Campout Registration

Event	Back packing and Environmental Service Project
Location	Sid Richardson Scout Ranch on Lake Bridgeport
Meet	5:00 pm Friday (11/14) at Scout Hut
Return:	Sunday (11/16) at the Scout Hut

SUBMIT ONCE FOR EACH SCOUT AND ADULT GOING ON CAMPOUT

(1) First Name*

(2) Last Name*

(3) Email for confirmation*

(4) Boy Scout or Adult*

CAMPOUT ATTENDANCE

(5) Friday Attendance*

(6) Saturday Attendance*

(7) Sunday Attendance*

(8) Tent*

EMERGENCY CONTACT INFORMATION

(9) Primary contact name*

(10) Primary contact phone*

(11) Primary other phone

(12) Alternate contact name*

(13) Alternate contact phone*

ADULT DRIVER INFORMATION (only answer if line 4 above is ADULT)

Only adults going on the campout should answer the next 2 questions. We need to know the total number of passengers for which you have seatbelts, including the driver.

(14) Are you an adult who can drive scouts BESIDES YOUR OWN SON?

(15) Total seats in car

COMMENTS OR QUESTIONS (please be brief)

(16) Comments