MOCK DISASTER '98

THE 1998 EXPLORER
"MOCK DISASTER"
SUNDAY, MAY 3, 8:00 AM-1:00 PM,
STORAGE TECHNOLOGY CORPORATION WELLNESS CENTER
U.S. 36 AND STORAGE TEK DRIVE EXIT NEAR LOUISVILLE, CO

HOSTED BY:
EMERGENCY MANAGEMENT EXPLORER POST 493
AMERICAN RED CROSS/BOULDER CITY-COUNTY OFFICE OF EMERGENCY MANAGEMENT,
STORAGE TECHNOLOGY CORPORATION
AND
THE EXPLORER MOCK DISASTER COMMAND STAFF AND
STEERING COMMITTEE

LONGS PEAK COUNCIL, B.S.A., DENVER AREA COUNCIL, B.S.A., PIKES PEAK COUNCIL
, B.S.A. IN COOPERATION WITH
THE BOULDER CITY/COUNTY OFFICE OF EMERGENCY MANAGEMENT

NEWS FLASH!! DENVER, COLORADO
from Explorer News Service, International..

As part of his Nationwide, tour, Prime Minister Hadmira of Capmid will be visiting CapTech, a metro area technologies company. Hadmira has been visiting Capmid-owned businesses throughout the United States. CapTech, one of the newest facilities in the Capmid Governmental Conglomerate (CGC) will be visited May 3. Capmid's attache to the United States has issued a statement relating Hadmira's "strong desire to see years of hard work come to fruition." Additionally, "[Capmid's] government wants to usher in a new era of prosperity and economic cooperation with the United States of America. CGC is working towards a global economy with the help of the U.S."

Capmid, a small but economically powerful nation, is not without its problems. Some critics argue that the trek across America is only to take pressure off the prime Minister from the rebel groups in Capmid. State Department officials have said that security is not a large concern, but that a State Department Executive Protection Team will be assigned. "The Safety of Capmid's Prime Minister is almost guaranteed while he is in Colorado" according to a spokesman.

OOPS!!
Maybe the State Department should have looked into the matter a little further....

(disclaimer: This is a fictitious scenario created for the mock disaster exercise and bears no resemblance to actual persons, organizations, governments, or events. Any resemblance is purely coincidental)


THE 1998 SCENARIO:
"AN INTERNATIONAL 'HEAD OF STATE IS
HELD HOSTAGE BY TERRORISTS"

A multi-faceted scenario involving a simulated law enforcement response to a kidnapping/hostage situation of an international head of state and subsequent response by SWAT and Executive Protection personnel. Additional events result in bomb explosions with mass casualties. In this scenario, major participation will be afforded for Explorers of nearly all specialities and interests who wish to participate. The scenario will unfold with an initial attempted "response to GUNFIRE BY LAW ENFORCEMENT EXPLORERS AT A MANUFACTURING COMPANY. Terrorists then detonate the bomb, causing mass casualties, including the response team, and necessitating a major response by many "agencies." The "bad guys" will negotiate with law enforcement, take hostages, and attempt an escape. The scenario may further evolve into a pursuit of the escaped "bad guys, and additional casualties, and finally a rescue of the hostages, arrest of the "bad guys, control of the explosion and fire, and triage and evacuation of multiple casualties.
INTERNET ACCESS:

MOCK DISASTER WEBSITES:
http://bcn.boulder.co.us/community/explorer/mockdisaster
Emergency Management Explorer Post 493:
(mock disaster info and photos from 94 and 95, 96, and 97)
http://bcn.boulder.co.us/community/explorer
LIST SERVER: emerg@lists.colorado.edu
To subscribe, send e-mail to amick@spot.colorado.edu
FOR MORE INFORMATION CALL:
ADAM WORKMAN

INCIDENT COMMANDER AND STEERING COMMITTEE CHAIR
(303) 690-7919, E-MAIL: workmana@mscd.edu
ADVISORS:
LARRY STERN

(303) 441-3390
BOB AMICK
(303) 442-2342 E-MAIL: amick@spot.colorado.edu
CONCEPT:
"WHAT IS THE EXPLORER MOCK DISASTER?"

