, for the inherent and other

risks of these activities (both known and unknown), and for any injury, damage, death, or other loss you may suffer,

resulting from such risks and resulting from your own, and other’s, negligence or other misconduct.

4. THEREFORE, YOU VOLUNTARILY RELEASE, FOREVER DISCHARGE, AND AGREE TO INDEMNIFY AND

HOLD HARMLESS THE

CENTER, and pay all damages, judgments or amounts, expenses, including all costs of defense and/or costs of enforcing this

agreement, including attorney’s fees and costs, incurred by the Center related to such lawsuits, claims, demands, or causes of

action, which are in any way connected with your participation in this activity or your use of the Center's equipment or facilities,

INCLUDING ANY SUCH CLAIMS WHICH ALLEGE NEGLIGENT ACTS OR OMISSIONS OF THE CENTER.

5. You certify that you have adequate insurance to cover any injury or damage you may cause or suffer while participating, or

else you agree to bear the costs of such injury or damage yourself. You further certify that you are willing to assume the risk of

any medical or physical condition you may have. You hereby authorize the Center, or anyone acting on its behalf, to seek

medical treatment for you if you are unable to request it for yourself.

6. In the event that you file a lawsuit against the Center, you agree to do so solely in the state of Colorado, and you further agree

that the substantive law of Colorado shall apply in that action without regard to the conflict of law rules of that state. You

agree that if any portion of this agreement is found to be void or unenforceable, the remaining portions shall remain in full

force and effect.

7. You consent to having any photograph of yourself or your family members used, published or sold (without compensation to

you or them) by the Center.

BY SIGNING THIS DOCUMENT, YOU ACKNOWLEDGE THAT IF ANYONE IS HURT OR PROPERTY IS

DAMAGED DURING YOUR PARTICIPATION IN ANY LEAVE NO TRACE COURSE, YOU MAY BE FOUND BY A

COURT OF LAW TO HAVE WAIVED YOUR

RIGHT TO MAINTAIN A LAWSUIT AGAINST THE CENTER ON THE BASIS OF ANY CLAIM FROM WHICH

YOU HAVE RELEASED THE CENTER HEREIN. YOU HAVE HAD SUFFICIENT OPPORTUNITY TO READ THIS

ENTIRE DOCUMENT, YOU HAVE READ AND UNDERSTOOD IT, AND YOU AGREE TO BE BOUND BY ITS

TERMS.

Signature of Participant Print Name

Address______________________________________________________________________________________________

Telephone Date

PARENT'S OR GUARDIAN'S ADDITIONAL INDEMNIFICATION

(Must be completed for participants under the age of 18)

In consideration of (print minor's name) (the "Minor") being permitted by the Center to participate in its activities and to use its

equipment and facilities, you warrant that you are the parent or guardian of the Minor and that you have the authority to make

decisions as to the Minor’s participation in recreational activities, You further agree to indemnify and hold harmless the Center

from any and all claims which are brought by, or on behalf of the Minor, and which are in any way connected with such use or

participation by the Minor. YOU HEREBY CONSENT TO THE MINOR

PARTICIPATING IN THE TRIP, AND YOU UNDERSTAND AND AGREE THAT ALL OF THE TERMS OF THIS

AGREEMENT SHALL APPLY EQUALLY TO BOTH YOU AND THE MINOR.

Parent or Guardian Signature Print Name

Address ______________________________________________________________________

Telephone Date

Revised April 2011