Cub Scout Pack 43 -- 2019 Railsplitter Day Camp Sign-Up Form
Pack 43 Families - please read all of these materials thoroughly before submitting!!

To sign up for Railsplitter Day Camp, fill out and submit this form. We will respond to you with an invoice when your form is received within 48-72 hours.

NOTE - THIS FORM IS FOR **RAILSPLITTER DAY CAMP ONLY**
There is a separate sign-up for Cub Scout Summer Camp and Webelos Woods (the overnight resident camps).

PROGRAM NOTE - while all Cub Scouts can attend Railsplitter Day Camp, please be aware the program is targeted to the younger Scouts (Tigers and Wolves).

THE SIGN-UP DEADLINE FOR RAILSPLITTER DAY CAMP IS JUNE 1st by 5:00 PM!!

RAILSPLITTER DAY CAMP DETAILS:
June 12-14, 2019 - Day Camp takes place during daylight hours - no overnight camping
Camp Location - LINCOLN TRAIL HOMESTEAD STATE PARK, near Harristown, IL
Map --> https://goo.gl/maps/7S6yU (about 20 minutes from Mt Zion)
Camp Hours - 8:45 a.m. to 4:00 p.m. daily
Scouts bring a sack lunch each day.
Theme - SCOUT WARS (space theme)

A parent is not required to attend DAY CAMP with their Scout, but they DO need volunteers!! Please consider helping out for a day or two or all three!!

Pack 43 pays for each Scout to attend 1 summer camp - if a Scout attends Railsplitter Day Camp and a Resident Camp (Cub Scout Summer Camp or Webelos Woods), Pack 43 pays for the more expensive camp.
Participate in all the fun, including: Archery, BB Guns, Science & Engineering, Crafts, Survival Skills, Outdoor Activities and More!!

Day Camp is one of the few opportunities each year Cub Scouts have to participate in the new BSA BB Gun and Archery programs. These programs can only be completed at BSA Council sponsored camps and events.

Campers bring their health form with them to camp (required). The BSA health form must be used.
Health Form Link --> http://www.scouting.org/filestore/HealthSafety/pdf/680-001_AB.pdf

Camp fees include all activities, a t-shirt, special patch and camp mug.

Message Pack43Secretary@gmail.com with questions.

Cub Scout Full Name *
(Please fill out a separate form for each Scout attending)
Your answer
Cub Scout T-Shirt Size *
Cub Scout Birth Date *
MM
/
DD
/
YYYY
Parent/Guardian Names *
Your answer
Home or Primary Phone Number *
xxx-xxx-xxxx
Your answer
Email Address 1 *
Your answer
Email Address 2
Your answer
Current Rank *
Emergency Contact Name *
Your answer
Emergency Contact Mobile Number *
xxx-xxx-xxxx
Your answer
Serious Allergies or other Health Concerns we should know about? *
Enter "None" if not applicable. Please give full details camp staff should be aware of while your Scout is participating. Information will only be reviewed by Camp Staff charged with the health and well-being of the Scouts. FOR CONFIDENTIALITY, YOU MAY CHOOSE NOT TO ANSWER HERE!! If you choose not to answer here, please provide that information to Camp Staff when checking in at camp
Your answer
Dietary Restrictions? *
Enter "None" if not applicable. Please provide full details for Camp Staff.
Your answer
Camp Information Communication *
Required
Camp Weather *
Required
It is okay for the Council to take pictures of my Scout during camp. *
Our desire is for you to answer Yes to this question to help the Council promote future camps on their web site, on Facebook, in marketing materials, etc. Names of Scouts are not used in those communications without consent.
I am interesting in volunteering at Day Camp (optional) *
Volunteers are always needed at Day Camp. Please consider volunteering your time for one, two or all three days. If you check yes below, we will let District leaders know your name and email address to reach out to you. This is not a commitment, just a declaration of interest.
Parent Volunteer Days (optional)
If you can volunteer at Day Camp, please indicate which days you are available.
Payment Agreement *
Required
Attending more than one camp? *
Will your Scout be attending an overnight resident camp (Cub Scout Summer Camp or Webelos Woods) in addition to Day Camp? Pack 43 pays for each Scout to attend one summer camp program each year. We pay for the more expensive of the two camps, so if your Scout will attend more than one, we ask families to cover the cost of Day Camp which is $40.
Confirmation Before Submitting *
A confirmation email will be sent within 48-72 hours. That email will contain information on any fees that are due (such as if Scouts are attending more than one camp or for adult t-shirts. IT IS RECOMMENDED YOU PRINT THIS COMPLETED PAGE FOR YOUR RECORDS *BEFORE* PRESSING SUBMIT.
Required
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