The 1994 Explorer Mock Disaster was featured in the April 1995 edition of "Exploring" magazine. The exercise was first started in 1993 as a simulated aircraft crash. Explorers expressed a strong interest in completely planning, and operating a simulated mass casualty incident (M.C.I.) in which they assume the roles of first responders, incident commanders, medical triage, rescue, fire, law enforcement, "victims," communications, and many other roles normally handled by adults. The event has been recognized nationally at the Federal Emergency Management Agency's annual Disaster Preparedness and Family Protection Conference as a unique and effective way of involving Explorers in emergency management. One emergency manager attending the 1994 event stated that the Explorers were highly effective and performed as well or better than some exercises involving strictly adult professional organizations. A new specialty for Explorers has evolved in which Explorers who belong to existing posts may also participate as members of Emergency Management Posts to enhance their overall abilities to deal with disasters and to provide invaluable support to their community emergency service organizations through public education about disasters, and actual support of emergency services during disasters.
WHAT CAN YOU DO TO BE A PART OF
EXPLORER MOCK DISASTER '98?

YOU DON'T HAVE TO BE SPECIALLY TRAINED TO DO ANY OF THESE JOBS!! SIGN UP FOR WHAT YOU ARE INTERESTED IN AND YOU WILL BE TRAINED. SPECIFY SEVERAL CHOICES IN CASE FIRST CHOICES ARE FULL.

Almost anything you want to explore! The purpose of the mock disaster is to introduce explorers to the rigors of a profession they might be interested in. The following is a list of possible teams and committees that Explorers may participate in:

Pre-disaster teams (planning and steering committee participation)

Logistics Committee (plans and implements all the arrangements necessary to put on the event)
Safety (Serves as Safety Officer(s) to make sure that the event is conducted safely for all participants)
Finance (Takes care of purchasing supplies and equipment for the event)

During the Mock Disaster:

Safety Officers (provide scene safety)
Law Enforcement Branch

Executive Protection ("secret service security for "head of state")
S.W.A.T. (Special weapons and tactical response teams)
Uniformed Police (perimeter, arrest teams, prisoner transport)
Hostage Negotiation (intacts with "terrorists" for release of hostages
Bomb squad (deals with "explosive devices")

Emergency Medical Services/Rescue (EMT/First Responder,first aid)
Medical Branch Commander
Triage Teams
Transporation Teams
Treatment Teams
Coroner/Morgue

Fire and Rescue Support
Incident Command

Operations
Communications/radio dispatch
Remote wireless Video
Computer Tactical Response Systems
The "Bad Guys" (Terrorists)
Hostages
"Victims" (injured during gunfire or explosions) (lots needed)
Media (the "newsies" seeking a "story")

ADULT REFEREES, SAFETY OFFICERS, TRAINERS, EVALUATORS, MOULAGE ARTISTS, ETC. (LOTS NEEDED)

POST AND SCOUT PARTICIPATION:

Posts which typically participate include: Law Enforcement, Fire, Search and Rescue/First Responders, Medical, High Adventure, Civil Air Patrol, General Interest, and many other specialties. ALL posts are strongly encouraged to participate to learn very important skills in managing disasters, such as incident command, Communications, first aid and medical triage, and much more. Roles are are open for everything including incident command positions, law enforcement, medical, first responder, search and rescue, fire, communications, transportation and triage, victims (with incredible makeup and moulage), evaluators, press, video and photography, and MUCH more!


SUPPORT STAFF

A large support staff will be used for this effort to provide training and coaching for Explorers who will assume the various roles, and to provide equipment for those roles, which may inlcude the following; Sheriff's and Police SWAT teams, Canine units, Communications, Incident Command Vehicle (ICV), FEMA Communications Unit, State Patrol Communications Unit, Colorado State Patrol Hazardous Materials Unit, Emergency Information Systems (E.I.S.) incident management computer resources system, Fire Department Units, Hazardous Materials Units, Aeromedical Helicopter, moulage and simulated injury technicians and coaches, evaluators, remote wireless video (BCARES "ham" radio operators)


THE EXPLORER MOCK DISASTER STEERING COMMITTEE

The Explorer Mock Disaster Steering Committee will consist of the following Officers:

