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TimestampEmail AddressFirst NameMiddle InitialLast NameCabinDriverPaid?Waiver Signed?Snow Tubing Ticket #Cell PhoneMeal Planning ConsiderationsPayment ExpectationsAttendance ExpectationsMedical FormsUnitAge
Medications to Administer on the Trip?
DrivingPassenger CapacitySignatureCabinmates preferenceSecret Answer
2
10/29/2023 19:00:29jonathan.dietrich@gmail.comJonathanHDietrich17JonPaidYesT14016400513013857156No allergies or dietary restrictions
I understand that once a participant is signed up for a trip, the fee is required and expected whether they attend fully or not. Due to food planning and registration, fee refunds are not possible except in extraordinary cicrumstances.
I understand that the participant is expected to attend the entire trip from start to finish. If the participant wants to attend only part of the trip, they must contact the trip planners and get permission. Full payment is required regardless of full or partial attendance.
I understand I am required to have up to date medical forms on file with the troop in order to attend.
Troop 291Adult
Yes, and I am willing to drive other individuals as well
5Jonathan H Dietrich
3
10/29/2023 19:02:43jonathan.dietrich@gmail.comAndrewDDietrich11JonPaidYesT14016400613013857156No allergies or dietary restrictions
I understand that once a participant is signed up for a trip, the fee is required and expected whether they attend fully or not. Due to food planning and registration, fee refunds are not possible except in extraordinary cicrumstances.
I understand that the participant is expected to attend the entire trip from start to finish. If the participant wants to attend only part of the trip, they must contact the trip planners and get permission. Full payment is required regardless of full or partial attendance.
I understand I am required to have up to date medical forms on file with the troop in order to attend.
Troop 29116
Yes - I will provide medications and instructions to the trip medical officer for them to be administered on the trip
Jonathan H Dietrich
Alex B, Alex Y, Grant, Will, Jordan
4
10/30/2023 13:48:48bjbokenyi@hotmail.comZackWCybulko11AaronPaidT1401640072022775348No allergies or dietary restrictions
I understand that once a participant is signed up for a trip, the fee is required and expected whether they attend fully or not. Due to food planning and registration, fee refunds are not possible except in extraordinary cicrumstances.
I understand that the participant is expected to attend the entire trip from start to finish. If the participant wants to attend only part of the trip, they must contact the trip planners and get permission. Full payment is required regardless of full or partial attendance.
I understand I am required to have up to date medical forms on file with the troop in order to attend.
Troop 29114NoBonnie J CybulkoMeade, Drew
5
10/30/2023 17:04:54mkitabi@gmail.comTahanoneKITABWALLA11AaronPaidYesT140164008925-337-4013Dietary restrictions (ex: vegetarian)
I understand that once a participant is signed up for a trip, the fee is required and expected whether they attend fully or not. Due to food planning and registration, fee refunds are not possible except in extraordinary cicrumstances.
I understand that the participant is expected to attend the entire trip from start to finish. If the participant wants to attend only part of the trip, they must contact the trip planners and get permission. Full payment is required regardless of full or partial attendance.
I understand I am required to have up to date medical forms on file with the troop in order to attend.
Troop 29116NoSakera KitabwallaBilly, Thomas, Joone
6
10/30/2023 17:06:24mkitabi@gmail.comJOONEnoneKITABWALLA19WesleyPaidYesT140164009925-337-4013Dietary restrictions (ex: vegetarian)
I understand that once a participant is signed up for a trip, the fee is required and expected whether they attend fully or not. Due to food planning and registration, fee refunds are not possible except in extraordinary cicrumstances.
I understand that the participant is expected to attend the entire trip from start to finish. If the participant wants to attend only part of the trip, they must contact the trip planners and get permission. Full payment is required regardless of full or partial attendance.
I understand I am required to have up to date medical forms on file with the troop in order to attend.
Troop 29113NoSakera Kitabwalla
7
11/2/2023 21:01:29takabishop@verizon.netAlexJBishop 11JonPaidYesT1401640103019086909No allergies or dietary restrictions
I understand that once a participant is signed up for a trip, the fee is required and expected whether they attend fully or not. Due to food planning and registration, fee refunds are not possible except in extraordinary cicrumstances.
