New Fillable Tour Plan

User Manual: New-Fillable-Tour-Plan

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TOUR AND ACTIVITY PLAN
Date __________________________________________________________________________

For office use

Pack
Troop/team
Crew/Ship
Contingent unit/crew
Unit No. _________ Chartered organization __________________________________________

Tour and activity plan No. ____________

Council name/No. ________________________________________________/_______________

Date reviewed ______________________

Date received _______________________

District_________________________________________________________________________
Description of tour or activity ______________________________________________________
From (city and state) ______________________________to _____________________________
Dates _________________________ to ________________________ Total days ____________
Itinerary: It is required that the following information be provided for each day of the tour.
(Note: Speed or excessive daily mileage increases the possibility of accidents.) Attach an additional page if more space is required. Include detailed information on campsites, routes, and
float plans, and include maps for wilderness travel as required by the local council.
Travel

Date

Type of trip:

From

Day trip

Short-term camp (less than 72 hours)

Party will consist of (number):
____ Youth—male
____ Youth—female
____ Adults—male
____ Adults—female

Overnight stopping place
(Check if reservations are cleared.)

Mileage

To

Long-term camp (longer than 72 hours)

Council stamp/signatures

Other (OA Weekend, etc.) _________________________________

High-adventure activities

High-adventure base____________________

Party will travel by (check all that apply):
Car
Bus
Train
Plane
Van
Boat
Other ______________________________________________________________

Leadership and Youth Protection Training: Boy Scouts of America policy requires at least two adult leaders on all BSA activities. Coed
Venturing crews must have both male and female leaders older than 21 for overnight activities. All registered adults must have completed
BSA Youth Protection training. At least one registered adult who has completed BSA Youth Protection training must be present at all events and
activities. Youth Protection training is valid for two years from the date completed.
Adult leader responsible for this group (must be at least 21 years old):
Name ____________________________________ Age _______ Scouting position _________________________________________________
Address __________________________________________________________________________________ Member No. ________________
City __________________________________________________________ State _______________ Zip code ___________________________
Phone _______________________________ Email ___________________________________ Youth Protection training date ______________
Assistant adult leader name(s) (minimum age 18, or 21 for Venturing crews):
Name ____________________________________ Age _______ Scouting position _________________________________________________
Address __________________________________________________________________________________ Member No. ________________
City __________________________________________________________ State _______________ Zip code ___________________________
Phone _______________________________ Email ___________________________________ Youth Protection training date ______________
Attach a list with additional names and information as outlined above.
Our travel equipment will include a first-aid kit and a roadside emergency kit.
The group will have in possession an Annual Health and Medical Record for every participant.
We certify that appropriate planning has been conducted using the Sweet 16 of BSA Safety, qualified and trained supervision is in place,
permissions are secured, health records have been reviewed, and adult leaders have read and are in possession of a current copy of
Guide to Safe Scouting and other appropriate resources. Any items needing attention will be resolved before the tour or activity date.
Signature: Committee chair or chartered organization representative

Signature: Adult leader

Unit single point of contact (not on tour)
Name ____________________________________Phone __________________Email_________________________________________________

1

Tour involves:

Swimming
Boating
Climbing
Orienta
hts (attach Flying Plan required)
Wilderness or backcountry (must carry Wilderness Use Policy and follow principles of Leave No Trace)
Shooting
Other (specify)

Activity Standards: Where swimming or boating is included in the program, Safe Swim Defense and/or Safety A oat are to be followed. If
climbing/rappelling is included, then Climb On Safely must be followed. At least one person must be current in CPR/AED from any recognized
agency to meet Safety A at and Climb On Safely guidelines. At least one adult on a pack overnighter must have completed Basic Adult Leader
Outdoor Orientation (BALOO). At least one adult must have completed Planning and Preparing for Hazardous Weather training for all tours and
activities. Trek Safely and Basic First Aid are recommended for all tours, and Wilderness First Aid is recommended for all backcountry tours.
Expiration date of commitment card/training (two years from completion date)
Name

