Adult Volunteer Application

Parts A and B are to be completed at least annually by participants in all Scouting events. This health history, parental/guardian informed consent and hold harmless/release agreement, and talent release statement is to be completed by the participant and parents/guardians.

Health Form Part C

Part C is the physical exam that is required for participants in any event that exceeds 72 consecutive hours, for all high-adventure base participants, or when the nature of the activity is strenuous and demanding. Service projects or work weekends may fit this description. Part C is to be completed and signed by a certified and licensed heath-care provider—physician (MD or DO), nurse practitioner, or physician assistant. It is important to note that the height/weight limits must be strictly adhered to when the event will take the unit more than 30 minutes away from an emergency vehicle, accessible roadway, or when the program requires it, such as backpacking trips, high-adventure activities, and conservation projects in remote areas.

DHS Form 194

All adults over the age of 21 who sets foot on Northwoods Scout Reservation (FOR SUMMER CAMP ONLY) are required to have clearance from the State of Michigan. This is a state law. Please print this form out, fill it out and send it (or hand-deliver it) with a copy of your driver's license to your local Department of Human Services office.

When you are filling out the form, please have them mail the clearance/results to the address below.

Chief Okemos Council
attn: Northwoods Registry
4000 W. Michigan Ave.
Lansing, MI 48917

This is required by state law. As a last resort, bring it to camp with you, but we highly encourage you to get it to us in advance. Thank you for your cooperation. This is a FREE service.