Outdoor Program Event Registration

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Thank you for your interest in our Outdoor Program Events. At this time we do not take payments on-line. You will receive your confirmation of space availability with-in 5 business days of submitting this registration.

1. Name of event you are registering for? If the event is not listed, the event is filled to capacity.

Name of event you are registering for? If the event is not listed, the event is filled to capacity.

2. Troop Leader / Parent Information

Troop Leader / Parent Information Name:
Address:
Address 2:
City/Town:
State:
ZIP:
Email Address:
Phone Number:

3. Troop / Service Unit Info

Troop / Service Unit Info Troop #
Service Unit Name
County

4. Participant information and cost

	Participants	Total	Cost of Event per person
Participants	Participant information and cost Participants Participants	Total	Cost of Event per person
Participants	Participants Participants	Total	Cost of Event per person

Total price to be charged

5. Troop / Participant information
Please enter all participant's names including adults

Troop / Participant information Please enter all participant's names including adults 1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20

6. Additional Troop / participant Info (please match row numbers for question 4 and 5 choices)
Please note that T-shirts are not required for all events. If you are entering t-shirts for a designated event, please note that we cannot be responsible for t-shirt sizes entered incorrectly OR that do not fit.

	Girl or Adult	Grade 2012-2013	T-Shirt Size (if applicable)
1	Additional Troop / participant Info (please match row numbers for question 4 and 5 choices) Please note that T-shirts are not required for all events. If you are entering t-shirts for a designated event, please note that we cannot be responsible for t-shirt sizes entered incorrectly OR that do not fit. 1 Girl or Adult	Grade 2012-2013	T-Shirt Size (if applicable)
2	2 Girl or Adult	Grade 2012-2013	T-Shirt Size (if applicable)
3	3 Girl or Adult	Grade 2012-2013	T-Shirt Size (if applicable)
4	4 Girl or Adult	Grade 2012-2013	T-Shirt Size (if applicable)
5	5 Girl or Adult	Grade 2012-2013	T-Shirt Size (if applicable)
6	6 Girl or Adult	Grade 2012-2013	T-Shirt Size (if applicable)
7	7 Girl or Adult	Grade 2012-2013	T-Shirt Size (if applicable)
8	8 Girl or Adult	Grade 2012-2013	T-Shirt Size (if applicable)
9	9 Girl or Adult	Grade 2012-2013	T-Shirt Size (if applicable)
10	10 Girl or Adult	Grade 2012-2013	T-Shirt Size (if applicable)
11	11 Girl or Adult	Grade 2012-2013	T-Shirt Size (if applicable)
12	12 Girl or Adult	Grade 2012-2013	T-Shirt Size (if applicable)
13	13 Girl or Adult	Grade 2012-2013	T-Shirt Size (if applicable)
14	14 Girl or Adult	Grade 2012-2013	T-Shirt Size (if applicable)
15	15 Girl or Adult	Grade 2012-2013	T-Shirt Size (if applicable)
16	16 Girl or Adult	Grade 2012-2013	T-Shirt Size (if applicable)
17	17 Girl or Adult	Grade 2012-2013	T-Shirt Size (if applicable)
18	18 Girl or Adult	Grade 2012-2013	T-Shirt Size (if applicable)
19	19 Girl or Adult	Grade 2012-2013	T-Shirt Size (if applicable)
20	20 Girl or Adult	Grade 2012-2013	T-Shirt Size (if applicable)

7. Please list any special needs or dietary restrictions of anyone attending this event if applicable

Please list any special needs or dietary restrictions of anyone attending this event if applicable

Once you click the "next" button, your registration will be submitted to the Outdoor Program Team.