Age

Youth
Protection

Name

Age

CPR Cer

Name

Age

Planning and
Preparing
for Hazardous
Weather

ation/Agency

BALOO
(no
expiration)

CPR Expiration
Date

Climb On Safely

Safe Swim
Defense

First-Aid Cer

ation/Agency

Safety A

at

First Aid
Expiration Date

NRA Instructor and/or RSO
No. _______

R
Shotgun
Muzzle-loading r

Pistol (Venturing only)
Range Safety O cer
Muzzle-loading shotgun

No. _______

R
Shotgun
Muzzle-loading r

Pistol (Venturing only)
Range Safety O cer
Muzzle-loading shotgun

Unauthorized and Restricted Activities: The BSA’s general liability insurance policy provides coverage for bodily injury or property damage
that arises out of an o cial Scouting activity as d ned by the Guide to Safe Scouting. Volunteers, units, chartered organizations, and local
councils that engage in unauthorized activities are jeopardizing their insurance coverage. PLEASE DO NOT PUT YOURSELF AT RISK.
INSURANCE
All vehicles MUST be covered by a liability and property damage insurance policy. The amount of this coverage must meet or exceed the
insurance requirement of the state in which the vehicle is licensed and comply with or exceed the requirements of the country of destination for
travel outside the United States. It is recommended, however, that coverage limits are a $100,000 combined single limit. Any vehicle designed
to carry 10 or more passengers is required to have a $500,000 combined single limit. In the case of rented vehicles, the requirement of coverage
limits can be met by combining the limits of personal coverage carried by the driver with coverage carried by the owner of the rented vehicle.
If the vehicle to be used is designed to carry more than 15 people (including the driver), the driver must have a valid commercial driver’s license
(CDL). In some states (California, for example), this policy applies to drivers of vehicles designed to carry 10 or more people.
All vehicles used in travel outside the United States must carry a public liability and property damage liability insurance policy that complies
with or exceeds the requirements of that country. Attach an additional page if more space is required.
Name ___________________________________________________________ CDL expires ___________________________________________

MAKE

2

MODEL

YEAR

NUMBER OF
SAFETY BELTS

Name ___________________________________________________________ CDL expires ___________________________________________
DRIVER/OWNER

VALID
DRIVER’S
LICENSE
(Y or N)

