2010 O.C. Pacifica District Camporee Registration Form

Send this form and payment to:

OC Council BSA – Attn: Pacifica District Executive

1211 E. Dyer Road, Santa Ana, CA92705

Account No.: 1-6801-141-20

Registration Due by April 8th, 2010

Don’t forget your tour permit!

Unit Type:  Pack  Troop  Crew Unit Number: ______

Unit leader ______Phone No.______

Unit leader E-Mail______

Please list Unit point of contact if not the Unit Leader ______

Phone No.______E-Mail ______

PLEASE REGISTER EACH UNIT ON A SEPARATE FORM

  • All participants must be registered as BSA Scouts, Venturers or Leaders.
  • No Tigers, Cubs, non-BSA registered friends or family members permitted
  • Two Deep Leadership and Guide to Safe Scouting rules apply.
  • Patrols are limited to a maximum of 8-10 Scouts or Venturers!
  • Adult Leaders cannot participate as Patrol members.

Patrol Names No. in patrol Patrol Names No. in patrol

______

______

______

All prices include Camp fees, Activities, and Patch. Everyone attending is expected to register and pay the proper fees. No refunds if you bring fewer people than registered. Each unit leader is expected to reconcile any late registration with Camporee Registration.

Please make payment by check made payable to “OCBSA” and write “Pacifica District 2010 Camporee” on the memo line.

EARLY REGISTRATION:LATE REGISTRATION(After April 8th, 2010):

CampersCampers

No. of Youth _____ X $18.00 = $ ______No. of Youth _____ X $23.00 = $ ______

No. of Adults _____X $18.00 = $______No. of Adults _____X $23.00 = $______

Total Campers_____ Total Fees $______Date Payment Received ______

SPECIAL NOTES
THIS CAMPOREE IS FOR BSA-REGISTERED SCOUTS, CREWS AND ADULT
LEADERS ONLY! PLEASE DO NOT BRING UNAUTHORIZED PERSONS (Sorry, no Cubs, younger siblings, or friends are permitted as this is a “Boy Scout“event)

If you have questions please contact Rebekah Havard by Phone (714) 546-8558 x104 or

by E-Mail to

Page 1 of 2