Steering Committee Chair and Incident Commander: ADAM WORKMAN (ACSO)
Law Enforcement Branch Director: CARRIGAN BENNETT (Emg Mgt.)
Pre-Hospital Medical Branch Director: GRAHAM WEBSTER
Incident Command Communication Director: JOEL CROSSWHITE (Emg Mgt.)
Safety Director: YOSHI GOTO (CCPD)

Steering Committee Advisors:

Larry Stern, Director, Boulder City/County Office of Emergency Management
Sherry Kenyon, Manager, Boulder Branch, American Red Cross
Tracy Sondeen, Federal Emergency Management Agency, Region 8, Denver

Additional positions will be filled as Explorers attend planning meetings and express interest in various positions.
TRAINING FOR SPECIALIZED RESPONSE TEAMS/VICTIMS

Training modules will be set up for ALL specialized groups, for example, SWAT teams, Hostage Negotiators, Hazardous Materials, Medical Triage and transportation, Aeromedical Helicopter coordination, Forensics, Coroner/Medical Examiners, Communications, Moulage, Evaluators, Media/Public Information Officers, etc.. All teams will take incident command training. The Colorado State Patrol will provide training and equipment for the E.I.S. Computer -based emergency management system for Explorers handling Communications and Incident Command coordination. A "tabletop" exercise will be held prior to the event as a "walkthrough" to determine what modifications need to be made, and familiarize all players with the scenarios.
MEETINGS FOR STEERING COMMITTEE:

NEXT STEERING COMMITTEE MEETING DATES:

APRIL 17, 24, MAY 1, (7:00 PM) OPEN TO ALL

LOCATION:
JEFFERSON COUNTY SHERIFF'S DEPARTMENT, GOLDEN, COLORADO
TRAINING DATES:

ALL MEETINGS AT JEFFERSON COUNTY SHERIFF'S DEPARTMENT APRIL 17TH 1900 (7:00 pm) SPECIALIZED INCIDENT COMMAND TRAINING
APRIL 24TH 1900 (7:00 pm) ALL STAFF ORIENTATION AND INCIDENT COMMAND
MAY 1 1900 (7:00 pm) SPECIALIZED TEAMS TRAINING: "VICTIM/HOSTAGE"

COACHING, SWAT TEAMS, LAW ENFORCEMENT, PERIMETER, "BAD GUYS," MEDICAL, FIRE, RESCUE, COMMUNICATIONS, INCIDENT COMMAND, VICTIMS, ETC.
*PLEASE NOTE: SPECIALIZED TEAMS TRAINING MEETINGS ARE MANDATORY FOR ALL SPECIALIZED TEAMS AND FOR VICTIMS.
REGISTRATION DEADLINES

RETURN/FAX REGISTRATION FORM FOR PARTICIPATION :
APRIL 24TH- TO BE RECEIVED BY 5:00 PM AT BOULDER SCOUT CENTER

RETURN INDIVIDUAL WAIVER FORMS:
MAY 1st TRAINING MEETING OR SUBMIT WITH REGISTRATION

RETURN TEE-SHIRT ORDER FORMS:
WITH CHECK BY APRIL 24th
ACTIVITY PARTICIPATION FORM
1998 EXPLORER MOCK DISASTER EXERCISE
STORAGE TECHNOLOGY CORPORATION WELLNESS CENTER, US 36/STORAGE TECH DRIVE LOUISVILLE, CO MAY 3, 1998
This is a legal document, signatures required
ONE FORM REQUIRED FOR EACH PARTICIPANT (MAKE COPIES)
ACTIVITY DESCRIPTION:

