nayle guidebook

NORTHERNTIER
NAYLEGUIDEBOOK
NorthernTierNAYLEGuidebook
p.1
Summer2015
WelcometoNorthernTierNAYLE!
CongratulationsonyouracceptancetoattendtheNationalAdvancedYouthLeadershipExperience
(NAYLE)attheCharlesLSommersBaseatNorthernTierthissummer!
NorthernTierNAYLEwillprovideyouwithahighadventure‐basedwildernessexperiencethat
exemplifiesthepotentialofservantleadershipthroughchallengingandengagingactivities.The
visionofNAYLEistomotivateyoutofollowalifeofhelpingotherssucceedthroughservant
leadershipbasedonthevaluesexpressedintheScoutOathandScoutLaw.
TheNorthernTierstaffiscommittedtomakingNorthernTierNAYLEaveryspecialexperience.
YouwilllivewithacrewattheCharlesLSommersBaseandworkwithaNAYLEstaffcommittedto
providingyouwithaunforgettableexperience.YouwilluseNYLTleadershipskillstomeetnew
challengesinawildernesssetting.
NAYLEwillequipyoutobebetterleaders,improvedNYLTstaffmembers,andsuperiorcampstaff.
Itwillhelpguideyourjourneytobecometrueservantleaderswhoareabletodevelopallmembers
ofeveryteamyoulead.Itprovideslifeskillsfornowandthefuture.
Reviewtheenclosedinformationandshareitwithyourfamilyandunitleader.Pleasego
throughthechecklistlocatedimmediatelyafterthisletterandmakesureyoucompleteallsteps
beforeleavingforNorthernTier!Besuretosubmitallformsandfeesbeforethedeadlines.
WearepleasedthatyouwillbeamongtheselectyouthwhoparticipateinoneofNorthernTier’s
andtheBoyScoutsofAmerica’smostoutstandingleadershipdevelopmentprograms.
Cordially,
NorthernTierStaffandNAYLEStaff
NorthernTierNAYLEGuidebook
p.2
2015NorthernTierNAYLEChecklist
 Readthisentireguidebook!Thenshareitwithyourparent/guardian.
 Payallfeesnolaterthan45daysbeforeyourNAYLEcoursebegins.
o Twopaymentsarerequired:(1)adepositof$100,and(2)afinalpaymentof$285.
o Bothpaymentsaremadeviacheckpayableto“NorthernTierBSA”andaresentto:
NorthernTier,POBox509,Ely,MN55731
 DetermineyourtransportationtoNorthernTier,andcompletetheonlineTravel
Informationformnolaterthan30daysbeforeyourNAYLEcoursebegins.
o TheonlineTravelInformationformisat:http://goo.gl/forms/LX87uaueMb
o PlantoarriveatNorthernTierbetween5:00‐5:30pmonyourSundayarrivaldate
o PlantodepartNorthernTierbetween8:00‐8:30amonyourSaturdaydeparturedate
o ShuttlesfromtheMinneapolis/St.Paul(MSP)airportareavailable.Ifyourequirethis
transportation,youmustplanyourflighttoarriveearlyenoughtomeettheshuttleand
reserveaseatontheshuttleinadvance!
o Seethelatersectioninthisdocumentformoretravelandshuttleinformation.
 SubmitanyspecialdietneedstoNorthernTierontheform(included)nolaterthan45
daysbeforeyourNAYLEcoursebegins.
 CompleteacurrentBSAHealth&MedicalRecordforNorthernTier.
o TheBSAHealth&MedicalRecordforuseatNorthernTierisavailableat
http://www.scouting.org/home/healthandsafety/ahmr.aspx
o Haveyourdoctorandparent/guardianreadtheNorthernTierRiskAdvisoryonthelast
pageofthemedicalform.
o MakesuretocompletepartsA,B,andCandbringallpartswithyoutoyourNAYLE
course,alongwithacopyofyourhealthinsurancecard.
o YoumustmeettheheightandweightrequirementsasstatedinpartC.
 CompletetheBSASwimTest.Usetheincludedformtoconfirmsuccessfulcompletionofthe
swimtest.TherewillnotbeanopportunitytodotheswimtestatNorthernTier!
 Makesureyourhavethenecessaryclothingandequipment.
o NorthernTierNAYLEisacampandwildernessexperiencethatrequiresspecificgear.
Seedetailedinformationlaterinthisguidebookonwhatyouneedtobring.
 BringyourcompletedandsignedBSAHealth&MedicalRecord,acopyofyourhealth
insurancecard,andyourBSASwimTestcompletionformwithyoutohandinduring
