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Pack 65 Cub Scout Registration - Fall 2023
Please fill out the form to register with Pack 65
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* Indicates required question
Cub Scout First Name
*
Your answer
Cub Scout Last Name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
School Scout Attends
*
Your answer
Grade Level
*
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Gender of Cub Scout
*
Female
Male
Father's Name
*
Your answer
Father's Cell Phone Number
*
Your answer
Fathers Email Address
*
Your answer
Mother's Name
*
Your answer
Mother's Cell Phone Number
*
Your answer
Mother's Email Address
*
Your answer
Guardian Name
Your answer
Guardian Cell Phone Number
Your answer
Guardian Email Address
Your answer
Home Address
*
Your answer
The Pack works successfully if everyone pitches in. What area would you be willing to serve on?
*
Fundraising (help us raise funds!)
Fall and Spring Campouts (organize campouts!)
Blue and Gold Banquet (plan a party!)
Pinewood Derby (organize a race car event!)
Recruitment (help the Pack grow!)
Hiking (help organize hiking ventures!)
Advancement (help with ranks and awards!)
Required
Are you or your partner interested in serving in a Cub Scout Adult Leadership Position
*
Yes
No
Maybe
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