The Explorer Mock Disaster is a combined Explorer Officers Association Activity sponsored by the BoulderCity/County Office of Emergency Managment/American Red Cross Explorer Pos t 493; and by Boulder County Sheriff's Department Explorer Post 500, in cooperation with the Explorer Officer's Associations of Denver Area Council, Longs Peak Council, and Pikes Peak Council, Boy Scouts of America. The event shall be held at the STORAGE TECHNOLOGY CORPORATION WELLNESS CENTER NEAR LOUISVILLE, CO, to begin at 8:00 am and end by 1:00 p.m., Sunday, May 3 1998.Transportation to and from this event shall be the responsibility of the participants and/or observers. This event is designed to provide "hands-on" experiences for young adults of the Explorer program in the planning, conduct and critique of a simulated mass casualty incident (MCI) in which a simulated law enforcement response to a bomb threat and hostage/terrorist situation resulting in mass casualties due to explosions, fires, etc. Participants may be assigned roles of simulated injuries utilizing theatrical makeup, smoke, and moulages, and Explorer actors will be trained in appropriate responses. Explorers assigned as responders and managers of the event shall be trained by qualified mentors and advisors for their roles. actual emergency vehicles and apparatus shall be used by explorers under supervisi on of qualified adult advisors for responding in this exercise. smoke generators and other simulation equipment may also be employed. This event shall be entirely planned and operated by Explorers under supervision and mentoring of qualified adult leaders and experts in the field of emergency management and public safety. In accordance with accepted practice for operation of such events, a qualified safety officer shall be assigned to oversee and manage actual safety issues prior to and during conduct of this event to ensure risk reduction, and shall have authority to terminate or modify any portion of the exercise prior to or during conduct of the event, which is determined to present risk to life and property. While every effort has been made to ensure the safety of participants and observers at this event, there are possibilities of unforseen injury or illness to participants and/or observers as a result of attendance at or participation in this event. In recognition of the benefits derived from participation in this event, all participants and observers (including parents/guardians of explorer youth under age 18) shall agree to the terms of release of liability and medical treatment consent as specified below. CAUTION: The realism of this exercise may be stressful for participants and observers. Advisors are encouraged to prepare youth members for the exercise in advance, and to assist in debriefing or counseling as needed if signs of stress are present before, during, or after the exercise.