check‐inonthefirstday!
NorthernTierNAYLEGuidebook
p.3
ARRIVAL
 PlantoarriveatNorthernTier,about20mileseastofEly,MN,between5:00p.m.and
5:30p.m.ontheSundayofthestartofyourcourse.Dinnerisservedat5:30pm.,and
check‐inbeginsimmediatelyafterdinner.
 Dinnerandcheck‐inwilltakeplaceattheSandyBridgesProgramCenteratNorthernTier.
 Earlyarrivalsbefore5:00pmontheSundayofthestartofyourcoursecannotbe
accommodated.Ifyourtransportationarrangementsrequireyoutoarrivethedaybefore
thestartofyourcourse,pleasemakearrangementstostayovernightinnearbyEly.
 Bepreparedforcheck‐inbyhavingwithyou:
o Yourcompleted,signedBSAHealth&MedicalRecord,includingallpartsA,B,andC.
o Acopyofyourhealthinsurancecard.
o Yourcompletedswimcheckform(seeincludedform).
o Allrequiredindividualclothingandgear(seeincludedlist).
o Paymentforallunpaidfees,includingshuttlefees,ifnecessary.
o YourdepartureplanstoconfirmwithNorthernTierstaff.
 BewearingthecompleteBSAfielduniformforyourprogram(seeUniformsectionbelow).
 Callhometoletyourfamilyknowyouarrivedsafely.
DEPARTURE
 NAYLEendsat9:30pmontheFridayofyourcourseweek,andyouarefreetoleaveatthat
time.MostparticipantsstayovernightandleaveafterbreakfastonSaturday.
 IfyouaretakingashuttlebacktoMinneapolis/St.Paulairport,itwillleaveonSaturday
morning,soyouwillstayovernight.
 AllparticipantsmusthaveleftviatheshuttleorbepickedupfromNorthernTierby
8:30a.m.ontheSaturdaymorningattheendofyourcourseweek.Thelastmealprovided
forNAYLEparticipantsisSaturdaybreakfast.
TRANSPORTATION
 ItisyourresponsibilitytogetyourselftoandfromNorthernTierfortheNAYLEprogram.
 AllparticipantsmustfilloutanonlineTravelInformationformnolaterthan30daysbefore
yourNAYLEcoursebegins.Theformisat:http://goo.gl/forms/LX87uaueMb
 Ifyouarecomingbypersonalvehicle,pleaseplantoarriveatNorthernTiernearEly,MN,at
5:00pmontheSundayofyourscheduledstartingdate.(Seeincludedmap.)
 AshuttlevanisavailablefromtheMinneapolis/St.Paul(MSP)Airport.Theshuttleleavesthe
airportat12:30p.m.theSundayofyourscheduledstartingdateandarrivesatNorthernTier
atapproximately5:30p.m.(5hourtrip).Ifyouplantotravelviaplane,youmustschedule
yourflighttoarriveattheMinneapolis/St.PaulAirportnolaterthan12:00noon.The
returnshuttletripleavesfromNorthernTierat7:30a.m.ontheSaturdayattheendofyour
courseweek,arrivingattheMinneapolisAirportat12:30p.m.Scheduleyourdeparture
flightfromMSPtoleaveafter2:00p.m.
 Theroundtripshuttlecostis$120.YoucanmailyourshuttlepaymenttoNorthernTier,or
payuponarrivalatthebase.
 Ifyouwishtotakeashuttle,thenyoumustreserveaseatinadvancewhencompletingyour
TravelInformationform.Makesureyourflightsmeetthetimerequirementsabove.
NorthernTierNAYLEGuidebook
p.4
FEESandPAYMENTS
 ThetotalNorthernTierNAYLEfeeis$385.
o Adepositof$100isduewhenregistering.
o Theremainderofthefeeisduenolaterthan45daysbeforethestartofyourcourse.
o Bothpaymentsaremadeviacheckpayableto“NorthernTierBSA”andaresentto:
NorthernTier,POBox509,Ely,MN55731
o Feesarenon‐refundableandnon‐transferrable.
 TheNAYLEfeecoversallcoursesupplies,lodging,food,andcrewequipment(suchastents
andcanoes)neededfortheprogram.
CAMPLIVING
 NorthernTierNAYLEwillinvolvetwodifferenttypesofcamping.Abouthalfoftheweekis
spentattheCharlesL.Sommersbasecamp,whiletherestofthetimeisspentcanoeingin
thewildernessoftheBoundaryWatersCanoeAreaWildernessandSuperiorNationalForest.
 WhileatSommersbasecamp,livingarrangementsaresimilartoasummercamp.Youwill
bewillbeeatinginthedininghall,andsleepinginlargetentsorcabinswithmultipleother
NAYLEparticipants.Bunksorcotsareprovided.Showers,etc.areavailable.
 Whilecanoeing,youwillbeintheWilderness,withonlylakes,portages,andclearings.On
thetripyouwillbepreparingyourownmealsusingfresh,canned,andboxedingredients
(notdehydratedtrailmeals),andyouwillbetentingwith1to3otherNAYLEparticipants.
 NAYLEisacoedtrainingexperience,andcrewmembersmaybemaleandfemaleyouth.
SleepingarrangementsformaleandfemaleparticipantswillbeseparateasrequiredbyBSA
YouthProtectionGuidelines.NAYLEutilizesbothmaleandfemalestaff.
 Participantswillspendmostoftheirdayoutdoors,engagedinactiveexperiences.
BSAUNIFORM
 NAYLEisanationaltrainingprogramatanationalhighadventurebase.TheofficialBSA
fielduniformforyourrespectiveprogram(BoyScoutingorVenturing)isrequired.
 ForBoyScouts,theuniformincludes:BoyScoutkhakishirt,BoyScoutgreenpants/shorts,
BoyScoutsocks,andBSAbelt.
 ForVenturers,theuniformincludes:Venturinggreenshirt,Venturinggraypants/shorts,
Venturingsocks,andBSAbelt.
 Theactivityuniformwillbewornmuchofthetimewhileonbase.Thisconsistsofanofficial
NAYLEhatandNAYLEt‐shirt,alongwithBoyScoutorVenturingpants/shorts,socks,and
BSAbelt.(Youwillreceive1NAYLEhatand2NAYLEt‐shirtsprovidedbythecourse.)
 YoushouldwearyouruniformenroutetoandfromNorthernTier.
TRAILCLOTHINGandEQUIPMENT
 OneofthehighlightsoftheNorthernTierNAYLEcourseisamultipledaycanoevoyageinto
thewilderness.ThistriprequiresadditionalclothingbeyondtheBSAuniformnotedabove.
 Adetailedlistoftheneededtrailclothingandequipmentisprovidedonthefollowingpages.
SELFDRAININGBOOTS
 Wewillbedoing"wetfoot"canoeing,andyouneedtohavebootsthatwillallowwaterto
drainout.Regularwaterproofhikingbootswillnotwork.
 Youcanseeexamplesofthetypeofbootssuitableforthisuseat:
http://www.northerntiertradingpost.org/boots.html
NorthernTierNAYLEGuidebook
p.5
PHYSICALFITNESS
 Toinsuresafety,allparticipantsmustbephysicallypreparedtoenjoyaruggedcanoetrip.
 Onthecanoeingportionofthecourse,youmaybepaddling10milesadayormoreinwindy
conditionsandmaycarryasmuchas85poundsacrossaportage.Youwillbeusingyour
armsandupperbodyforpaddlingandyourbackandlegsforportaging.Itisimportantthat
youbeinverygoodconditionsoyoucanparticipateinthelevelofadventureyoudeserve.
 Aregularprogramofphysicalconditioningforseveralmonthspriortothecourseisstrongly
recommended.Planondoing30to60minutesofaerobicexercise,3to5timesaweek.
BSAMEDICALFORM
 Havingaproperlycompletedandsignedmedicalformiscritical.YoumustusetheBSA
medicalformforuseatNorthernTier,availableat:
http://www.scouting.org/scoutsource/healthandsafety/ahmr.aspx.
 MakesuretofilloutpartsA,B,andC,andbringallpartswithyoutothecourse,alongwitha
copyofyourhealthinsurancecard.Youmustmeettheheight/weightrequirements.
SWIMMINGABILITY
 YouneedtocompletetheBSAswimtestandbeclassifiedasaswimmerpriortoarrivingat
NorthernTier.Usetheincludedformtoconfirmyourcompletionoftheswimtest.
SPENDINGMONEY
 NorthernTierhasatradingpostatbasecampwhereyoumaybuysnacks,souvenirsand
memorabilia,ifyouwish.NorthernTiertrekkersspend$100‐150onaverage.
MAILINGADDRESSatNORTHERNTIER
 GivenNorthernTier’smoreremotelocation,mailisnotlikelytoreachyouwhileonyour
courseunlessitissentrightafteryouleave.
 Themailingaddressis:
YourFullName‐NAYLESession(1or2)
NorthernTierHighAdventureBase
POBox509
Ely,MN55731
EMERGENCYTELEPHONE
 TheNorthernTieremergencyphonenumberis218.365.4811.
 Foranemergency,itisbesttocallbetween8:00AMand5:00PMandtalkwithafulltime
staffmember.Duringoffhoursadutyofficerwillanswertheemergencyline.
