What is your name (First MI Last)?
What is your mailing address?
City?   State? AK AL AR AZ CA CO CT DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY   ZIP?
Phone number?

Unit information: None Pack Troop Crew Team Ship Post District Council   Number:
Current Scouting Position:

What is the name of the site you are reporting?

Is there a web site for the site you are reporting? (enter URL:)

What are the driving directions to the site?

Number of camp sites?
Hiking Trails (Y/N)?      Fishing (Y/N)?     Historic Sites (Y/N)?
Potable Water (Y/N)?    Toilet facilities, including Portables (Y/N)?
Picnic Tables (Y/N)?     Ramadas/shelters? (Y/N)?
Cooking facilities, fire pits (Y/N)?
Fees (how much)?
Point of Contact name, address, phone number, or other contact information?

How would you rate this campsite or trail? Excellent Good Fair Poor

Any Additional Comments?