Guide to Tour Planning Principles

LIABILITY INSURANCE COVERAGE
Combined Single Limit

680-014
2011 Printing
Rev. 12/2011



---

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History When                    : 2010:01:21 07:34:16-06:00, 2010:01:21 07:34:16-06:00, 2010:01:21 07:37:26-06:00, 2010:01:21 07:37:48-06:00, 2010:01:21 07:38:04-06:00, 2010:01:21 07:38:44-06:00, 2010:01:21 07:42:19-06:00, 2010:01:21 07:42:45-06:00, 2010:01:21 07:42:50-06:00, 2010:01:21 07:43:53-06:00, 2010:01:21 07:44:06-06:00, 2010:01:21 08:14:14-06:00, 2010:01:21 08:14:36-06:00, 2010:01:21 08:16:53-06:00, 2010:01:21 08:17:11-06:00, 2010:01:21 08:18:01-06:00, 2010:01:21 08:18:13-06:00, 2010:01:21 08:18:36-06:00, 2010:01:21 08:19:53-06:00, 2010:01:21 08:19:58-06:00, 2010:01:21 08:23:21-06:00, 2010:01:21 08:23:32-06:00, 2010:01:21 08:24:17-06:00, 2010:01:21 08:31:26-06:00, 2010:01:21 08:31:36-06:00, 2010:01:21 08:32:21-06:00, 2010:01:21 08:32:57-06:00, 2010:01:21 08:37:30-06:00, 2010:01:21 08:44:36-06:00, 2010:01:21 08:45:12-06:00, 2010:01:21 08:47:49-06:00, 2010:01:21 08:55:08-06:00, 2010:01:21 08:58:43-06:00, 2010:01:21 08:59:40-06:00, 2010:01:21 09:04:30-06:00, 2010:01:21 09:04:41-06:00, 2010:01:21 09:22:44-06:00, 2010:01:21 09:23:42-06:00, 2010:01:21 09:27:01-06:00, 2010:01:21 09:27:29-06:00, 2010:01:21 09:31:18-06:00, 2010:01:21 09:33:10-06:00, 2010:01:21 09:34:05-06:00, 2010:01:21 09:36:45-06:00, 2010:01:21 09:37:27-06:00, 2010:01:21 09:37:34-06:00, 2010:01:21 09:44:07-06:00, 2010:01:21 09:49:44-06:00, 2010:01:21 09:52:24-06:00, 2010:01:21 09:53:48-06:00, 2010:01:21 09:55:41-06:00, 2010:01:21 09:56:54-06:00, 2010:01:21 09:57:29-06:00, 2010:01:21 09:57:41-06:00, 2010:01:21 10:01:04-06:00, 2010:01:25 12:25:16-06:00, 2010:01:25 12:43:21-06:00, 2010:01:25 12:44:29-06:00, 2010:01:25 12:46:56-06:00, 2010:01:25 12:47:47-06:00, 2010:01:25 12:53:41-06:00, 2010:01:25 12:56:02-06:00, 2010:01:25 12:58:47-06:00, 2010:01:25 13:00:58-06:00, 2010:01:25 13:04:17-06:00, 2010:01:25 13:04:29-06:00, 2010:01:25 13:06:20-06:00, 2010:01:25 13:06:36-06:00, 2010:01:25 13:06:53-06:00, 2010:01:25 13:09:33-06:00, 2010:01:25 13:11:19-06:00, 2010:01:25 13:12:02-06:00, 2010:01:25 13:13:09-06:00, 2010:01:25 13:14:36-06:00, 2010:01:25 13:14:51-06:00, 2010:01:25 13:15:06-06:00, 2010:01:25 13:18:19-06:00, 2010:01:25 13:19:07-06:00, 2010:01:25 13:21:50-06:00, 2010:01:25 13:21:56-06:00, 2010:01:25 13:28:34-06:00, 2010:01:26 10:32:15-06:00, 2010:01:26 13:08:38-06:00, 2010:01:26 13:09:51-06:00, 2010:01:26 13:10:21-06:00, 2010:01:26 13:10:32-06:00, 2010:01:26 13:11:22-06:00, 2010:01:26 13:11:50-06:00, 2010:01:26 13:12:06-06:00, 2010:01:26 13:12:14-06:00, 2010:01:26 13:12:22-06:00, 2010:01:26 