Cub Scout Pack 965 Application
We will not turn down any Scout. Financial assistance is available.

If you have any questions, please contact us at leesburgpack965@gmail.com .
Scout's Name *
Parent's Name *
Address *
City *
State *
Zip *
Phone *
Email *
Scout's Age *
Scout's Grade *
Scout's School *
Are you or your son new to Scouts? *
Is Scout transferring from another pack? *
If yes, Pack#
Parent: Are you interested in being a leader?
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