Royal Rangers
Lone Eagle Application
Jerry NeSmith
5873 Holly Grove Rd
Jasper, Alabama 35501
Please print or type, then mail application & fee to above address. The DEADLINE for receipt of the application is June 2, 2008.
Checks should be made out to: “Alabama Royal Rangers”.
Applicant’s full name ________________ Name applicant prefers to be called ________________________
Address _______________ Age __________________ Date of Birth __________________
Social Security Number ____________________________
City _____________________ State _________________ Zip Code _________________
Father’s Name _____________________ Home Phone _____________________ Work Phone ________________________-
Mother’s Name __________________ Home Phone __________________ Work Phone ______________________
Emergency Contact
Relationship ___________________ Home Phone ______________________ Work Phone ______________________
I hereby apply for the following camp.
Camp Prerequisite
Adventure Training Camp 5th & 6th Grade
Junior Training Camp (formerly JLTC) 7th Grade
Advance Junior Training Camp (AJTC) 8th Grade & JTC
Junior Training Trails (JTT) 8th Grade & JTC & AJTC
I certify that I (or my son) have met the prerequisites for the camp checked above.
Signature ___________________________________________ Date: ______________________________
Please list your hat size if known, or measure around the head in inches two fingers above the eyebrows and divide the number by three.
Hat size _______________
Parental Approval
I hereby give permission for my son to attend Lone Eagle Academy and to participate in all activities including travel to and from any
activities away from camp. Parents signature ____________________________________ Date: ________
Senior Commander Approval
I certify that the applicant has met all prerequisites for the camp and I recommend him for attendance.
Senior Commanders Signature ____________________________________ Date: ________
Camp Fees
The registration fee: $45.00 Due June 2nd (non refundable unless the camp is cancelled)
The remaining camp fee: $45.00 Due 1st day of camp
The total camp fee: $90.00
Camp Commander: Jerry NeSmith, Phone: 205-221-1983 E-Mail comanderjerry@yahoo.com
Medical Release (must be filled out completely)
Name ________________________________________ SSN _________________________________
Check the appropriate boxes if you have ever been treated for any of the following:
[ ] Heart disease [ ] Seizures
[ ] High blood pressure [ ] Asthma
[ ] Allergies [ ] Diabetes
If you checked any of the boxes above, please provide a detailed explanation of each:
Do you wear (check all that apply):
[ ] Contacts [ ] Glasses
[ ] Dental Appliance [ ] Hearing Aids
List any medications currently being taken: _______________________________________________________________-
Date of last Tetanus Booster: ___________________
Insurance Company Name: _______________________
Name of Insured: _________________________________________
Policy or Certificate Number: _______________________________
Employer Group Number: _________________________________
Employer: ___________________________________
List any other physical impairments or limitations:
You must be in good health to participate in the activities of the camp. In case of an emergency, I hereby give permission to a physician to
render treatment. Should the physician deem it necessary, I authorize hospitalization, anesthesia, surgery or injection of medication. After
consultation with my physician, I know of no physical reason that would restrict _________________________________________ from
participating in the activities of this camp.
X_____________________________________________ _______________________
Signature of Parent or Guardian Date
Lone Eagle Academy
You will be divided into patrols in competition against other patrols. The patrol with the most points will be awarded special recognition.
This camp will equip graduates to serve as Junior Leaders in the outpost. Boys who complete the training will receive a cap or beret, a patch
for their uniform, and a certificate of completion.
Possible Class Subjects
Advancement Trail
How to stay ahead of the pack
How to find the resources you need to finish advancements.
Camp craft Skills
Knots and Lashing
Cooking and Fires – advanced methods
Backpacking tips
Council Fires
Proper Selection and Construction
Lighting Techniques, timing, and lead in
Applause and Songs
Devotions
Structure and Delivery
Patrol System
Holding a Patrol Corner
Gaining Respect and Order
Plant Identification
Identification of local native plants and trees.
Identification of poisonous and edible plants.
Ranger Etiquette
Salutes and Protocol
Flag raising and Formations
Recreation
Safety
Water safety and Rescue Training
Camping safety tips
Red Cross 1st Aid Merit
Soul Winning
Essential scriptures
Personal confidence
Counseling
Survival Skills
Wilderness Survival Award
Uniform and Presentation
How to wear a correct uniform
Equipment List
Uniform Items
Royal Ranger Uniform Pants
Royal Rangers Uniform Belt
Royal Rangers Hat
Black or Navy blue socks
Black Dress Shoes or military style boots.
Long Sleeve Royal Ranger Uniform Shirt
(Shirt should have only the District Strip, Outpost numerals, Royal Ranger Emblem, American Flag, Discovery or Adventure Ranger Name
Tab, or activity patch. All awards, medals, and ribbons must be removed.
Camp Clothing
At least 1 Royal Ranger T Shirt (preferably more)
Rugged Camp Boots (black military boots are recommended because they will serve as dress shoes and rugged camp boots. They must be
broken in)
Camp pants (Camouflage pants or Jeans).
Camping Equipment
Tent
Poncho or Raincoat with hood
Sleeping Bag
Mess Kit (Plate, Cup, Bowl, Knife, Fork, and Spoon)
Flashlight
Duffel Bag or Backpack for gear
Pocket Knife
Personal First Aid Kit
Waterproof match container with matches
Small Bible
Pens and Pencils
Adventures in Camping Handbook
Silva compass
Canteen or other water container
Optional Items
Air Mattress or foam pad
Pillow
Insect repellent
Deodorant and toiletries as desired
Towel
Camera
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| LONE EAGLE ACADEMY 2008 APPLICATION for JUNIOR TRAINING CAMPS Monday-Thursday, June 16 -19, 2008 |
