Family Camp
Registration Form
Advance registration and
pre-payment in full is required to accompany this form
Name of family: _________________________________________________
Number
of adults: _______
Number of children: _______
For
the tour permit & BSA insurance coverage please provide the following
information
Driver’s
name: _____________________ Drivers
license #: ________________
Insurance
company: _________________ Vehicle
Make: __________________
Vehicle
model: ______________________ Vehicle
Year: ________
Liability
coverage:
Public
liability (Each Person): $___________
Public
liability (Each accident): $__________
Property
damage: $______________
Event
Sign-Up
(Note that the special events are entirely optional)
Camp
Fee ($10 per person, max $40 per family) Number: ____Total: ______
Each
Scout camps for free!
Bow
and Arrow ($5 per person, ages 8 and up only) Number: ____ Total: ______
- Bow and
Arrow participants must complete attached waiver
Total Amount
Enclosed: ______________
Sign
me up for the 2nd Annual Chili Cook-Off Contest! Yes No
Sign
me up for the What’s for Dessert Challenge! Yes No
I
plan to bring a T-shirt to decorate Yes No
Please
mail registration form, waiver (if applicable) and check payable to “Pack 148”
to:
Cub Scout Pack 148
5463 Old Creek Lane
Hilliard, Ohio 43026
Please mail by
April 14 or bring to next Pack meeting
Questions? Contact your den leader or Debi Gunter at 876-7714