Scout Roster
Due January 5, 2016 *
All Scouts, Leaders, Adults, Staff, and District Leaders attending this event must register and pay the registration fee. There are no exceptions. The roster must have the correct names listed.
Unit # or Staff Position: / Total # of Scouts:Scout/Cubmaster: / Total # of Adults:
E:Mail Address:
Telephone No. / Total Registration Fee:
*BUDDY UNIT :
**Parking is extremely limited; carpooling is strongly suggested**
Adult Leader / Patrol NameAdults / Patrol Leader
Adults / Asst Patrol Leader
Adults / Scout
Adults / Scout
Adults / Scout
Adults / Scout
Adults / Scout
Adults / Scout
Adult Leader / Patrol Name
Adults / Patrol Leader
Adults / Asst Patrol Leader
Adults / Scout
Adults / Scout
Adults / Scout
Adults / Scout
Adults / Scout
Adults / Scout
Bring Roster to 1/5/16 Roundtable or * Jack Colamaria
Mail completed Roster to: 9 Woodland Road, Norwood, MA 02062
~Please make Checks payable to: Old Colony Council~
*Please indicate the Unit (Troop or Pack) that you will be hosting or joining during the day of Klondike