Bsa Tour And Activity Plan Template
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2TOUR AND ACTIVITY PLAN
Date __________________________________________________________________________
For o ce use
Tour and activity plan No. ____________
Pack
Troop/team
Crew/Ship
Contingent unit/crew
Unit No. _________ Chartered organization __________________________________________
Date received _______________________
Council name/No. ________________________________________________/_______________
Date reviewed ______________________
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 addi-
tional page if more space is required. Include detailed information on campsites, routes, and
Council stamp/signatures
oat plans, and include maps for wilderness travel as required by the local council.
Travel
Overnight stopping place
Date
Mileage
(Check if reservations are cleared.)
From
To
Type of trip:
Day trip
Short-term camp (less than 72 hours)
Other (OA Weekend, etc.) _________________________________
Long-term camp (longer than 72 hours)
High-adventure activities
High-adventure base____________________
Party will consist of (number):
Party will travel by (check all that apply):
____ Youth—male
____ Youth—female
Car
Bus
Train
Plane
Van
Boat
____ Adults—male
____ Adults—female
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 rst-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, quali ed 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_________________________________________________
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