I understand that the participant is expected to attend the entire trip from start to finish. If the participant wants to attend only part of the trip, they must contact the trip planners and get permission. Full payment is required regardless of full or partial attendance.
I understand I am required to have up to date medical forms on file with the troop in order to attend.
Troop 29117NoTracey BishopDrew, Will, Alex Y., Grant
8
11/2/2023 21:03:21abscoutingmd@gmail.comJames ABishop17AaronPaidYesT1401640113019086909No allergies or dietary restrictions
I understand that once a participant is signed up for a trip, the fee is required and expected whether they attend fully or not. Due to food planning and registration, fee refunds are not possible except in extraordinary cicrumstances.
I understand that the participant is expected to attend the entire trip from start to finish. If the participant wants to attend only part of the trip, they must contact the trip planners and get permission. Full payment is required regardless of full or partial attendance.
I understand I am required to have up to date medical forms on file with the troop in order to attend.
Troop 291Adult
Yes, and I am willing to drive other individuals as well
6J Aaron Bishop
9
11/3/2023 23:43:53hung.f.lee@gmail.comHungFLee18HungPaidYesT1401640127039804788No allergies or dietary restrictions
I understand that once a participant is signed up for a trip, the fee is required and expected whether they attend fully or not. Due to food planning and registration, fee refunds are not possible except in extraordinary cicrumstances.
I understand that the participant is expected to attend the entire trip from start to finish. If the participant wants to attend only part of the trip, they must contact the trip planners and get permission. Full payment is required regardless of full or partial attendance.
I understand I am required to have up to date medical forms on file with the troop in order to attend.
Troop 291Adult
Yes, and I am willing to drive other individuals as well
4Hung F Lee
10
11/3/2023 23:45:49hung.f.lee@gmail.comZacharyYLee12HungPaidYesT1401640137039804788No allergies or dietary restrictions
I understand that once a participant is signed up for a trip, the fee is required and expected whether they attend fully or not. Due to food planning and registration, fee refunds are not possible except in extraordinary cicrumstances.
I understand that the participant is expected to attend the entire trip from start to finish. If the participant wants to attend only part of the trip, they must contact the trip planners and get permission. Full payment is required regardless of full or partial attendance.
I understand I am required to have up to date medical forms on file with the troop in order to attend.
Troop 29112
Yes - I will provide medications and instructions to the trip medical officer for them to be administered on the trip
Hung F. Lee
Scouts from the same patrol?
11
11/5/2023 21:24:27kdavismoore16@gmail.comJackson DMoore19ShaunPaidYesT1401640142023207260No allergies or dietary restrictions
I understand that once a participant is signed up for a trip, the fee is required and expected whether they attend fully or not. Due to food planning and registration, fee refunds are not possible except in extraordinary cicrumstances.
I understand that the participant is expected to attend the entire trip from start to finish. If the participant wants to attend only part of the trip, they must contact the trip planners and get permission. Full payment is required regardless of full or partial attendance.
I understand I am required to have up to date medical forms on file with the troop in order to attend.
Troop 29113NoKaren Davis-Moore
Joshua, Billy, CJ, Joone, Owen,
12
11/6/2023 20:46:42bsgreen26@yahoo.comBraydon SGreenwald12HungPaidYesT140164015410-340-8351No allergies or dietary restrictions
I understand that once a participant is signed up for a trip, the fee is required and expected whether they attend fully or not. Due to food planning and registration, fee refunds are not possible except in extraordinary cicrumstances.
I understand that the participant is expected to attend the entire trip from start to finish. If the participant wants to attend only part of the trip, they must contact the trip planners and get permission. Full payment is required regardless of full or partial attendance.
I understand I am required to have up to date medical forms on file with the troop in order to attend.
