Pack 454 Membership Information Request

    Information on the Prospective Cub Scout

    Please fill out this form separately for each boy.
    This is a required question
    This is a required question

    Cub Scout's Family Contact Information

    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question

    Spouse/Partner Information

    This is a required question
    This is a required question
    This is a required question

    Emergency Contact Information - If different from either above.

    This is a required question
    This is a required question
    This is a required question

    Cost Information

    There is a Membership Fee for each Scout which covers BSA Registration, Insurance, Handbook, Neckerchief. Please make Checks Payable to PACK 454.
    This is a required question

    4-Star Job Sign-Up Choices (See Job List elsewhere on Web Site)

    To Help plan and run pack and den Activities, I understand that my family must perform various jobs totaling 4-stars. These are my preferred choices. (Please provide several alternatives so the Volunteer Coordinator can use your choice to fill open jobs.)
    This is a required question
    This is a required question
    This is a required question