2015 Pack Camp Transmittal Form
User Manual: 2015-Pack-Camp-Transmittal-Form
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Camp Mack Pennsylvania Dutch Council Boy Scouts of America J.E.MACK SCOUT RESERVATION- 2015 Pack Camp -Payment Transmittal Form for Packs Full Week: July 5-10 or Mini Week: July 5-8 Unit: Unit Contact: Address: Contact Email: Step 1 District: Council: Daytime Phone: City: State: Zip: Gather Information: Collect Pack Camp Individual Information Forms, required attachments, and checks made out to your Pack for all Cub Scouts and adults planning on participating in Pack Camp. Figure Out Total Session Fees: Use this chart to figure out the total amount due for this session. When finished, attach one Pack check made out to Pennsylvania Dutch Council, BSA. This form and payment is due to the Pennsylvania Dutch Council Service Center no later than May 8, 2015 or late fees will apply. Total Full Week Scouts _____ x $270.00 + Total Mini Week Scouts _____ x $170.00 = (6PACC) Step 2 Total Full Week Adults _____ x $130.00 + Total Mini-Week Adults _____ x $100.00 = Total Adult T-Shirts _____ x $12.00 Number of Shirts by Size: _____ S _____ M _____L _____ XL _____ 2X _____ 3X = Total Camp Photos _____ x $8.00 = Total Family Night Dinners _____ x $8.00 = Subtract Deposits Previously Paid _____x $25.00 - (Full Week Campers Only. Campers & Guests age 5 & under eat free) (Attach Copy of Deposit Receipt) Subtract Free Leaders _____ x $130.00 (See back to figure out if you qualify for Free Leaders. For Pack Camp Free Leaders can only be applied toward adults staying for the Full Week.) Subtract Total Camperships/Popcorn Prizes (A copy of the Campership or Popcorn Prize Letter from the PA Dutch Council must be attached to receive credit) Step 3 (6PACS) (6PACP) (6PACM) - Late Fees _____ youth x $25.00 = Total Fees Due with this transmittal. Submit one Pack check to cover fees. = (Apply for any payments turned into Service Center after May 8, 2015) (6PACC) Attachments: Use this transmittal form as a cover sheet. Attach Copies of the following to the back: • Each Individual Information Form • Required Health Forms (for youth and adult campers) • Special Dietary Needs Forms • BMX Pump Track Hold Harmless • Copies of Campership/Popcorn Prize Letters • Youth Protection Training for Each Adult • Copy of Deposit Receipt *Submit Your Packet by May 8, 2015 or Late Fees Will Apply* See Back for Further Information Pennsylvania Dutch Council 630 Janet Ave. Suite B-114 Lancaster, PA 17601 717-394-4063 www.padutchbsa.org Pennsylvania Dutch Council Camp Mack Boy Scouts of America Artie’s Important Information! This Transmittal form is to be used by the Pack to make final payments for Summer Camp. In order to avoid Late Fees, this form, all required attachments, and one Pack check made out for the total amount must be received by the Pennsylvania Dutch Council Service Center on or before May 8, 2015. INDIVIDUAL REGISTRATION: Cub Scouts planning on attending Summer Camp during either a different session than the rest of their Den/Pack or in the event that no one else from the Pack is attending are still welcome to come! In this case, an adult family member (21 years of age or older) must accompany each Cub Scout. To register as an individual, fill out the Individual Information Form for the camp and send it directly to the PA Dutch Council Service Center with payment and all required attachments. FEES: Camper and adult fees include all meals, program materials, and a camp patch. Youth camper fees also include a water bottle. Youth t-shirts are included in the camper fee if paid by May 8. After May 8 youth t-shirts will be available at the camp trading post while supplies last. Adults may want to purchase a T-shirt. The Trading Post will be open daily with cold drinks, snacks, Camp Mack mementos, etc. for purchase. FREE ADULTS: For every five boys attending the same camp session, one adult gets to attend Free. See the Schedule below to determine if you qualify for Free adults. # of Youth # of Free Adults 5-9 1 10-14 2 15-19 3 20-24 4 25-29 5 Packs hosting a Camp Promotion presentation no later than March 31, 2015 will receive credit for an additional FREE adult to apply to whichever camp they so choose. Note-For Pack Camp, FREE Adults can only be applied to Adults staying for the FULL Week session. REFUNDS: The PA Dutch Council Camp Refund Policy will be strictly followed. A copy of this policy can be found in the Camp Adult Guide and on the camp website www.padutchbsa.org/camping/mack. MEDICAL FORMS: All Youth Campers and Adults must have a medical form. No one will be permitted to stay in camp without the proper medical form. Be sure to make copies before you come to camp and keep the original in a safe place to use again. If you are unable to attach a copy of the required medical form at the time of payment bring it to camp with you on check in day. Do not send it directly to the Council Service Center or directly to Camp Mack. Required medical forms are as follows: Cub Scout Day Camp Cub Scout Resident Camp Pack Camp Webelos Resident Camp BSA Medical Form Parts A & B BSA Medical Form Parts A & B BSA Medical Form Parts A, B, & C BSA Medical Form Parts A, B, & C FOR FURTHER INFORMATION: For further information please see the 2015 Camp Mack Adult Guide. The Adult Guide is available online at www.padutchbsa.org/camping/mack. Pennsylvania Dutch Council 630 Janet Ave. Suite B-114 Lancaster, PA 17601 717-394-4063 www.padutchbsa.org
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