13:12:58-06:00, 2010:02:08 14:54:01-06:00, 2010:02:08 14:59:39-06:00, 2010:02:08 15:00-06:00, 2010:02:08 15:06:33-06:00, 2010:02:08 15:07:26-06:00, 2010:02:08 15:08:35-06:00, 2010:02:08 15:09:02-06:00, 2010:02:08 15:10:47-06:00, 2010:02:08 15:11:05-06:00, 2010:02:08 15:12:06-06:00, 2010:02:08 15:15:12-06:00, 2010:02:08 15:15:42-06:00, 2010:02:08 15:19:45-06:00, 2010:02:08 15:21:58-06:00, 2010:02:08 15:22:22-06:00, 2010:02:08 15:23:42-06:00, 2010:02:08 15:24:42-06:00, 2010:02:08 15:25:36-06:00, 2010:02:08 15:26:17-06:00, 2010:02:08 15:30:10-06:00, 2010:02:08 15:30:48-06:00, 2010:02:08 15:32:31-06:00, 2010:02:08 15:32:35-06:00, 2010:02:08 15:32:39-06:00, 2010:02:08 15:33:26-06:00, 2010:02:08 15:34:03-06:00, 2010:02:08 15:34:14-06:00, 2010:02:08 15:35:07-06:00, 2010:02:08 15:35:22-06:00, 2010:02:08 15:35:55-06:00, 2010:02:08 15:37:05-06:00, 2010:02:08 15:37:10-06:00, 2010:02:08 15:41:35-06:00, 2010:02:08 15:42:29-06:00, 2010:02:08 15:44:53-06:00, 2010:02:08 15:46:51-06:00, 2010:02:08 15:47:08-06:00, 2010:02:08 15:48:21-06:00, 2010:02:08 15:48:38-06:00, 2010:02:08 15:49:01-06:00, 2010:02:08 15:49:46-06:00, 2010:02:08 15:50:24-06:00, 2010:02:08 15:50:45-06:00, 2010:02:08 15:50:51-06:00, 2010:02:08 15:52:30-06:00, 2010:02:08 15:53:59-06:00, 2010:02:08 15:56:32-06:00, 2010:02:08 15:57:41-06:00, 2010:02:08 15:57:58-06:00, 2010:02:08 15:58:03-06:00, 2010:02:08 15:58:06-06:00, 2010:02:08 16:01:25-06:00, 2010:02:08 16:02-06:00, 2010:02:08 16:03:07-06:00, 2010:02:08 16:03:20-06:00, 2010:02:08 16:04:04-06:00, 2010:02:08 16:06:13-06:00, 2010:02:08 16:07:09-06:00, 2010:02:08 16:07:14-06:00, 2010:02:08 16:14:28-06:00, 2010:02:08 16:16:07-06:00, 2010:02:08 16:19:18-06:00, 2010:02:08 16:19:26-06:00, 2010:02:08 16:24:24-06:00, 2010:02:08 16:24:47-06:00, 2010:02:08 16:25:18-06:00, 2010:02:11 12:09:44-06:00, 2010:02:11 12:10:12-06:00, 2010:02:11 12:10:26-06:00, 2010:02:11 12:15:05-06:00, 2010:02:11 12:16:11-06:00, 2010:02:11 12:27:15-06:00, 2010:02:11 12:27:50-06:00, 2010:02:11 12:28-06:00, 2010:02:11 12:28:11-06:00, 2010:02:11 12:29:15-06:00, 2010:02:11 12:42:28-06:00, 2010:02:11 12:43:05-06:00, 2010:02:11 12:43:50-06:00, 2010:02:11 12:45:20-06:00, 2010:02:11 12:45:48-06:00, 2010:02:11 12:46:04-06:00, 2010:02:11 12:47:50-06:00, 2010:02:11 12:49:40-06:00, 2010:02:11 12:50:23-06:00, 2010:02:11 12:52:11-06:00, 2010:02:11 12:53:06-06:00, 2010:02:11 12:54:03-06:00, 2010:02:11 12:54:19-06:00, 2010:02:11 12:55:47-06:00, 2010:02:11 12:57:45-06:00, 2010:02:11 12:57:51-06:00, 2010:02:11 12:58-06:00, 2010:02:11 12:58:29-06:00, 2010:02:11 12:58:35-06:00, 2010:02:11 13:01:28-06:00, 2010:02:11 13:01:36-06:00, 2010:02:11 13:02:01-06:00, 2010:02:11 13:10:51-06:00, 2010:02:11 