Pack 1776 Registration Form
2019-2020 Scouting Year
Please Select *
Background Information
Scout Last Name *
Your answer
Scout First Name *
Your answer
Please Select *
Scout's Date of Birth (Month, Day, Year) *
MM
/
DD
/
YYYY
Mailing Address (House No., Street, City and Zip)
Your answer
Father or Guardian's First and Last Name
Your answer
Father or Guardian's Email Address
Your answer
Father or Guardian's Cell Phone Number (use this format: 555-123-4567)
Your answer
Mother or Guardian's First and Last Name
Your answer
Mother or Guardian's Email Address
Your answer
Mother or Guardian's Cell Phone Number (use this format: 555-123-4567)
Your answer
Can we text you with pack/den messages? *
Current Den *
Grade in Fall (2019-2020) *
Class B Shirt Size
Scout Class B T-Shirt Size *
Registration Fee
Pack Registration Fee: Bring your check (made to Pack 1776) to the May Pack Meeting or deposit it in the Scout Box. Include your registration # and scout's name in the notes section of your check. *
Image Release
We take the privacy of our young scouts and their family members seriously. As such, we want to advise you that photographs and videos of pack and den events – as well as those hosted by the Scout Council, District or National body – may be taken. Usually these photos are uploaded to our Smug Mug website which can be accessed to those who are provided the pack’s log in. These photos and videos may also be shown in PowerPoint presentations, displays or videos at Pack/Den meetings or during recruitment drives held at Coyote Creek Elementary School events (i.e. Back to School Night, Open House and New Parent Orientation). Coyote Creek Elementary has also asked for scouting photos for inclusion in their yearbook. *
Volunteer Information & Agreement
Pack Volunteer Fee: This check will be held and not deposited. After fulfillment of volunteer hours, original check will be returned to you. Those families who do not complete their volunteer hours during the 2019-20 school year will have their check deposited at the end of the school year. The volunteer fee is waived for new lion scouts. *
Required
Volunteer Agreement *
Required
Can you help out? What are your interests?
Volunteer Position Preference: Please choose your top 3 areas of interests. The Pack Leaders will notify you when there's a need within the Pack. See pack1776.com/volunteering/roles for job descriptions. Note any talents, skills or team member preference in the comments area below. Mark only one oval for first choice. *
Volunteer Position Preference: Mark only one oval for second choice. *
Volunteer Position Preference: Mark only one oval for third choice. *
Do you play a sport, have a hobby, or skill that you can teach our scouts?
Your answer
What is your profession and training?
Your answer
What do you want the pack to do more or less of? (recommend activities, speakers, outings, etc.)
Your answer
How can we improve our pack meetings, activities and events ?
Your answer
Comments
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Pack 1776. Report Abuse - Terms of Service