TROOP 572 "2018 SUMMER CAMP" HEAD COUNT FORM
Event: 2018 Summer Camp
Location: Heritage Reservation
Date: June 24 - 30, 2018
Coordinator: Ward Jones, scouts011098@gmail.com

This year’s Scout summer camp will be at Heritage Reservation (https://www.lhcscouting.org/boyscoutcamp). We need to reserve our spaces immediately. Camp will run from Sunday, June 24, through Saturday, June 30.

To guarantee your Scout a spot, we need you to register and provide your payment by Monday, March 26. You can provide your payment (check or Scout account) at the Monday (March 26) Scout meeting, or you can provide it to my house in advance of March 26. My address is 20609 Marsh Court, Potomac Falls, VA.

The cost of each Scout is $400 for 7 days and 7 nights of camping. There are NO REFUNDS because the camp will not give the Troop refunds.

Please complete this form by Monday, March 26, 2018.

What is the NAME of your FIRST Scout attending? (Please put first and last name of all Scouts.) *
Your answer
Please provide the BIRTHDAY of the FIRST Scout. (Required by Camp registration form.) *
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Please provide the RANK of the FIRST Scout. (Required by Camp registration form.) *
What is the name of your SECOND Scout attending, if applicable? (Please put first and last name of all Scouts.)
Your answer
Please provide the BIRTHDAY of the SECOND Scout. (Required by Camp registration form.)
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Please provide the RANK of the SECOND Scout. (Required by Camp registration form.)
What is the name of your THIRD Scout attending, if applicable? (Please put first and last name of all Scouts.)
Your answer
Please provide the BIRTHDAY of the THIRD Scout. (Required by Camp registration form.)
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Please provide the RANK of the THIRD Scout. (Required by Camp registration form.)
What is the name of any Adult(s) attending? (Please put first and last name of all Adults.)
Your answer
Payment
We will determine Adult pricing once we understand how many Adults plan to attend for the week.

Each Scout will cost $400.

Number of Scouts you are paying for? *
Total amount you agree to pay? *
Required
Preferred payment option: *
Required
AUTHORIZATION
Please type your name (first and last) to authorize permission. Typing your name is equivalent to signing: *
Your answer
In case of emergency, I can be reached by phone at (please provide 2 phone numbers): *
Your answer
Please type in the email where you can be reached for further communication? *
Your answer
Please enter today's date: *
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