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Pack 16 Scout Registration
Welcome to our online registration form. This will take you about 5 minutes to complete. You will not have to pay right now as we will follow up with a confirmation email, invoice , calendar information and important dates.
Email address *
Type of Registration *
Required
In the Fall of 2018 , your scout will be a: *
Required
Scout Information
First Name (no initials or nicknames, please) *
Your answer
Middle Name
Your answer
Last Name *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
School *
Your answer
Ethnic Background
Gender
Parent/Guardian Information
Relationship to Scout: *
Required
First Name *
Your answer
Middle Name
Your answer
Last Name *
Your answer
Parent/Guardian Address *
Required
Cell Phone *
Your answer
Opt in for text alerts (standard messaging and date rates may apply)
Primary Phone (if different from cell phone)
Your answer
Occupation
Your answer
Employer
Your answer
Business Phone
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Required
Email Address *
Your answer
Previous Scouting Experience *
Your answer
Other Acknowledgements
Parent/Guardian Acknowledgment *
Required
Friends of Scouting
Friends of Scouting is a fundraiser that benefits our local council, the Pathway to Adventure Council (PTAC). PTAC does not receive any funding from the national BSA organization. Pack 16 benefits from PTAC as they run many of the fun events our scouts enjoy including but not limited to summer day camps and Winter Blast. Most importantly, PTAC provides local council leadership and training opportunities for Pack 16 leaders and volunteers.
Parent/Guardian Acknowledgment *
Required
Online Payment Convenience Fee
Pack 16 is happy to make online payments available to make payments easier. As is customary with any online payment vendor, PayPal assesses a fee with each transaction. Effective August 2018, Pack 16 will require a $1.50 convenience fee for every increment of an online payment less than or equal to $50 in order to cover the cost of the transaction. For illustration, subtotals of $0-$50 will require a $1.50 fee; $51-100 a $3.00 fee; $101-$150 will require a $4.50 fee; and so forth. The online payment convenience fee is nonrefundable.
Parent/Guardian Acknowledgment *
Required
Photo Release
Scouts BSA (and BSA affiliates such as PTAC and Pack 16) have my permission to use my or my child’s photograph publically to promote scouting. I understand that the images may be used in print publications, online publications, presentations, websites, and social media. I also understand that no royalty, fee or other compensation shall become payable to me or my child by reason of such use.
Parent Guardian Consent *
Required
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