Pack 1776 Registration Form
2020-2021 Scouting Year
Please Select *
If you are a new scout and were referred to the pack by a current Scout, can you please provide that Scout's name so they get credit?
What school do you attend? *
Background Information
Scout Last Name *
Scout First Name *
Please Select *
Scout's Date of Birth (Month, Day, Year) *
Mailing Address (House No., Street, City and Zip) *
Father or Guardian's First and Last Name
Father or Guardian's Email Address
Father or Guardian's Cell Phone Number (use this format: 555-123-4567)
Mother or Guardian's First and Last Name
Mother or Guardian's Email Address
Mother or Guardian's Cell Phone Number (use this format: 555-123-4567)
Can we text you with pack/den messages? *
Current Den (Rank) *
Grade in Fall (2020-2021) *
Class B Shirt Size
Scout Class B T-Shirt Size *
Registration Fee
Pack Registration Fee: Make your check payable to "Pack 1776." Deposit it in the scout box on the stoop and/or mail to 259 Gale Ridge Court. 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.
Clear selection
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 2020-2021 school year will have their check deposited at the end of the school year. The volunteer fee is waived for new lion scouts. *
Volunteer Agreement *
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 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?
What is your profession and training?
What do you want the pack to do more or less of? (recommend activities, speakers, outings, etc.)
How can we improve our pack meetings, activities and events ?
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