Training & Roster Verification
form #119b • 10/21 • page 1 of 2
This paperwork is required for any high-risk activity and/or for an overnight trip of one to three nights. Not required for day trips that do not
include high-risk activities. Trips of more than three nights or more than 200 miles outside of council borders require extended travel forms
#121a and #121b.
Training & Roster Verification Instructions
Date Due:
Must be submitted at least three (3) weeks prior to departure date for final approval of the trip/activity. If
using Cookie/Nut Credit to help pay for the trip, this form must be submitted four to six weeks prior to the
departure date to allow time for approval, processing and reimbursement.
Submit to: Your service unit travel coordinator or answers@gsosw.org if you unsure who this person is.
Attach:
Copy of COVID-19 vaccination card for all participants. Unvaccinated participants must submit negative COVID-
19 test results prior to travel.
Section 1: Trip and Troop/Group/Patrol Information
Troop Number: Name of Person Submitting this Form:
Email:
Date Leaving: Date Returning:
Trip Destination (include name of approved outfitter if applicable):
Section 2a: Required Trainings
Name of trained volunteer:
Required Training
At least one adult member attending must have completed all required trainings, depending on
the type of trip. Select the type of trip you are taking in the grid below and check the box(es) to
the right to confirm training required.
Day Trips
Training
Indoor
Overnights
Training
Outdoor
Skills
Training
❏
High Risk Day Trip
For one day, high risk activities (requires use of approved outfitter, which must be listed)
❏
❏
Indoor Overnight
For overnight trips of up to 3 nights in which troops are cooking indoors (using a kitchen)
❏ ❏
❏
Cabin Camping or Outdoor Overnight
Trips that include campground camping (tent or rustic cabin/yurts) in which any of the
following amenities are missing: water. Heat, toilets, kitchen facilities & cell service. Also
includes building or cooking over a fire or camp stove
❏ ❏ ❏
❏
Backpacking or Primitive Site Camping
For trips heading away from the campground and further out into the wild. This includes
camping at a primitive site and/or on an overnight backpacking trip of up to 3 nights.
❏ ❏ ❏
Section 2b: First Aider
At least one adult present during the trip must have a current certification in CPR/First Aid for adults and children. If at any point
during the trip, you are 30 minutes or more from emergency medical services, at least one adult present on the trip must have a
current certification in Wilderness and Remote First Aid.
Certification Type Name of Certified Volunteer Certifying Agency Expiration Date
CPR/First Aid for Adults
& Children
Wilderness and
Remote First Aid
