HOAC-BSA

Heart of America Council, Boy Scouts of America Logo

Our mission is to provide individuals with special needs opportunities to participate to the best of their abilities in an all aspects of the Scouting 500.

Please complete the special request information below so that we can ensure the best program possible for you or your Scout.

Contact Information

Scout/Participant First Name

Scout/Participant Last Name

Mobile Phone for Day of Event

Address

City

State

Zip

Unit Type

Unit Number

District

Unit Leader Name

Unit Leader Mobile Phone for Day of Event

Parent/Guardian Name

Transportation Needs

I Require Transport to Special Needs Center/Camping Area

Those that have indicated a special need will receive a wristband for the lift bus for the Scout/participant and chaperone. Wristbands will be located in your registration packet or may be picked-up at the Special Needs Center located in the infield.

Program Needs

List program areas/activities the Scout will want to attend, but may require additional assistance to be able to participate

Cub Climbing tower will be rigged with special harnesses for special needs Saturday from 1:00 pm - 2:00 pm. Would you like to participate?

Yes

Camping Needs

Please check all that apply in regards to camping requirements.

Require Campsite Near Lift Bus

Require Personal Vehicle Near Tent for Emergency

Require Fairly Accessible Campsite

Require Interpreter for Directions to Site Location

Dietary Needs

Please contact Kayla Moore with any special dietary needs questions at 816.569.4925 or Kayla.Moore@scouting.org

Personal Care Needs

• There will be portable units in the camping area (ADA approved)

• There is a changing area in the Special Needs Center

• There is a sharps box in the Special Needs Center for needles

• The Special Needs Center will serve as a resource for personal care and sensory needs

• The Special Needs Center with serve as an informational hub to request additional manpower for program areas and transportation needs

Please address additional questions to Dawn Schnake at 816.569.4925 or Dawn.S[email protected]