NYLT Registration
This form serves as the electronic sign-up for the 2019 NYLT Course hosted at Camp Buck Run from August 4 - August 9 2019 for the Westmoreland-Fayette Council. You will however need to pay for the course ($215) in person at the council office. Please make sure to fill this form out in it's entirety for each scout you wish to register.
Scout's First Name *
Your answer
Scouts's Last Name *
Your answer
Scout's Unit Number and Type *
Example: Crew 512
Your answer
Scout's Address *
If this address changes please notify Michael Conroy (conroyma@jay.washjeff.edu) or the Council Service Center. Information will be mailed out to participants that is critical for course participation.
Your answer
Scout's Email Address *
Please ensure this is a working and frequently checked email address. If this email address changes please notify Michael Conroy (conroyma@jay.washjeff.edu) or the Council Service Center. Information will be sent out to participants that is critical for course participation.
Your answer
Scout's Emergency Contact Name *
Your answer
Scout's Emergency Contact Phone Number *
Your answer
Scoutmaster Name Who is Recommending Scout *
Your answer
Brief Explanation About Why This Scout Should Attend *
Your answer
Do you understand that you will still need to make a payment to the Council Service Center? *
Do you understand that completion of a BSA physical is required to participate in the course and a paper copy is required to be brought with the scout on the first day of the course? *
Do you understand that this course will provide your scout with the leadership training of their life, forge lifelong friendships, and cause them to have immeasurable amounts of fun? *
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