Spring 2012 - Camp Registration

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Please use this form to register for spring camp. Once you submit this form online you can turn your payment and medical form in to your Den leader.

Den Number *

If registering more than one scout, use the Den number of the older scout.

Scout Last Name *

If registering more than one scout, list the name of the older scout. Count younger scouts as sibs.

Scout First Name *

If registering more than one scout, list the name of the older scout. Count younger scouts as sibs.

Number of Adults *

Number of Sibs *

If sib is a member of Pack 136, list the additional scout(s) by name in comments section below.

Total Number of Campers *

Fees Owed *

$25.00 (one camper) - $45.00 (two campers) - $65.00 (three or more campers)

$25.00

$45.00

$65.00

Would you be interested in purchasing additional spring camp patches?

Each registered scout and leader will receive one patch at this camp-out.

Did you already fill out a medical form for 2011 Fall Camp? *

Yes

Comments

List additional scout's name and den number here if included as a sibling above.

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