Event Online Registration Request Form
Event Online Registration Request Form
San Diego-Imperial Council
Not everything on this form may be relevant to your event. Complete as much as is applicable.
Send a copy of your event flyer & this form to your staff partner.
Requesting a ☐ NEW event -OR- ☐ UPDATE to prior event/previous year
Event Name: Click to enter text.
District (if applicable): Enter District Name Staff Partner Name: Click to enter text
Event Contact Name: Click to enter text Event Contact Email: Enter email address
Event Start Day: Click or tap to enter a date. Start Time: Enter time End Date: Click or tap to enter a date. End Time:
Event location/address: Enter location including street, city, zip
(If this is a council property, you must also reserve the property. Submission of this form does NOT reserve the property.)
Date registration ends: Click or tap to enter a date. (as of this date, online reservations will be closed)
☐ Individual registration -OR- ☐ Multiple registration (multiple people per online entry). Please mark one.
Enter number Minimum registrations Enter number Maximum registrations
Select the registrant types and indicate the appropriate Full Event Fee per type. Check all that apply. Leave Fee lines blank if this a FREE event.
rev.3/1/18
Event Online Registration Request Form
San Diego-Imperial Council
☐ Adult Leader
☐ Non-registered Adult male or female
☐ Sibling under 5
☐ Sibling 6+
☐ Boy Scout
☐ Cub Scout
☐ Venturer participant 13-17
☐ Venturer participant 18-20
☐ Staff Scout by rank
☐ Other type: Describe
$ enter FEE Adult Leader
$ enter FEE Non-registered Adult male or female
$ enter FEE Sibling under 5
$ enter FEE Sibling 6+
$ enter FEE Boy Scout
$ enter FEE Cub Scout
$ enter FEE Venturer participant 13-17
$ enter FEE Venturer participant 18-20
$ enter FEE Staff Scout by rank
$ enter FEE Other type
rev.3/1/18
Event Online Registration Request Form
San Diego-Imperial Council
Deposit: $ Deposit amount ☐ Refundable ☐ Non-Refundable (mark one if applicable)
Discounts: Before Click or tap to enter a date. a discount of $ enter amount will apply to all Indicate who qualifies for discounts.
Late fee: After Click or tap to enter a date. a late fee of $ enter amount will apply to all Indicate who must pay late fees
Event Description: (Please email your event flyer and we’ll copy the text from there)
Confirmation message: (i.e. “Thank you for registering for ______, please remember to ”.)
Click here to indicate any special message regarding confirmation that you would like to use.
The system is able to notify event chairs via email when a registration has been processed. What email address(es) would you like to receive this notification? Click to enter text
Additional form items you may want collected for your activity/event. Please indicate if mandatory (M) or optional (O) for each item.
M O
☐ ☐ Age/ rank restrictions (specify): Click to enter text.
☐ ☐ Council Name
☐ ☐District name
☐ ☐Unit type & Number
☐ ☐Special Needs (dietary, medical, mobility, etc.)
☐ ☐Health form required
☐ ☐Position in scouting
☐ ☐Scout Rank
☐ ☐BSA ID
☐ ☐Birthdate
☐ ☐Emergency contact info (select items): ☐ Name ☐ Phone ☐ Email
☐ ☐T-shirt size (youth/adult-be specific on sizes): Click to enter text.
☐ ☐T-shirt cost initial/additional (define if applicable): Click to enter text.
☐ ☐Other event specific information needed: Click to enter text.
Form submitted by: Click to enter text. Phone: Click to enter text. Email: Click to enter text.
**Copy of our cancellation policy. Different timeline/date must have management approval
Cancellations and requests for refunds must be made in writing two weeks prior to your event. Requests for refunds less than two weeks will be at the discretion of the [Staff Partner/Event Coordinator]. Please submit all requests for cancellations and refunds to [EVENT Name] at [Email Address of Staff Partner] or or mail your request to [EVENT Name], SDIC-BSA, 1207 Upas Street, San Diego, CA 92103.
[OPTIONAL, if applicable item] The $50 deposit is nonrefundable. Please allow 2-3 weeks after event dates for processing of your refund if applicable.
------OFFICE USE------
Assigned to DoubleKnot Specialist Click to enter text. on Click or tap to enter a date.
Due date for online registration: Click or tap to enter a date.
rev.3/1/18