2019 Cub Scout Adventure Camp – Session 3 Cub Scout Adventure Camp at Camp Eastman – Session 3 2019 Cub Scout & Webelos Camp Registration Scout Information Scout's First Name * Scout's Last Name * Grade in the Fall of 2019 Address Address Address Address City City State/Province State/Province Zip/Postal Zip/Postal Email Phone Pack Number * District * Eagle ValleyShoquoquonOther District T-Shirt Size Youth SmallYouth MediumYouth LargeAdult SmallAdult MediumAdult Large plus1 Add minus1 Remove Council Council * Mississippi ValleyOther Council Is a Parent or Guardian attending? Is a Parent or Guardian attending? * Yes No Number of Adults * 0123 1st Parent or Guardian Information Parent or Guardian First Name * Parent or Guardian Last Name * Relationship * Email T-Shirt Size * Adult SmallAdult MediumAdult LargeAdult XLAdult 2XLAdult 3XL 2nd Parent or Guardian Information Parent or Guardian First Name * Parent or Guardian Last Name * Relationship * Email T-Shirt Size * Adult SmallAdult MediumAdult LargeAdult XLAdult 2XLAdult 3XL 3rd Parent or Guardian Information Parent or Guardian First Name * Parent or Guardian Last Name * Relationship * Email T-Shirt Size * Adult SmallAdult MediumAdult LargeAdult XLAdult 2XLAdult 3XL Would you like to purchase additional T-Shirts? Would you like to purchase additional T-Shirts? * Yes No Additional T-Shirts Each additional T-Shirt is $10 each! Each Scout and adult attending will receive one free! Youth Shirt Sizes Youth Medium Youth Large Adult Small Adult Medium Adult Large Quantity of Youth Medium * Quantity of Youth Large * Quantity of Adult Small * Quantity of Adult Medium * Quantity of Adult Large * Adult Shirt Sizes Adult Small Adult Medium Adult Large Adult XL Adult 2XL Adult 3XL Quantity of Adult Small * Quantity of Adult Medium * Quantity of Adult Large * Quantity of Adult XL * Quantity of Adult 2XL * Quantity of Adult 3XL * These shirts will be purchased for: * Cub Scout Adventure Camp Webelos Adventure Camp Camp Session I will be attending: * Cub Scout Adventure Camp Webelos Adventure Camp Cub Scout Adventure Camp at Camp Eastman * Session A - June 7-9 Session B - June 14-16 Session C - June 21-23 Webelos Adventure Camp * Session A - June 23-26 Session B - June 26-39 Coupon Code Text Fees - Cub Scout Adventure Camp Total Number of Youth Attending ($130 if paid before 4/20/19) * Total Number of Youth Attending ($155 if paid after 4/20/19) * Total Number of Adults Attending ($70 if paid before 4/20/19) * Total Number of Adults Attending ($95 if paid after 4/20/19) * Total Cub Scout Adventure Camp Youth Fees Total Cub Scout Adventure Camp Adult Fees Fees - Webelos Adventure Camp Total Number of Youth Attending ($145 if paid before 4/19/19) * Total Number of Youth Attending ($170 if paid after 4/19/19) * Total Number of Adults Attending ($80 if paid before 4/19/19) * Total Number of Adults Attending ($105 if paid after 4/19/19) * Total Webelos Adventure Camp Youth Fees Total Webelos Adventure Camp Adult Fees Payment Total Registration Fees Total T-Shirt Fees Total Payment reCAPTCHA I choose to pay: * Online (now) Pay in Service Center/Mail in Check Credit Card * Exp Month Name on Card (First Name) * Name on Card (Last Name) * Cardholder Email Address * Address * Address Address 1 Address 1 Address 2 Address 2 City City State/Province State/Province Zip/Postal Zip/Postal Submit + Add to Google Calendar + iCal / Outlook export Date Jun 21 - 23 2019 Expired! Location Camp Eastman Category Cub Scouts Share this event
