2018 Neuse River District Pinewood Derby Clinic Registration
NOTE: Contact information will NOT be shared, and will only be used to determine overall attendance (to make sure we have enough tables, etc.), and to contact you in case something changes. After the event, this information will be destroyed.
First Name *
Please enter the first name of the Cub Scout or adult volunteer
Your answer
Last Name *
Please enter the last name of the Cub Scout or adult volunteer
Your answer
For which LOCATION are you registering? *
Contact Information -- PLEASE PROVIDE AT LEAST ONE METHOD
Phone Number (xxx-xxx-xxxx)
Optional, but we need a way to contact you in case of any changes to the event! Please provide at least one or the other (phone/email). Please use xxx-xxx-xxxx format.
Your answer
E-Mail Address
Optional, but we need a way to contact you in case of any changes to the event! Please provide at least one or the other (phone/email)
Your answer
Are you signing up as a Cub Scout or adult volunteer? *
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