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District/Council Event Range & Target Activities
Use this form to submit an intent to operate a District/Council range & target activities at a short-term camp or day camp. Please also provide names and training certificate that are available for Range & Target Activities Committee review to ensure compliance with NCAP Standards PS-213, PS-214, SQ-407, SQ-408, and/or the Range & Target Activities Manual.
Events occurring at a Scouting America Accredited Camp using established ranges need to submit this form a minimum 60 days prior to their event.
Events occurring off a council property with established ranges, or that will use a temporary range regardless of location need to submit this form a minimum 90 days prior to the event.
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EVENT DETAILS
Please provide some basic information for your event.
District/Council
*
New Birth of Freedom Council
Battlefield District
Conococheague District
Heritage Trails District
Keystone Capital District
Pioneer District
Urban Scouting
Name of Event
*
Event Start Date
*
MM
/
DD
/
YYYY
Event End Date
*
MM
/
DD
/
YYYY
Event Location
*
Camp Tuckahoe
Hidden Valley Scout Reservation
Wizard Safari
Non-Council Owned Property
Event Location Name
*
Event Location Address
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Name of Person Completing This Form
First
Last
Email of Person Completing This Form
*
SHOOTING SPORTS DETAILS
Please provide details on what shooting sports program you'll be providing to youth.
Shooting Sports Activities at Your Event
*
Archery (Cubs)
Archery (Scouts BSA)
BB Guns
LaPorte Sporting Arrows
Muzzleloading Pistol
Muzzleloading Rifle
Pistol Shooting
Rifle Shooting
Shotgun Shooting
Slingshot Shooting
Tomahawk Throwing
Number of Instructors you will have for the event.
*
Will your Event be using established ranges at your location?
*
Yes
No
The Shooting Sports Committee considers an established range to be a range that has existed before your event occurs and is typically used for the same shooting activity as you plan on having at that range.
Temporary Ranges
*
Archery (Cubs)
Archery (Scouts BSA)
BB Guns
LaPorte Sporting Arrows
Muzzleloading Pistol
Muzzleloading Rifle
Pistol Shooting
Rifle Shooting
Shotgun Shooting
Slingshot Shooting
Tomahawk Throwing
Please indicate the shooting sports activities for which you will be setting up temporary ranges.
Temporary Range Layout
Please upload Google map illustrations of the range layout of each temporary range you will be setting up.
Do you need a Chief Range Safety Officer to approve your plan for temporary ranges not located at a Nationally Accredited Camp?
*
Yes
No
If you need the Shooting Sports Committee to assign a Chief Range Safety Officer (CRSO) to help you with designing and approving the temporary ranges you are setting up, please select "yes"
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