2019 Crosswinds District Pinewood Derby Pack Registration Form
This form is due no later than 6PM on February 24, 2019.
Payments need to be sent to the Council Office: 3231 Atlantic Ave. - Raleigh, NC 27604.
*card payments can be made over the phone @ (919) 872-4884, provide your district & pack number.
*make checks payable to BSA.
Cubmaster (First and Last Name)
Pack (i.e., 312, 052, etc.)
Cubmaster Main Contact Phone Number
Cubmaster Cell Phone
Email Address (if other than provided above)
PWD Contact Person
PWD Contact Phone Number
PWD Contact Email
Please select number of participants
1-4 Participants $20 per Pack
5-8 Pacticipants $30 per Pack
9-12 Participants $40 per Pack
13-25 Participants $50 per Pack
I have provided or will provide a copy of the Crosswinds District Rules and Guidelines to each Cub Scout submitted on this form
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