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Cub Scout Pack 56 - Long Hill Twp
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2023 Registration form for NEW Pack 56 Members
This form is for all NEW scouts in Pack 56
Name of Cub Scout
*
First Name:
*
Last Name:
*
Den:
Residence of Cub Scout
Any Pack 56 mailings will be sent to this address.
*
Street Address:
*
Town:
*
State:
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Zip Code:
*
Email address to use for pack communications:
*
Phone number at residence (xxx-xxx-xxxx):
Primary Parent or Guardian
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First Name:
*
Last Name:
*
Home Phone (xxx-xxx-xxxx):
*
Mobile Phone (xxx-xxx-xxxx):
*
Email address:
Secondary Parent or Guardian
First Name:
Last Name:
Home Phone (xxx-xxx-xxxx):
Mobile Phone (xxx-xxx-xxxx):
Email address:
Emergency Contact
*
First Name:
*
Last Name:
*
Relationship:
*
Phone number (xxx-xxx-xxxx):
Other Information
Allergies or disabilities (please describe):
Parent Authorizations
Consent for Photo / Video Release
At events such as Pinewood Derby, Memorial Day, Blue & Gold and other occasions, photos or videos are sometimes taken and later published in local newspapers such as the Echoes-Sentinel. Photos or videos may also be accessible from our website which is password-protected and only accessible by members of Pack 56. By providing your consent, you allow Pack 56 release photos and/or videos in manner described.
*
Consent for Photo / Video Release:
Yes - I provide my consent
No
Agreement to Abide by the Code of Conduct
Pack 56 has established a Code of Conduct to provide Scouts, Parents, and Adult Leaders with a framework of expectations and disciplinary actions for all members of the Pack. This Code of Conduct will help ensure a common language and understanding for behavioral expectations, and consequences, allowing us to create an atmosphere conducive to fun, safety, and the values of Scouting. If you wish to review it now, the Code of Conduct will open in a new window by clicking on the 'Code of Conduct' link under the above 'Pages' dropdown menu.
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Agreement to Code of Conduct:
I have read the Pack 56 Code of Conduct and agree to abide by its terms.
Participation in Events and Medical Emergencies
"The Cub Scout I am registering has permission to engage in all prescribed activities, except as noted by me. In the event of illness or accident in the course of such activity, I request that measures be instituted without delay as the judgment of medical personnel dictates."
*
Agree:
Yes - I agree with the statement above
No
If you disagree, please note reasons below:
Pack 56 Communicable Diseases Acknowledgement
I acknowledge that the contagious nature of the COVID-19 virus, as well as other communicable diseases, will cause Pack 56 to adjust their policies and procedures while conducting activities and events. In an effort to follow the guidelines set forth by the CDC and NJ Department of Health, I may be subject to additional guidelines at scouting events. The Pack will make these additional requirements known to me at the time of registration or as soon as possible thereafter. I understand that in order to participate, or in order for my child to participate, I will have to follow these additional policies and procedures. I also understand that if either I or my child become ill, they will be prohibited from participating in all scouting events and will not be able to return to scouting events without medical clearance. Further, I agree to hold Pack 56 of Long Hill Township and its volunteers harmless from risk, injury or damage suffered including contraction of communicable diseases during the same timeframe I attend an activity.
*
Acknowledgement of the Communicable Diseases Agreement:
I have read the Pack 56 Communicable Diseases Acknowledgement and agree to abide by its terms.
Payment Information
This year's fee is as follows:
Yearly registration fee is $0.00 (Paid directly to BSA via BSA Registration)
Online payment is processed through my.scouting.org
Voluntary Friends of Scouting Contribution
We ask our parents to consider a small, voluntary donation to the Friends of Scouting, which is a fund set up by the Boy Scouts of America to offset the costs of managing camp properties, training leaders and other activities necessary to providing a quality youth program. The BSA is an approved Non-Profit organization and your contribution is tax-deductible. For more information on Friends of Scouting, please visit https://ppcbsa.org/give/
* indicates required fields
SELECT FEE
$25 - Gold Support Level
$15 - Silver Support Level
$5 - Bronze Support Level
$0 - Not at this time