Summer Camp 2024 Attendee Details
This form is for those Scouts who will attending Summer Camp in 2024.  Please fill this out and take care of your action items for your scout.

FILL THIS OUT ONCE PER SCOUT ATTENDING CAMP, but you only need to answer the questions concerning the accompanying adult once.
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Email *
Scout's Name *
Scout's Den at Summer Camp *
Parent/Guardian Name *
Parent/Guardian Cell *
Scout T-Shirt Size *
On Monday, Scouts can be joined by family members who are not attending camp for Dinner!  Following Dinner, everyone will go to the Camp Fire Circle for camp-wide skits (this is the closing of camp for the Day and Weekend campers, and the mid-point for Weeklong campers).   Dinner meals are $9 each.  How many additional meals will you need for Monday night?  (cost will be subtracted from your Scout Account) *
Does the Scout have Serious Allergies?  If Yes then please provide details *
Does the Scout have Dietary Restrictions?  If Yes then please provide details *
Emergency Contact Name *
Emergency Contact Phone Number *
All Scouts must turn in a current Medical Form Parts A and B.  Scouts attending the Week Camp must also fill out Part C which requires a Doctor's signature.  This form can be found here: https://filestore.scouting.org/filestore/HealthSafety/pdf/680-001_ABC.pdf.  Please make sure to keep a copy of the form to bring with you to check-in as a back-up. Have you submitted a Medical Form for the Scout to the Summer Camp Coordinator yet?   *
Adult Information
These questions pertain to the Adult registering to attend camp with the Scout.  If the Scout will not have an accompanying Adult then you can leave these questions blank
Name of attending Adult
Email of attending Adult
Cell phone of attending Adult
Does the Adult have Serious Allergies?  If Yes then please provide details
Does the Adult have Dietary Restrictions?  If Yes then please provide details
All Adults attending camp must turn in a current Medical Form Parts A and B.  Adults attending the Week Camp must also fill out Part C which requires a Doctor's signature.  This form can be found here: https://filestore.scouting.org/filestore/HealthSafety/pdf/680-001_ABC.pdf.  Please make sure to keep a copy of the form to bring with you to check-in as a back-up.    Have you submitted a Medical Form for the Adult to the Summer Camp Coordinator yet?
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All Adults attending camp must have completed Youth Protection Training within the last 24 months.   If you have not completed this in the last 2 years, please go to http://my.scouting.org and create an account to complete the training (if you don't have a BSA ID just leave it blank).  At the end of the training you can print out the certificate which should be turned into the Summer Camp Coordinator.  Have you completed this prerequisite yet?
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Adult Attending YPT Completion Date 
MM
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DD
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YYYY
All Adults attending camp must have completed PA Act 15 Background checks within the past 5 years.  If you do not have up to date clearance, they must be completed ASAP.  Go to http://padutchbsa.org/act15/ and follow the direction to obtain required clearances and upload them to the Council.  Clearance DO NOT get turned into Pack 44.  Have you completed this prerequisite yet?
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A copy of your responses will be emailed to the address you provided.
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