Because representatives of the media will be present, participants and observers agree to allow their photographs and names to be used in documentary photographs, videotapes, recordings, written maerial and publications which may result from this event. Participants and observers agree to abide by the Explorer Code and event standards of conduct including but not limited to appropriate behavior, appropriate language, and personal appearance.
PARTICIPATION AUTHORIZATION
*INFORMED CONSENT, RELEASE OF LIABILITY, AND MEDICAL TREATMENT CONSENT*
I HEREBY CERTIFY THAT I HAVE READ AND FULLY UNDERSTAND THE NATURE AND SCOPE OF THE EVENT AS PROPOSED ABOVE, AND FURTHER UNDERSTAND THE POTENTIAL RISKS INHERENT IN SUCH TRAVEL AND PARTICIPATION AS DESCRIBED ABOVE, AND/OR IN MEETINGS WITH ADULT LEADERS. I THEREFORE AGREE TO AND ACCEPT THE RULES AND GUIDELINES FOR PARTICIPATION IN THE ACTIVITY AS DESCRIBED ABOVE. (FOR EXPLORER YOUTH UNDER AGE 18, PARENTAL/GUARDIAN CONSENT REQUIRED AS FOLLOWS): I AUTHORIZE PARTICIPATION BY MY CHILD IN THE ACTIVITY DESCRIBED ABOVE, AND CONSENT TO SUPERVISION OF MY CHILD BY ADULT ADVISORS/LEADERS DURING THIS EVENT. I UNDERSTAND THAT NORMAL SCOUTING SAFETY PROCEDURES AND LEADERSHIP GUIDELINES WILL BE IMPLEMENTED DURING THIS ACTIVITY. I FURTHER RECOGNIZE THAT CERTAIN RISKS MAY BE INHERENT IN THE CONDUCT AND PARTICIPATION IN THIS ACTIVITY WHICH MAY BE BEYOND THE CONTROL OF ADULT LEADERS AND/OR ACTIVITY SPONSORS. I FURTHER CERTIFY THAT I AND/OR MY CHILD IS/ARE MEDICALLY AND PHYSICALLY CAPABLE OF PARTICIPATION IN THIS EVENT AND IS/ARE MEDICALLY CLEARED BY A PHYSICIAN FOR PARTICIPATION IN SUCH ACTIVITIES. IN RECOGNITION OF THE BENEFITS DERIVED BY MYSELF AND/OR MY CHILD, AND IN THE EVENT OF ANY ACCIDENT RESULTING IN INJURY, ILLNESS, DISABILITY, OR DEATH, OR PROPERTY LOSS OR DAMAGE, WHICH MIGHT OCCUR TO MYSELF AND/OR MY CHILD, WHILE TRAVELING TO OR FROM, OR DURING THE CONDUCT OF, THIS EVENT, I AGREE TO INDEMNIFY, AGREE NOT TO SUE, AND AGREE TO HOLD HARMLESS, THE LONGS PEAK COUNCIL,THE DENVER AREA COUNCIL, AND THE PIKES PEAK COUNCIL OF THE BOY SCOUTS OF AMERICA, EXPLORER POST 493 AND 500, THE BOULDER COUNTY SHERIFF'S DEPARTMENT, THE BOULDER COUNTY COMMISSIONERS, THE BOULDER CITY/COUNTY OFFICE OF EMERGENCY MANAGEMENT, THE AMERICAN RED CROSS, BOULDER BRANCH, MILE HIGH CHAPTER, THE STORAGE TECHNOLOGY CORPORATION, TRIP SPONSORS, ADVISORS, LEADERS, OTHER EVENT PARTICIPANTS, AND ANY OR ALL AGENTS, EMPLOYEES, REPRESENTATIVES (OR THEIR EXECUTORS OR HEIRS) ACTING ON BEHALF OF SUCH ORGANIZATIONS OR INDIVIDUALS, FROM ALL CLAIMS DAMAGES, LOSSES, INJURIES AND EXPENSES ARISING OUT OF OR RESULTING FROM PARTICIPATION IN THESE ACTIVITIES. I AGREE THE SITE OF ANY LAWSUIT AND THE LAW GOVERNING ANY SUCH LAWSUIT SHALL BE COLORADO AND GOVERNED BY COLORADO LAW. THE TERMS OF THIS AGREEMENT SHALL CONTINUE AND BE IN EFFECT AFTER THE TRIP HAS ENDED. AS LIQUIDATED DAMAGES, I HEREBY AGREE THAT IF THE BOY SCOUTS OF AMERICA OR ANY OF THE INDIVIDUALS OR ORGANIZATIONS NAMED ABOVE IS FORCED TO DEFEND ANY ACTION, LAWSUIT OR LITIGATION INITIATED BY MYSELF, MY EXECUTORS, OR MY HEIRS, ON MY FAMILY'S OR MY BEHALF, MY HEIRS OR EXECUTORS AND I AGREE TO PAY THE BOY SCOUTS OF AMERICA AND ANY OR ALL SUCH ORGANIZATIONS OR INDIVIDUALS NAMED ABOVE, ANY COSTS AND ATTORNEY'S FEES INCURRED IF THEY SUCCESSFULLY DEFEND SUCH ACTION, LAWSUIT, OR LITIGATION.

*MEDICAL TREATMENT CONSENT*

IN THE EVENT OF INJURY OR ILLNESS TO MYSELF AND/OR MY CHILD, I CONSENT TO ADMINISTRATION OF SUCH FIRST AID MEASURES AS MAY BE DETERMINED NECESSARY BY ACTIVITY LEADERS, AND IF DETERMINED NECESSARY, I FURTHER CONSENT TO TRANSPORT BY GROUND OR AIR AMBULANCE AND/OR REFERRAL TO PHYSICIANS AND ADMISSION TO HOSPITALS . I FURTHER CONSENT TO EMERGENT MEDICAL TREATMENT FOR MYSELF AND/OR MY CHILD IF DETERMINED NECESSARY, INCLUDING BUT NOT LIMITED TO, ANAESTHESIA, INJECTION, SURGERY, X-RAY, AND MEDICATION, IF I CANNOT BE CONTACTED IMMEDIATELY FOR SUCH CONSENT. I UNDERSTAND THAT REASONABLE EFFORTS WILL BE MADE TO CONTACT ME IN SUCH CASES. PHONE NUMBER WHERE I CAN BE REACHED DURING THIS EVENT IS LISTED BELOW:

COMPLETE OPPOSITE SIDE OF FORM AND SIGN
*MEDICAL INSURANCE CERTIFICATION:

I HEREBY CERTIFY THAT MEDICAL INSURANCE IS IN EFFECT FOR THE BELOW NAMED PARTICIPANT AS FOLLOWS:

