Florida Keys Registration

1
Name
Jack Waite
Maddox Jurgensen
Will Main
Thomas Good
Nathan McMillan
Noah Choisser
Kellan Cook
Logan Hintz
Joshua Moinot
Maximillian Wheeler
Dan Walton
Jason Walton
Dan McMillan
2
Have both SCOUT and PARENT ALREADY READ all of the information on the Campout Information Web Page (including the Information Sheet)?* This field is required.IMPORTANT If Both Scout and Parent have NOT read it, please read before registering. It can be found on the Troop Website
YES - Both the SCOUT and PARENT have read the Campout Information Sheet
3
Will Any Medication Prescription or Non-Prescription Medication be going on the campout?* This field is required.
YESNO
4
Medication Information* This field is required.Please list all prescription and non-prescription medications going on the campout. List NAME, DOSAGE, and FREQUENCY. If none, please enter NONE below
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Ok
5
I understand that all Prescription and Non-Prescription Medications must be turned into the leader in charge prior to departure, must have EXACTLY the amount needed for the campout, and must be in the original labeled bottles* This field is required.
Understood
6
Additional Medical/Special Care InformationPlease list any additional medical/special-care information we should know.
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Ok
7
List Any Emergency Phone Numbers Please
8
Comments or QuestionsOptional - PLEASE HIT SUBMIT WHEN DONE
Should be Empty: