Pack 258 Membership Form '17-18
Email address *
Scout's Name: *
Your answer
New or returning member of Pack 258?
Scout's Grade in the fall:
Scout's date of birth: *
Your answer
Address: *
Your answer
Preferred contact phone number:
Your answer
Parent/Guardian Names:
Your answer
Parent/Guardian email address:
Your answer
Scout's school:
Your answer
How will you volunteer to help the pack go this year?
How do you plan to pay the $75 registration fee, which includes a subscription to 'Boy's Life' magazine? (Please have payment ready at the first pack meeting.)
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