Burke Lake District Pinewood Derby Registration
** All information provided, including name, phone, email and Scout names, will only be seen/used by Patriot District Pinewood Derby Chair **

Registration fees are $15 per Scout which covers costs for the Derby (mostly the shiny bling!). Please send Pack registration fees to: 
     Pete Griffiths
     5933 Oakland Park Drive
     Burke, VA 22015
               -or-
     Venmo: @GriffUSN
     PayPal: PayPal.me/GriffUSN

Please be sure to send registration (either via form here or PDF) and the Pack registration fees no later than:
19 Feb 2025


Please provide an email address (Your Pack's Pinewood Derby contact):
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Email *
Please provide the first and last name of the Pinewood Derby Chair (so we know who to contact if we have questions): *
Please provide a good cell phone number for the above contact (so we can reach them if needed): *
Again, your number will be protected and only be seen or used by the Pinewood Derby Chairman.
Enter in the form xxx-xxx-xxxx
Please provide your Pack number: *
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