 AnemergencymessageMUSTincludethefullnameandtheNAYLEsessionnumber.
 Bepreparedtoleaveamessageandacall‐backnumber.
 NorthernTierwillnotbeabletocontactthepersoniftheyareontheirvoyage;howeverthe
messagewillbeattachedtothecrewfilefordeliveryupontheperson’sreturntobase.
 Nocollectcallswillbeaccepted.
CELLPHONES
 CellphonesareoktohavewithyouwhileyouaretravelingtoandfromNorthernTier,but
willnotbeallowedduringthecourse.
 ParticipantcellphonesorotherdeviceswillbesafelylockedupduringtheNAYLEcourse,
andthenreturnedtotheparticipantswhentheyarereadytodepart.
NorthernTierNAYLEGuidebook
p.6
CANCELLATION&REFUNDPOLICY
 Cancellationsmustbereceivedinwriting30dayspriortothefirstdayofyourcourse.A
$100processingfeewillbeapplied.
 Theprocessingfeewillincreaseto$150ifthecancellationrequestismadewithin30daysof
thefirstdayofthecourse.
 Therefundwillbeappliedtothecreditcardlistedundertheregistrationprofile.Or,if
paymentsweremadeintheformofacheck,therefundwillbemailedintheformofacheck.
RefundscannotbedeferredortransferredtootherNorthernTier‐relatedprograms.
 No‐showsorregistrantswhodonotsubmitawrittenexplanationforcancellationswillnot
beeligibleforarefund.
 Exceptionstotheprocessingfeeareasfollows:
o Militaryservice
o Deathofregistrant
o Medicalincidents
 Allcancellationsrequireawrittenoremailedexplanationwitharequestforarefund,prior
tothestartofthefirstdayofthecourse.Pleasesubmitthewrittenortypedexplanationto:
NorthernTierHighAdventure
Attn:NAYLECourseCancellation
POBox509
Ely,MN55731
Telephone:218.365.4811
Fax:218.365.3112
Email:[email protected]
MOREBACKGROUND
 Formorebackground,youmaywishtoreviewtheNorthernTierParticipantGuidebookat:
www.ntier.org/filestore/NorthernTier/pdf/ParticipantHandbook2015.pdf
 NotethatNorthernTierNAYLEhasdifferentrequirementsandprogramelementsthana
regularNorthernTierTrek,sonotalltheinformationinthatguidebookwillapply.For
example,theNAYLEprogramdoesnotincludefishing,andusesadifferentscheduleof
activities.
NorthernTierNAYLEGuidebook
p.7
2015NorthernTierNAYLETrailGearList
TrailClothing(NOCOTTON)
OtherGear
Thefollowingisaninclusivelistofallclothing
neededforthetrail.Alltrailclothingshouldmade
onlyofsyntheticsand/ornaturalnon‐cottonfibers.
 1pairboots(required)
o Allparticipantsarerequiredtowearboots
thathavefullanklecoverage;arugged
stitchedorvulcanizedsole;andareself
draining(notwaterproof).Ifyouare
unsureifthebootsyouareplanningto
bringmeetthisrequirement,pleasefeel
freetocontactNorthernTierpriortoyour
arrival.Individualsarrivingwith
inadequatefootwearwillbeaskedto
purchasebootsinthetradingpostpriorto
departureonwater.Thehealthandsafety
ofparticipantsisofutmostimportanceto
us,andforthisreasonthereisno
exceptiontothisbootrequirement.
 1pairtrailcampshoes(required)
o Allparticipantsarerequiredtobring
closed‐toe/closed‐heelcampshoeswith
solidsoles,suchaslightweightsneakers.
o Thefollowingarenotpermitted:
sandals,waterslippers,someVibramFive
Fingersmodels,Crocs,andsomeKEEN
styles.
 1rainjacketwithhood(required)
o Allparticipantsarerequiredtopacka
qualityrainjacketwithahood.Ensure
thatyourraingeariswaterproof,notjust
waterresistant.Ponchosarenot
acceptableandareverydangerousinthe
eventofacapsizedcanoe.
 2long‐sleevelightweightshirts(required)
 2pairpantswithzip‐offlegs(required)
 3pairsocks(required)
o (woolorwool/syntheticblend)
 2pairunderwear(syntheticrecommended)
 1broad‐brimmedhatorbaseballcap
 1lightweightfleecejacket/vest(noHoodies)
 1knithat

















