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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.
* Required
Email address
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Your email
Type of Registration
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New Scout
Returning Pack 16 Scout
Transfer from another Pack
Required
In the Fall of 2018 , your scout will be a:
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Lion (Kindergarten)
Tiger (first grade)
Wolf (second grade)
Bear (third grade)
Webelo (fourth grade)
Arrow of Light (AOL) (fifth grade)
Required
Scout Information
First Name (no initials or nicknames, please)
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Your answer
Middle Name
Your answer
Last Name
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Your answer
Street Address
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Your answer
City
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Your answer
State
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Your answer
Zip Code
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Your answer
Date of Birth
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MM
/
DD
/
YYYY
School
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Your answer
Ethnic Background
Alaska Native
Asian
Black/African-American
Caucasian/White
Hispanic/Latino
Pacific Islander
Two or more/Other
Gender
Male
Female
Other:
Parent/Guardian Information
Relationship to Scout:
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Parent
Guardian
Other:
Required
First Name
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Your answer
Middle Name
Your answer
Last Name
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Your answer
Parent/Guardian Address
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Same as Scout address
Different from Scout Address (Complete and email and adult application)
Required
Cell Phone
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Your answer
Opt in for text alerts (standard messaging and date rates may apply)
Option 1
Primary Phone (if different from cell phone)
Your answer
Occupation
Your answer
Employer
Your answer
Business Phone
Your answer
Date of Birth
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MM
/
DD
/
YYYY
Gender
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Male
Female
Other:
Required
Email Address
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Your answer
Previous Scouting Experience
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Your answer
Other Acknowledgements
Parent/Guardian Acknowledgment
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Yes
No
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
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Yes
No
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
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Yes
No
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
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Yes
No I do not authorize Scouts BSA or any BSA affiliate to use my or my child's image
Required
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