13:11:04-06:00, 2010:02:11 13:11:25-06:00, 2010:02:11 13:11:38-06:00, 2010:05:10 14:02:40-05:00, 2010:05:10 14:02:40-05:00, 2010:05:10 14:19:28-05:00, 2010:05:10 14:20:53-05:00, 2010:05:10 14:24:15-05:00, 2010:05:17 11:16:01-05:00, 2010:05:17 11:30:32-05:00, 2010:05:17 11:38:31-05:00, 2010:05:17 11:45:54-05:00, 2010:05:17 13:13:36-05:00, 2010:05:17 13:16:57-05:00, 2010:05:17 13:26:26-05:00, 2010:05:17 13:32:44-05:00, 2010:05:17 13:35:44-05:00, 2010:05:17 13:45:55-05:00, 2010:05:17 13:49:02-05:00, 2010:05:17 13:59-05:00, 2010:05:17 14:06:19-05:00, 2010:05:21 13:53:01-05:00, 2010:05:21 14:00:37-05:00, 2010:05:21 14:01:34-05:00, 2010:05:21 14:13:08-05:00, 2010:05:21 15:13:28-05:00, 2010:05:24 13:15:04-05:00, 2010:05:24 14:28:34-05:00, 2010:09:22 10:32:47-05:00, 2010:09:22 11:00:37-05:00, 2010:09:22 11:28:57-05:00, 2010:09:22 11:35:37-05:00, 2010:09:22 11:43:42-05:00, 2010:09:22 11:45:36-05:00, 2010:09:22 11:46:51-05:00, 2010:09:22 11:51:15-05:00, 2010:09:22 11:52:11-05:00, 2010:09:22 11:52:45-05:00, 2010:09:22 11:54:16-05:00, 2010:09:22 12:10:24-05:00, 2010:09:22 12:13:46-05:00, 2010:09:22 12:56:56-05:00, 2010:10:26 06:35:08-05:00, 2010:10:26 06:35:08-05:00, 2010:10:26 06:35:21-05:00, 2010:10:26 14:01:51-05:00, 2010:12:06 10:47:18-06:00, 2010:12:06 10:54:13-06:00, 2010:12:08 12:07:13-06:00, 2011:01:26 13:52:14-06:00, 2011:01:26 13:53:06-06:00, 2011:01:26 13:55:38-06:00, 2011:01:26 13:55:57-06:00, 2011:01:28 08:20:01-06:00, 2011:01:28 08:20:01-06:00, 2011:01:28 08:20:23-06:00, 2011:01:28 08:20:55-06:00, 2011:01:28 08:27:34-06:00, 2011:01:28 08:27:52-06:00, 2011:01:28 08:59:20-06:00, 2011:01:28 08:59:20-06:00, 2011:01:28 09:00:21-06:00, 2011:04:11 10:38:40-05:00, 2011:04:11 10:38:40-05:00, 2011:04:11 10:38:59-05:00, 2011:04:11 10:38:59-05:00, 2011:04:11 10:40:01-05:00, 2011:04:11 11:26:26-05:00, 2011:04:12 10:47:51-05:00, 2011:04:12 10:48:02-05:00, 2011:04:12 10:51:27-05:00, 2011:04:12 10:51:34-05:00, 2011:04:14 16:07:47-05:00, 2011:04:14 16:11:19-05:00, 2011:05:11 13:29:54-05:00, 2011:11:04 13:30:25-05:00, 2011:11:04 13:30:25-05:00, 2011:11:04 14:42:28-05:00, 2011:11:04 14:44:06-05:00, 2011:11:04 15:00:15-05:00, 2011:11:04 15:12:06-05:00, 2011:11:07 09:44:01-06:00, 2011:11:07 09:49:16-06:00, 2011:11:07 12:20:35-06:00, 2011:11:22 11:31:56-06:00, 2011:11:22 11:31:56-06:00, 2011:11:22 11:42:56-06:00, 2011:11:22 11:45:08-06:00, 2011:12:08 14:58:45-06:00, 2011:12:08 15:01:38-06:00, 2011:12:08 15:05:05-06:00, 2011:12:08 15:05:31-06:00, 2011:12:08 15:07:57-06:00, 2011:12:08 15:13:06-06:00, 2011:12:15 10:56:15-06:00, 2011:12:15 10:56:49-06:00, 2011:12:19 14:30:45-06:00, 2011:12:21 14:29:29-06:00
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