Scout Name:
Scout Phone Number:
Scout Email:
Patrol:
Alligators
Badgers
Cobras/Squirrels
Dragons
Falcons
Flaming Arrows
Fox
Nightwolves
Owls
Panthers
Scorpions
Venturers
Adult
Rank:
Scout
Tenderfoot
Second Class
First Class
Star
Life
Eagle
Adult Leader
Parent Name:
Parent Phone Number:
Parent Email Address:
Parent Cell Phone # (for emergencies)
Parent Attending This Event
Yes
No
Enter Dates Parent Attending
Taking Bus Or Diving On Own:
Taking Bus
Driving On Own
Number of Individuals (Scouts & Adults) taking bus TO CAMP @ $17.50 each, one way:
1 @$17.50
2 @$35.00
3 @$52.50
Number of Individuals (Scouts & Adults) taking bus TO HOME @ $17.50 each, one way:
1 @$17.50
2 @$35.00
3 @$52.50
My health form is completed or is up to date:
Yes
No
Number of Scout Attending Camp @ $220.00 each, parents FREE:
1 @ $220.00
2 @ $440.00
3 @ $660.00
Special Travel Notes:
Please enter the Total Amount Due
Payment Type - Due by Monday, April 21, 2008:
Cash
Scout Account
Check
PayPal (credit card or e-check)
Home Page
Online Registration Form
Many Point Scout Camp
July 27 - August 2, 2008