1sleepingbag
o Allparticipantsshouldbringa
sleepingbagthatiscompact,
synthetic,lightweight,andratedto
35°Fwithacompression‐stylestuff
sack.
125‐30literwaterproofstuffsackordrybag
foryourclothingandgearwhileonthetrail
1sleepingpad—closedcellorself‐inflating
foam
1to2bandannas,buffs,orsmallsynthetic
camptowels
1beltorpairofsuspenders
1toothbrush
112ozbowl—plasticormetal
18‐12oz.cup—plasticormetal
1spoon/spork—plasticormetal
1One‐literwide‐mouthwaterbottlewitha
carabineer‐styleclip
1smallheadlamp
1whistle
1stickoflipbalmwithSPF15orgreater
1pairofsunglasseswithkeeperstrap
2pairprescriptionglassesasneeded,with
keeperstrap
Personalmedicationsasneeded(2supplies
tocarryin2locations)
Personaltoiletries
OptionalGear







1smallpocketknife
1camerawithextrabatteriesand
waterproofbox(e.g.OtterBoxorPelican
Case)
1headnetformosquitoes
1pairlongunderwear(synthetic)
1pairrainpants(candoubleasapairof
pants)
1bookforreading
1smallbottlemedicatedfootpowder
Itisrecommendedthatyouwriteyournameonyourpersonalitemswithapermanentmarker!
***ALSOSEETHEBASECAMPGEARLISTONNEXTPAGE***
NorthernTierNAYLEGuidebook
p.8
2015NorthernTierNAYLEBaseCampGearList
InadditiontotheTrailClothingandOtherGearonthepreviouspage,thefollowingclothingand
equipmentisalsoneededfortheportionofNorthernTierNAYLEthattakesplaceinBaseCamp.
ThisgearwillbeleftinalockeratBaseCampduringthecanoetrip.
AdditionalBaseCampClothing
AdditionalBaseCampGear






A2ndpairofshoestowearatBaseCamp
o Allparticipantsarerequiredtobringclosed‐
toe/closed‐heelshoeswithsolidsoles,such
assturdysneakers.
o Thefollowingarenotpermitted:sandals,
waterslippers,Crocs,etc..
1or2BSAFielduniformsforyourprogram
(2setsrecommended):
o BoyScoutkhakishirt,BoyScout
greenpants/shorts,BSAbelt
–or‐
o Venturinggreenshirt,Venturing
graypants/shorts,BSAbelt
3pairBoyScoutorVenturingsockstowear
withyourBSAFielduniform
3pairunderwear
1bathingsuit(foruseinsauna)
1setflip‐flops(foruseinshower)






1largeDuffelbaglargeenoughtoholdall
yourgearwhiletravelingandatbase.
(backpacksarenotrecommended)
1Inexpensivewatch(youwillnothaveyour
cellphone,andwillneedtotelltime)
SunscreenatleastSPF15(noaerosolcans)
InsectRepellent(noaerosolcans)
1smallDaypacktoholdsunscreen,
raincoat,notebook,water,etc.whiledoing
activitiesatBaseCamp
1bathtowel
DoNotBring


Electronicmusic,game,orvideodevices
SPOTsatellitemessengersoremergency
beacons
Canoechairsthatcliporstrapintocanoes

