Troop 112 Charter Renewal Form 2016
Please complete one form per family.
LAST NAME:______
Please fill out the following information only if it has changed in the last year: ADDRESS:______
E-MAIL:______PHONE:______
***Please check here if you do not want this information shared with the rest of the troop.______
Scouts: You will be asked to select Troop (Boy Scout) or Crew (Venture Scout).You must be 14 years old or 13 and PAST the 8thgrade to be in a Venture Crew.You may choose to be in both the Troop and Crew.If you do this, you must choose which of the two will be your primary unit, and which will be your secondary.You must pay dues for your primary unit only. The other membership will be added for free.If you are registering for both, please circle which one you want your primary unit to be (“Troop” or “Crew”).
If you are going to turn 18 years old in the first 6 months of 2016, then please register for both (you will still be able to work on “Troop” ranks).If you have not registered before as a Crew member, you will need to fill out a BSA youth application.
Scout #1:______
Boy Scout Troop______$70.00
Venture Scout Crew ______$45.00
Boy’s Life Subscription Y____ N____$12.00
Scout #2:______
Boy Scout Troop______$70.00
Venture Scout Crew ______$45.00
Boy’s Life Subscription Y____ N____$12.00
Adult Scouter:______
Current Leadership Position:______
Troop_____$30.00
Crew _____$30.00
Both* _____
Adult Scouter:______
Current Leadership Position:______
Troop_____$30.00
Crew _____$30.00
Both* _____
*Adults:There is no additional fee to join both the troop and crew.If you have not registered before as a Crew member, you will need to fill out a BSA adult application.You will also need to complete Venture Youth Protection. If you select both, please circle “Troop” or “Crew” as your primary choice.
If you are a “Multiple” (registered with more than one troop or unit), please check here______(There is no additional fee).Also, please indicate your primary unit number ______
Total Due: ______
Payment:Cash ______Check #______Outdoor Credit ______
Please make checks payable to “Troop 112”