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Troop 39 Summer Camp 2024 Registration
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Please complete this form and return it to Sherree Wolfgang with payment as soon as possible, but no later than the 4/23/2024 troop meeting to avoid a $45 late fee from CT Rivers Council. Any questions on camp registration, contact Sherree at 860.967.4614 or sherree111@yahoo.com
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Personal Information:
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Scout's Name:
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Birthdate:Age (as of 6/23/2024):Rank:
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Parent(s):
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Address:
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e-mail(s):
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Phone:Cell:
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Camp Information:
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 Sunday, June 23rd - Friday, June 28th Summer Camp with Troop 39 at JN Webster $525
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Family BBQ Friday 6pm:
# Adults @ $10
# Under 10 @ $6
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Troop photo ($12)
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Discounts: $150 discount on each additional week (separate registration required online at CT Rivers Council).
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August : Merit Badge Completion Day at JNW. Scouts may attend individuallly; based on need, troop may organize a group to attend. $15 payment collected day of event.
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Payment Options:
 1) Check to Troop 39 2) Authorization to deduct from Individual Scout Account 3) Credit Card via PayPal (fees apply)
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Camp Cost$
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BBQ/Photo Total (optional)$
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Total Due$
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Deduct from Individual Scout Account:$
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Balance Due: Check #$Make check payable to Troop 39
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Total Paid:Date Paid$
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Please note: several merit badges have additional fees which will be collected after scouts make their merit badge selections.
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Tentmate Selection:
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Required Forms: BSA Health and Medical Record Parts A-D, copy of insurance card, and Merit Badge Sign-Up. The physician signature required on Part B may be substituted with a signed State of CT blue form. ALL signatures must be dated after 6/28/23. If more space is needed for medications and/or allergy treatment, please use the Authorization to Administer Meds (one per medication) and Allergy Treatment Plan forms. Forms available on our website www.ct-troop39.org. All Health forms handed in by 4/23/2024 will be reviewed by a nurse to ensure accuracy. Any revisions will be due by the 6/11/2024 Pre-Camp Meeting. Completed forms will be delivered to camp prior to attendance and reviewed with the camp health personnel for final approval. If health forms are handed in after this date, parents assume responsibility for any changes that may be required to the forms to allow camp attendance.
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Paperwork Checklist:Part APart BPart CPart DMerit Badge Sign-UpTentmate Selection
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Copy of Insurance Card (front and back)Authorization to Adminster Medication form - use only if more space is needed from Part B
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Crossover Scouts participate in First Class Path program. All scouts work on Swimming merit badge. Circle choice of second badge work: Art Basketry Leatherwork Crossover scouts may also choose to sign up for 7pm or 8pm classes on Merit Badge sign-up sheet
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REFUND POLICY: The Connecticut Rivers Council must commit financial resources to purchase equipment, hire staff, and otherwise prepare to provide the high quality programs in our camps that have come to be expected well in advance of the camps opening for the summer. Participants, therefore, must also make a financial commitment to attend. Refund requests made before June 15: the fee will be reimbursed minus the cancellation fee of $75. Requests after July 1: fee will be reimbursed minus the cancellation fee of $150. All requests for refund consideration are to be in writing and sent either in the form of a letter or email to Connecticut Rivers Council. In the event of an illness, camp will process a refund if you cannot attend camp. If a camp attendee presents signs of illness while at camp, camp reserves the right to send them home without a refund.
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Confirmation: I have read and acknowledge the statements on the BSA Medical and Health Records Forms and the CT Rivers Council Refund Policy.
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Signature:Date:
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