Troop 29112NoBryan GreenwaldEveryone in my patrol
13
11/6/2023 21:03:50blandl@yahoo.comWillBBland11JonPaidYesT140164016240-740-3820No allergies or dietary restrictions
I understand that once a participant is signed up for a trip, the fee is required and expected whether they attend fully or not. Due to food planning and registration, fee refunds are not possible except in extraordinary cicrumstances.
I understand that the participant is expected to attend the entire trip from start to finish. If the participant wants to attend only part of the trip, they must contact the trip planners and get permission. Full payment is required regardless of full or partial attendance.
I understand I am required to have up to date medical forms on file with the troop in order to attend.
Troop 29117NoLes Bland
Alex Bishop, Drew Dietrich, Grant Lawrence
14
11/10/2023 8:10:11waltame@gmail.comWaltaWTesfay17WaltaPaidT1401640172026608804No allergies or dietary restrictions
I understand that once a participant is signed up for a trip, the fee is required and expected whether they attend fully or not. Due to food planning and registration, fee refunds are not possible except in extraordinary cicrumstances.
I understand that the participant is expected to attend the entire trip from start to finish. If the participant wants to attend only part of the trip, they must contact the trip planners and get permission. Full payment is required regardless of full or partial attendance.
I understand I am required to have up to date medical forms on file with the troop in order to attend.
Troop 291Adult
Yes, and I am willing to drive other individuals as well
5Walta Tesfay
15
11/12/2023 14:23:06michaelwaltame@gmail.comMichaelWWalta12WaltaPaidT1401640182408615462No allergies or dietary restrictions
I understand that once a participant is signed up for a trip, the fee is required and expected whether they attend fully or not. Due to food planning and registration, fee refunds are not possible except in extraordinary cicrumstances.
I understand that the participant is expected to attend the entire trip from start to finish. If the participant wants to attend only part of the trip, they must contact the trip planners and get permission. Full payment is required regardless of full or partial attendance.
I understand I am required to have up to date medical forms on file with the troop in order to attend.
Troop 29112NoWalta Tesfay
Edward, Braydon, Alen, Jacob
16
11/26/2023 12:31:22wangtingsx@gmail.comAlanWJing12WaltaPaidYesT1401640193016763127No allergies or dietary restrictions
I understand that once a participant is signed up for a trip, the fee is required and expected whether they attend fully or not. Due to food planning and registration, fee refunds are not possible except in extraordinary cicrumstances.
I understand that the participant is expected to attend the entire trip from start to finish. If the participant wants to attend only part of the trip, they must contact the trip planners and get permission. Full payment is required regardless of full or partial attendance.
I understand I am required to have up to date medical forms on file with the troop in order to attend.
Troop 29112NoTing wangEdward Hou
17
11/26/2023 14:38:16zhonghou@hotmail.comEdwardTHou12WaltaPaidT140164358240-888-2765 No allergies or dietary restrictions
I understand that once a participant is signed up for a trip, the fee is required and expected whether they attend fully or not. Due to food planning and registration, fee refunds are not possible except in extraordinary cicrumstances.
I understand that the participant is expected to attend the entire trip from start to finish. If the participant wants to attend only part of the trip, they must contact the trip planners and get permission. Full payment is required regardless of full or partial attendance.
I understand I am required to have up to date medical forms on file with the troop in order to attend.
Troop 29112NoJohn HouAlan Jing
18
11/26/2023 19:47:49cessnaking370@yahoo.comWesleyRThompson18WesleyPaidYesT140164360240-715-2835No allergies or dietary restrictions
I understand that once a participant is signed up for a trip, the fee is required and expected whether they attend fully or not. Due to food planning and registration, fee refunds are not possible except in extraordinary cicrumstances.
I understand that the participant is expected to attend the entire trip from start to finish. If the participant wants to attend only part of the trip, they must contact the trip planners and get permission. Full payment is required regardless of full or partial attendance.
I understand I am required to have up to date medical forms on file with the troop in order to attend.
Troop 291Adult
Yes, and I am willing to drive other individuals as well
5Wes Thompson
19
11/26/2023 19:49:25cessnaking370@yahoo.comOwenHThompson19WesleyPaidYesT140164359240-715-2835No allergies or dietary restrictions
I understand that once a participant is signed up for a trip, the fee is required and expected whether they attend fully or not. Due to food planning and registration, fee refunds are not possible except in extraordinary cicrumstances.