NAME OF COMPANY/PROVIDER/HMO:
_______________________________________________________________________________

POLICY NUMBER: ________________________________________ EXPIRATION: ____________

PHONE NUMBER OF COMPANY FOR AUTHORIZATION IF NEEDED:
(______) __________________


PARENT AND PARTICIPANT SIGNATURES

I HEREBY CERTIFY THAT I HAVE READ, UNDERSTAND AND AGREE WITHOUT RESERVATION TO THE TERMS SET FORTH IN THIS DOCUMENT. I FURTHER CERTIFY THAT I AM LEGALLY EMPOWERED TO CONSENT TO PARTICIPATION BY THE MINOR CHILD NAMED BELOW IF UNDER AGE 18.
WITNESS MY HAND AND SEAL THIS _______________DAY OF __________1998, AT __________________ COLORADO, U.S.A.

x___________________________________
Signature of Participant
ADDRESS: ______________________city:_________ PHONE:(______) ________________

____________________________________________________
FULL NAME OF PARTICIPANT (PLEASE PRINT)
address: ___________________ city: ____________ zip: ________ PHONE:(______) ___________

NOTE: SIGNATURE(S) OF PARENT(S)/GUARDIAN(S) REQUIRED FOR PARTICIPANTS UNDER AGE 18.

x____________________________________ PHONE:(______) ________________
Signature of Parent/ Guardian

x____________________________________ PHONE:(______) ________________
Signature of Parent/ Guardian

x____________________________________ PHONE:(______) ________________
nearest relative (or other person to contact if parent/guardian unavailable)

X____________________________________
EXPLORER ADVISOR APPROVAL:

[X (SIGNATURE)]

MEDICAL CONDITIONS OF PARTICIPANT
PLEASE LIST ANY SPECIAL MEDICAL CONDITIONS WHICH MAY BE IMPORTANT FOR EACH PARTICIPANT

ALLERGIES:
DIABETES:
HEART PROBLEMS:
FAINTING:
CONVULSIONS
BLEEDING:
ASTHMA:
SPECIAL MEDICATIONS:
OTHER: SPECIFY:


DRIVER INFORMATION

O I PLAN TO DRIVE ON THE TRIP ON SUNDAY, STAY OVER, AND RETURN ON SUNDAY
O OTHER ARRANGEMENT (SPECIFY)____________________________________________________
O NUMBER OF PASSENGERS I CAN TAKE (SEATBELT REQUIRED FOR EACH PASSENGER)___________
MAKE OF VEHICLE__________________________________________________YEAR_____________
DRIVER'S LICENSE NUMBER_________________________________________STATE____________

INSURANCE CERTIFICATION:
I CERTIFY THAT LIABILITY INSURANCE IS IN EFFECT FOR THIS VEHICLE IN THE minimum AMOUNTS OF $50,000, $100,000, AND $50,000 AS SPECIFIED IN B.S.A. AND STATE OF COLORADO REQUIREMENTS. ALL PASSENGERS ARE REQUIRED TO WEAR SEAT BELTS DURING TRAVEL: B.S.A. POLICY

X_________________________________DATE___________
SIGNATURE OF DRIVER (REQUIRED)
NOTE: UNITS PARTICIPATING ARE REQUIRED TO SUBMIT LOCAL B.S.A. TOUR PERMITS
OBTAIN COPY FROM B.S.A. COUNCIL SERVICE CENTERS
CONSENT FORM DUE: APRIL 24
mail or deliver to:
exploring service
Longs Peak Council, B.S.A.
5495 east Arapahoe Ave. Suite 200.
Boulder, CO 80303
OR FAX: 447-0293

?? QUESTIONS CONCERNING EVENT??
CALL BOB AMICK, 442-2342 E--MAIL AMICK@SPOT.COLORADO.EDU,
OR
LARRY STERN, 441-3390


NOTE: PLEASE MAKE ADDITIONAL COPIES OF THE LIABILITY WAIVER-ONE COPY PER EXPLORER IS REQUIRED
A PARENT'S SIGNATURE IS REQUIRED FOR EXPLORERS UNDER AGE 18

