Doug Walker comments on the 2013 patch:
This was a first aid themed camporee. The center of the patch spells First Aid (FIRST going down and AID going across). They even had a state police helicopter land at the event. It was the last major event held by the District at YCSR. The snakes going up the side are a copperhead and a rattlesnake, representing the two types of poisonous snakes in camp…and playing on the use of the doctor’s symbol with the totem wrapped snakes. And the cross represents First Aid.
If you look closely in the blue background on the right side, opposite the ghosted fleur de lis, you will see the W\ ghosted on the patch (difficult to see). That happens to be the brand used by Elliott Phillips (son of Waite Phillips, donor of land for Philmont) until he gave it up when he retired. When possible, I try to incorporate it into patch designs.
Central New Jersey Council District Patch Collection