2016 Troop 33 Scout Registration Renewal Form
Boy Scouts of America
Sponsored by the Los Altos United Methodist Church
Scout Last Name *
Your answer
Scout First Name *
Your answer
Scout email address
Your answer
Birthdate *
I.e., mm/dd/yyyy
Your answer
Scout Acceptance
I hereby submit this registration for active participation in Troop 33. As a Boy Scout, I will meet the obligations of living by the Scout Oath and will regularly attend meetings and activities of my Scout troop.
Scout (Virtual) Signature *
First name and last
Your answer
Date *
Your answer
Parent/Guardian 1
Parent/Guardian 1 Last Name *
Your answer
Parent/Guardian 1 First Name *
Your answer
Parent/Guardian 1 Home Telephone Number
(xxx) xxx-xxxx
Your answer
Parent/Guardian 1 Work Telephone Number
(xxx) xxx-xxxx
Your answer
Parent/Guardian 1 Cell Telephone Number
(xxx) xxx-xxxx
Your answer
Preferred phone for scouting
Parent/Guardian 1 Email *
Your answer
Parent/Guardian 1 Acceptance
I hereby support this registration of scout name above for his active participation in Troop 33, Los Altos, CA, and agree to support and comply with the Troop Charter and the rules and regulations of the Boy Scouts of America and the local council.
Parent/Guardian 1 (virtual) Signature *
First name and last
Your answer
Date *
Your answer
Parent/Guardian 2
Parent/Guardian 2 Last Name
Your answer
Parent/Guardian 2 First Name
Your answer
Parent/Guardian 2 Home Telephone Number
(xxx) xxx-xxxx
Your answer
Parent/Guardian 2 Work Telephone Number
(xxx) xxx-xxxx
Your answer
Parent/Guardian 2 Cell Telephone Number
(xxx) xxx-xxxx
Your answer
Preferred phone for scouting
Parent/Guardian 2 Email
Your answer
Parent/Guardian 2 (virtual) Signature
First name and last
Your answer
Date
Your answer
Dues
(1) Annual 2016 troop registration fee is $156/year ($12/month) covering registration period from January 1st to December 31st. Until November 30, 2016, the discounted Early Bird fee for full annual registration is $144. These amounts include subscription to BSA “Boys Life” magazine for the scout.

(2) "Early Bird” discount for 2016 registration ends on 11/21/2015. In order to qualify for the Early Bird discount, both the payment and the registration form must be completed by this date.

(3) Scouts aging out during 2016 (i.e., having 18th birthday during 2016) will pay registration renewal fees on pro-rated basis of $12/month. For example, if the scout's 18th birthday is on 5/2/2016, he will pay only for the first 5 months (Jan-May) of the year ($13x5 = $65).

(4) Similarly scouts transferring into Troop 33 mid-year will be required to pay fees on pro-rated basis at the rate of $13/month. For example, a scout transferring into Troop 33 on 6/2/2016 will pay fees for seven months (Jun-Dec) of the year ($13x7 = $91).

(5) OA Membership Dues: If the scout is a member of Order of the Arrow (OA) Ohlone Lodge, please pay OA dues online at http://www.pacsky.org/Activities/BoyScout/OADues.

(6) Registration renewal fee for adult: In keeping up with troop tradition, as an appreciation of your volunteering and active participation in support of troop activities, your troop membership is complimentary and your BSA membership renewal fee will be paid by the troop. However, it does NOT include subscription to the BSA “Boys Life” magazine.
Registration Fee *
Please print Scout name in Memo, make check payable to “BSA Troop 33”, and mail the check to Alex Baretta, 150 W Edith Ave. Apt. 23, Los Altos, CA 94022, or hand in the physical check to Alex Baretta. Note: This amount includes a subscription to Boys' Life. It is also recommended (not required) to email a scanned copy of the check to Alex Baretta, alexbaretta@gmail.com
Required
Registration fee Amount *
Your answer
Registration fee check # *
Your answer
Contribution to Friends of Scouting (BSA Fair Share) Campaign
To support the various scouting programs, each year Pacific Skyline Council suggests a voluntary contribution from all participating families (please see http://www.pacsky.org/Support for details). This year, the suggested amount is $185.

We request that you make your donation directly at http://tinyurl.com/bsafairshare.
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