I understand that the participant is expected to attend the entire trip from start to finish. If the participant wants to attend only part of the trip, they must contact the trip planners and get permission. Full payment is required regardless of full or partial attendance.
I understand I am required to have up to date medical forms on file with the troop in order to attend.
Troop 29113NoWesley ThompsonJoone / Braydon / Jacob
20
12/3/2023 10:45:36jgremba@yahoo.comChristopher JCota19WesleyPaidYesT1401643617039464390Food allergies
I understand that once a participant is signed up for a trip, the fee is required and expected whether they attend fully or not. Due to food planning and registration, fee refunds are not possible except in extraordinary cicrumstances.
I understand that the participant is expected to attend the entire trip from start to finish. If the participant wants to attend only part of the trip, they must contact the trip planners and get permission. Full payment is required regardless of full or partial attendance.
I understand I am required to have up to date medical forms on file with the troop in order to attend.
Troop 29114
Yes - I will provide medications and instructions to the trip medical officer for them to be administered on the trip
Jennifer Gremba-Cota
William Keating, Joshua Chapson
21
12/11/2023 20:55:53src138@hotmail.comJoshuaAChapson19ShaunPaidYesT1401643633015296855Dietary restrictions (ex: vegetarian)
I understand that once a participant is signed up for a trip, the fee is required and expected whether they attend fully or not. Due to food planning and registration, fee refunds are not possible except in extraordinary cicrumstances.
I understand that the participant is expected to attend the entire trip from start to finish. If the participant wants to attend only part of the trip, they must contact the trip planners and get permission. Full payment is required regardless of full or partial attendance.
I understand I am required to have up to date medical forms on file with the troop in order to attend.
Troop 29113NoShaun Chapson
Christopher Cota, Owen Thompson, Jackson Moore, Joone Kitabwalla
22
12/11/2023 20:57:52src138@hotmail.comShaunRChapson18ShaunPaidYesT1401643623015296855Dietary restrictions (ex: vegetarian)
I understand that once a participant is signed up for a trip, the fee is required and expected whether they attend fully or not. Due to food planning and registration, fee refunds are not possible except in extraordinary cicrumstances.
I understand that the participant is expected to attend the entire trip from start to finish. If the participant wants to attend only part of the trip, they must contact the trip planners and get permission. Full payment is required regardless of full or partial attendance.
I understand I am required to have up to date medical forms on file with the troop in order to attend.
Troop 291Adult
Yes, and I am willing to drive other individuals as well
4Shaun Chapson
23
12/17/2023 21:18:15bkeating@redhat.comWilliamAKeating19ShaunPaidYesT140164364412-370-3638No allergies or dietary restrictions
I understand that once a participant is signed up for a trip, the fee is required and expected whether they attend fully or not. Due to food planning and registration, fee refunds are not possible except in extraordinary cicrumstances.
I understand that the participant is expected to attend the entire trip from start to finish. If the participant wants to attend only part of the trip, they must contact the trip planners and get permission. Full payment is required regardless of full or partial attendance.
I understand I am required to have up to date medical forms on file with the troop in order to attend.
Troop 29114
Yes - I will provide medications and instructions to the trip medical officer for them to be administered on the trip
Benjamin Keating
CJ, Joshua, Jackson, Joone
24
12/23/2023 13:31:03angelamen2012@gmail.comAndersonMTong12HungPaidYesT1402326242408559074No allergies or dietary restrictions
I understand that once a participant is signed up for a trip, the fee is required and expected whether they attend fully or not. Due to food planning and registration, fee refunds are not possible except in extraordinary cicrumstances.
I understand that the participant is expected to attend the entire trip from start to finish. If the participant wants to attend only part of the trip, they must contact the trip planners and get permission. Full payment is required regardless of full or partial attendance.
I understand I am required to have up to date medical forms on file with the troop in order to attend.
Troop 29111NoAngela MenEdwardsnow
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