TLUSA NE EQUIP Camp Pinnacle Registration 10/7-9/16
621 Pinnacle Road, Voorheesville NY 12186 (518)872-9100
Registration
Christian Religious Faith
Last name
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Nick Name
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First and Middle name(s)
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Street Address
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City
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State Abbreviation
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Zip Code
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eMail address
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Phone
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TLUSA adult position
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Troop Number
TLUSA Troop Number or NA if none
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TLUSA Membership ID
ID on your Lanyard ID or NA if none
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Tee Shirt Size
Comments: food allergies or any other special needs
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First Aid certifications?
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