Climb & Dine Registration
Please provide the following information for the Climb and Dine Event to be held February 23, 2018 at Planet Granite in Sunnyvale.    To complete registration scouts need to have a parent complete a waiver, provide a copy of signatory parents drivers license, and a check to T57 in the amount of $40 to Kristen Andersen, 2015 Emerson Street Palo Alto, CA 94301 by February 9, 2018.
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Scout Name *
First and Last Name
Scout e-mail
Parent Name *
First and Last Name
Parent Cell Phone *
Contact number where parent can be reached during event
Parent e-mail *
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