BPSA Registration 2016/17
Welcome to the 503rd Spotted Owl scouting group.

Please fill out this registration form, as well as our Medial and Emergency waiver forms.

At this time we accept cash or checks only.
Please make checks out to: 503rd Spotted Owl
Mail to: Raya Budrevich 9440 SW Garden Home Rd. Portland, OR 97223

The $30 Parent Volunteer fee allows a parent to assist with various scout outings and activities strongly recommended for parents who would like to be involved, but are not able to engage at the full Rover level.

Our registration fees are non-refundable, please plan to attend a meeting prior to registering.

Please submit a separate form for each scout or adult being registered.

Registration Type
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Scholarship Fund Contribution: I would like to contribute an additional $____ towards the scholarship fund.
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Name
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Date of Birth
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Address
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Phone
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Email
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Parent/Guardian Name
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Parent/Guardian Name
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Photo Release:
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