Itisrecommendedthatyouwriteyournameonyourpersonalitemswithapermanentmarker!
***ALSOSEETHETRAILGEARLISTONPREVIOUSPAGE***
Allneededcrewequipment(tents,cookgear,stoves,fuelbottles,portagepacks,PFDs,paddles,
canoes,maps,firstaidkits,etc.)willbeprovidedbyNorthernTier&NAYLE.
NORTHERN TIER HIGH ADVENTURE BASES
SWIM CLASSIFICATION RECORD
This form indicates the individual’s swim classification as of the date listed below. The date the swim
test was conducted must be within 12 months of the starting date of your expedition.
Crew Number ________________________________________ Date of Swim Test _______________
The following crew members (including adults) have all passed the test indicated on the next page and are classified as “Swimmers”
Full Name (print)
1
2
3
4
5
6
7
8
9
10
11
12
Name of Person Conducting Test (print) _____________________________________________________________
Signature of Person Conducting Test _______________________________________________________________
Qualification of Person Conducting Test:
__ Aquatics Instructor, BSA
__ Cub Scout Aquatics Supervisor
__ BSA Lifeguard
__ Certified Lifeguard
__ Swimming Instructor
__ Swim Coach
__ Adult supervisor who is familiar with the basic swimming strokes and abides by the guidelines in the Aquatics
Supervision manual
Unit Leader or Contingent Leader Name (print) _______________________________________________________
Unit Leader or Contingent Leader Signature __________________________________________________________
This record is to be presented at check-in at Northern Tier. It must be filled out and signed at
the time of the swim classification testing.
Updated 9/1/13 MBR
Swim Classification Procedures
The swim classification of individuals participating in a Boy Scouts of America aquatic activity is
a key element in both Safe Swim Defense and Safety Afloat plans. The swim classification test
should be renewed annually, preferably at the beginning of each outdoor season. Traditionally,
swim classification tests have only been conducted upon arrival at a summer camp. However,
there is no restriction that this is the only place the test can be conducted.
Northern Tier requires this classification be completed prior to arrival.
As indicated in the Safety Afloat Plan, all persons participating in BSA canoeing activities are
required to be “swimmers.”
SWIMMER’S TEST:

Jump feet first into water over the head in depth, level off, and begin swimming.

Swim 75 yards in a strong manner using one or more of the following strokes:
Sidestroke, breaststroke, trdgen, or crawl.

Swim 25 yards using an easy, resting backstroke.

The 100 yards must be completed in one swim without stops and must include at least
one sharp turn.

After completing the swim, rest by floating.
This swim classification test can be done at the unit level by one of the following resource
people: Aquatics Instructor, BSA; Cub Scout Aquatics Supervisor; BSA Lifeguard; certified
lifeguard; swimming instructor; swim coach; or Adult supervisor who is familiar with the basic
swimming strokes and abides by the guidelines in Aquatics Supervision manual.
NOTE: You may use a council approved swim classification list other than this form. Please
make sure to copy it for each crew, write the crew number on each sheet, and circle the youth
on the record that are in that particular crew. The minimum standards listed above for the
person doing the swim classification must be met.
Updated 9/1/13 MBR
Northern Tier Dietary Restriction Notification Card
We must receive this card 45 days prior to your trek in order to make the necessary substitutions. If this card is not
received within the specified time, we cannot guarantee the substitutions. We will do our best to accommodate
your needs, but for certain severe allergies or for a person with an allergy to more than 2 types of food, we may ask
you to bring your own trail food. Please bring your own medication (ex. Epipen).
Please fill out ONE CARD PER INDIVIDUAL with a dietary restriction. ALL FIELDS ARE REQUIRED.
Northern Tier Expedition Number #:________________________
Name of person with restriction:_____________________________________________
Phone # and Email (of parent if youth or individual if adult):_________________________________________________
Restriction type (i.e. peanut allergy, vegetarian etc.):__________________________________________________
Please circle all that apply: If an allergy is it by?
Ingestion
Contact
Airborne
Other _________________________________
Severity of Allergy (i.e. anaphylactic):____________________________________________________________
Is Allergy controlled or treated by medication? _______________
If so, will individual have this medication on the trip? _________ What is the medication?_____________________
Symptoms Experienced (i.e. vomiting):______________________________________________________________
Substitution Ideas:_______________________________________________________________________________
Any other information you think would be useful to the food service staff at Northern Tier:
______________________________________________________________________________________________
______________________________________________________________________________________________
_______________________________________________________________________________________________
Office Use Only: Contacted Date: _____________ Initials: ______________
Accommodations Made: ________ Bringing Own Food: __________________
Fax this form to 218-365-3112 or Email form to [email protected]