PLEASE MAKE ADDITIONAL COPIES OF THE T-SHIRT ORDER FORM--ONE COPY PER INDIVIDUAL ORDER IS REQUIRED

DUE DATES :
RETURN/FAX REGISTRATION FORM FOR PARTICIPATION :APRIL 24TH TO BE RECEIVED BY 5:00PM AT THE BOULDER SCOUT CENTER
RETURN INDIVIDUAL WAIVER FORMS BY MAY 1ST TRAINING MEETING OR SUBMIT WITH REGISTRATION
RETURN TEE-SHIRT ORDERS WITH CHECK BY APRIL 24TH
REGISTRATION FORM
1998 EXPLORER MOCK DISASTER
FEE: $15 PER PERSON, CHECKS PAYABLE TO EXPLORING SERVICE
note: ALL participants (explorers/scouts/adults) must be registered and waiver forms signed/submitted.

BE SURE TO FILL OUT AND SUBMIT TOUR PERMIT WITH YOUR COUNCIL OFFICE REGISTRATION FORMS AND PERMISSION WAIVER* S DUE APRIL 24 AT 5:00 PM

FAX (303) 447-0293

MAIL: EXPLORING SERVICE, Boulder Scout Center, 5495 Arapahoe Ave, Suite 206, Boulder, CO 80303

SPECIAL NOTE: IF YOU ARE COMING IN FROM AREAS FAR AWAY FROM BOULDER COUNTY AND WOULD LIKE TO ARRIVE ON SATURDAY, AND STAY OVERNIGHT FOR THE EVENT ON SUNDAY, PLEASE NOTE THAT INFORMATION ON YOUR REGISTRATION. ARRANGEMENTS CAN BE MADE FOR YOU TO STAY IN A LOCAL CHURCH WITHOUT COST. SLEEPING BAGS AND PADS WILL BE NEEDED. NOTE HOW MANY WILL BE NEEDING OVERNIGHTACCOMODATIONS. *(NOTE: permission waivers may be turned in later if necessary but EACH participant must have a signed waiver on file)

Name: ___________________________________________________

Address: __________________________________________________

City: _______________________________ ZIP: _________________

Phone: ______________________ E-MAIL: ______________________

Agency: _________________________________________________

Post#: ________________ Speciality: _____________________

Date of Birth: ______________________

Circle one: Advisor, Explorer, Other,

Area you want to complete: ______________________________

T-SHIRT ORDER FORM
EXPLORER MOCK DISASTER
1998

Explorer Officers Association
Longs Peak Council, B.S.A.
Denver Area Council, B.S.A.

Name: _________________________________________________

Agency: ______________________________________________

Post: ___________________

Address: ________________________________________________

City_____________________________ST______ZIP_____________

Phone____________________________

--tee-shirts are 100% cotton pre-shrunk heavy-weight fabric
--crew-neck sweatshirts are heavy-weight 50/50 cotton polyester.
--"disaster" logo printed on back; explorer "e" logo printed on left front; both in multicolored format.

Style: _______________________________________

QUANTITY: __________ Size: ___________

Color: Navy Blue, Black, Forest Green

COST: $___________________

MAKE CHECKS PAYABLE TO: "EXPLORING SERVICE, B.S.A."
COST PER SHIRT: TEE $8.00; SWEATSHIRT $12.00
DEADLINE FOR ORDERS: MUST BE RECEIVED BY APRIL 24 WITH CHECK

MAIL TO:

EXPLORING SERVICE, B.S.A.
ATTN.: LONGS PEAK COUNCIL, B.S.A.
5495 EAST ARAPAHOE AVE. SUITE 206
BOULDER, CO 80303
Phone: 447-8511

NOTE: IF THE NUMBER OF ORDERS ARE NOT SUFFICIENT TO MEET THE MINIMUM ORDERING QUANTITY NECESSARY, ANY FUNDS PAID WILL BE REFUNDED TO THE PERSON OR UNIT ORDERING THE SHIRTS.

OR FAX: 447-0293

SHIRTS WILL BE DELIVERED AFTER THE MOCK DISASTER

QUESTIONS?
CALL Bob Amick, 442-2342; E-MAIL amick@spot.colorado.edu



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This page is created and maintained by Yoshinobu Goto