2018 Camp Mack Indv Info Form

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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



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