2018 Camp Mack Indv Info Form
User Manual: 2018-Camp-Mack-Indv-Info-Form
Open the PDF directly: View PDF .
Page Count: 2
Download | |
Open PDF In Browser | View PDF |
Pennsylvania Dutch Council Camp Mack 2018 Camp Mack Boy Scouts of America Individual Information Form “A Pirates Life at Camp Mack” Complete this form and return it with a copy of your completed health form WITH PAYMENT FOR ALL FEES LISTED to YOUR PACK before or by May 1, 2018 so your pack can turn it in on time and avoid a LATE FEE! Read this form completely (front and back) before beginning! √ Step 1. Indicate the session you wish to attend: Weekend Resident Day Camp Week-long Resident Use this box to figure out your camp fees. Indicate the week you wish to attend: Week 1 June 16-21 Week 3 July 7-12 Week 5 July 21-26 Weekend Resident Youth: $185.00 Week-long Resident Youth: $290.00 Day Camp Youth: $125.00 Late Fees: _____ x $25.00 = __________________________ Week 2 June 23-28 Week 4 July 14-19 STEM Camp July 1-3 (Applies after May 15, 2018) √ Step 2: Fill in Scout / Pack Information: Scout Weekend Resident Adult: $95.00 Week-long Resident Adult: $125.00 Day Camp Adult: $60.00 Pack # Street City , State _______ Zip _______ E-mail Phone Adult S Adult Shirt (opt.): Size: _____________ x $12.00= _______________ Family Night Dinner Guests: Date of Birth September 2018 grade: SCOUT T-SHIRT: Youth S √ Step 4: Figure Out Camp Fees Camp Photo: Youth M Adult M Youth L Adult L (Please circle size. Price included in camp fee if paid by May 15. See Back for more information.) x $8.00 = (all campers & all guests age 5 & under eat free) x $8.00 = Subtract Deposit Paid: -$25.00 (If you previously paid a deposit subtract it here. Deposits are Non-Refundable) √ Step 3: YES, I’ll come to camp with my Scout! Subtract Campership/Popcorn Prize: - Adult / Leader TOTAL PAID TO PACK: Street City , State ______ Zip E-mail Main Phone Pennsylvania Dutch Council does not maintain information on individual “Scout Accounts” nor can it give credit for funds in these accounts. If your Pack uses “Scout Accounts” use of those funds for summer camp is between you and your Pack. Alt. Phone ADULT T-SHIRT: Shirts can be ordered online or purchased while at camp in the Camp Mack Training Post. √ FINAL STEP: Complete the following additional required forms: Annual BSA Health and Medical Record (Parts A & B only) for every camper (Scout & adult) listed above, Camp Mack Special Dietary Needs Form, PA Background Clearances, and Youth Protection Training for each adult. Once complete, attach a COPY of these forms to this registration form. Turn your packet and a check made out to your Pack into your Pack by May 1, 2018. Do not bring this form to the Pennsylvania Dutch Council office. Pennsylvania Dutch Council 630 Janet Ave. Suite B-114 Lancaster, PA 17601 717-394-4063 www.padutchbsa.org Pennsylvania Dutch Council Camp Mack *SEE OTHER SIDE FOR IMPORTANT INFORMATION* Boy Scouts of America Weekend Resident Camp Important Information – Please Read Weekend Resident Camp is an action-packed, three-day/two-night adventure for Cubs and families who are ready for the thrill of overnight camping. Week-Long Resident Camp is a six day/five-night adventure for those Cubs and Dens ready for a longer camping experience! Day Camp is all the fun of summer camp without the overnight. STEM Camp will focus on meeting requirements for the Cub Scout Nova Awards and STEM related activities. It is the responsibility of the Pack to secure sufficient adults following the guidelines in the Camp Adult Guide and on the Camp website www.padutchbsa.org/camping/mack. INDIVIDUAL REGISTRATION: If you plan on attending Camp Mack and no one else from your Pack is planning on attending the same session, you can still come! In this case, an adult family member (21 years of age or older) must accompany your Cub Scout. To register as an individual, go online to padutch.tentaroo.com and set up an account. FEES: Weekend Resident Youth Fee (Received at Council Service Center by May 15) Week-long Resident Youth Fee (Received at Council Service Center by May 15) Day Camp Youth Fee (Received at Council Service Center by May 15) Late fee is an additional $25 per Scout registered after May 15 Weekend Resident Adult Fee Week-long Resident Adult Fee Day Camp Adult Fee Family Night Dinners (campers and children under 5 free) Scout Den Photo $185.00 $290.00 $125.00 $95.00 $125.00 $60.00 $8.00 $8.00 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 15. After May 15 youth t-shirts will be available at the camp trading post while supplies last. Adults can also purchase a camp t-shirt from the trading post. The Trading Post will be open daily with cold drinks, snacks, Camp Mack mementos, etc. for purchase. > Make your check payable to your Pack to cover all fees shown above. > Summer camp fees are due in Tentaroo, NO LATER than May 15 in order to receive the regular fee. NO EXCEPTIONS will be made to this policy. Payment received after May 15th must include the $25 late fee and will not include a youth t-shirt. Be sure you submit your paperwork and check to your Pack by May 1, 2018 so they have time to meet the May 15th deadline. > All adults attending camp must complete the PA Background Clearances and Youth Protection Training prior to attending camp whether they are registered members of the BSA or not. PA Clearances must be submitted online prior to attending camp at padutchbsa.org/act15. > REFUNDS: The Pennsylvania 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 are required for every youth and adult camper. At the end of your camp session the medical forms will be returned. Be sure to make copies before you come to camp. Keep the original at home in a safe place to use again. Copies cannot be made at camp. MEDICAL FORMS ARE REQUIRED FOR EVERYONE AS FOLLOWS: Weekend Resident Camp Medical Form: Annual BSA Health and Medical Record Parts A & B plus the Camp Mack Special Dietary Needs Form CHECK OUT THE COUNCIL WEBSITE: www.padutchbsa.org for more information on other camping opportunities. Pennsylvania Dutch Council 630 Janet Ave. Suite B-114 Lancaster, PA 17601 717-394-4063 www.padutchbsa.org
Source Exif Data:
File Type : PDF File Type Extension : pdf MIME Type : application/pdf PDF Version : 1.7 Linearized : No Page Count : 2 Language : en-US Tagged PDF : Yes XMP Toolkit : 3.1-701 Producer : Microsoft® Word 2016 Creator : Corinne Kern Creator Tool : Microsoft® Word 2016 Create Date : 2018:03:02 10:57:08-05:00 Modify Date : 2018:03:02 10:57:08-05:00 Document ID : uuid:BA4165E8-BB77-4EAC-BC53-1D5E48E393C4 Instance ID : uuid:BA4165E8-BB77-4EAC-BC53-1D5E48E393C4 Author : Corinne KernEXIF Metadata provided by EXIF.tools