PACK 49 2007-2008 REGISTRATION

 

 

Scout's Full Name: ___________________________________

 

School _______________________ Grade: _____________

 

Home Address: ______________________________________

 

Home Telephone #: ___________________________________

 

Parent/Guardian's Name: ______________________________

 

Work Phone #: __________________________________

 

Cell Phone #: ____________________________________

 

Email Address: __________________________________

 

 

 

Signature ___________________________________ Date ____________

Parent or Guardian

 

 

 

 

For Pack Use:

 

Paid: Y N Cash _______, Check # ________, BL Y N

 

HB RecÕd T W B W                              Den # _____________