Roller Skating Outing Registration
Please complete the following questions for each family attending the Pack's Roller Skating Outing at Chagrin Valley Roller Rink on January 2, 2020. Please consult the Packwide email for information regarding this event. Scouts should wear their Class Bs.

The Cost is $9 per participant, which include two hours of rink time, skate rental, and all you can eat/drink pizz and pop. Family and friends are invited, but please make sure everyone has turned in a BSA medical form to the Pack.

Registration ends on January 1st.
Family last name *
Your answer
Is this a new registration or a change to your registration? *
All changes must be received by the deadline and refunds will be posted to your Scout account.
Total Number of People Attending the Outing. *
Please list the names of all attendees AND the ages of all children using this format: John Smith (adult); Jane Smith (adult); Bob Smith (Webelos I - 9 years old); Mary Smith (Tiger - 6 years old); Sally Smith (sibling - 9-years old)
Your answer
Mobile Number *
Please provide a mobile number so Leaders can reach you, should an issue arise.
Your answer
Has your family paid yet? *
Please pay online at or mail/drop off payments to Jason Katz, 2400 Olde Farm Lane., Hudson 44236. Please make all checks payable to "Pack 3322." Please also comment in the memo section of you check or description field for PayPal what event(s) you are paying for. Payment must be received by January 1st.
Does each participant (Scout, mom, dad, sibling, grandpa, grandma, etc.) have a BSA medical form on file with Pack 3322? *
See the Pack website for copies of the medical forms and instructions for filing.
Please let us know if you have any notes or questions about the registration or the event.
Your answer
Never submit passwords through Google Forms.
This form was created inside of Pack 3322. Report Abuse