New Scout Registration

1
Scout RegistrationIs your Scout already registered with BSA?
Pack 200
Pack 282
Other Pack/Troop
New to Scouting
Adult Only Registration
2
Scout Name* This field is required.
She/Her/Hers
She/Her/Hers
He/Him/His
They/Them/Their
Pronouns
First Name
Last Name
3
Scout Birthdate
Month
Day
Year
4
Scout BSA #Please include their BSA Member Number here. You can find this information in Scoutbook under the Scout Profile. https://scoutbook.scouting.org/
5
Scout Contact InformationTroop 1033 is Scout led and they are expected to communicate with Adult Leaders and among themselves. Please let us know if your scout has their own email and/or phone number. Two-deep leadership is required whenever communicating with adult leaders.
Address
City
IN
Please Select
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
State
Zip
Scout Cell Phone
Scout Email
6
Scout Additional InformationPlease tell us a bit more about your Scout so that we can align them to the correct patrol.
Current School
Please Select
Please Select
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Current Grade
Health or Dietary Restrictions?
7
Adult Name* This field is required.Troop 1033 requires at least one parent or guardian to be registered with the Troop. There is a $60 annual fee for each registered adult that will be paid directly to the BSA through their registration.
Mr.
Mrs.
Ms.
Miss
Mx
Mstr.
Prof.
Rev.
Dr.
Title
First Name
Last Name
8
Adult Contact InformationPlease enter your contact details below. You can find your 'BSA Member ID' by clicking on your my.scouting.org profile.
Address
City
IN
Please Select
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
State
Zip
Adult Cell Phone
Adult Home Phone
Adult Email
BSA Member ID
9
Adult BSA #Please include your BSA Member Number here. You can find this information in my.scouting.org profile.
10
Youth Protection Training* This field is required.To protect our Scouts, we require that all Adults complete BSA Youth Protection Training every 2 years. Please upload an image of your completion certificate here. The training takes an estimated 72 minutes to complete.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Youth Protection Training Certificate
Cancelof
11
Add Adult* This field is required.Only registered adults with Youth Protection Training will be allowed to participate in troop outings and activities. You may also add an adult for communications and website access.
12
Adult 2: Name* This field is required.There is a $60 annual fee for each registered adult that will be paid directly to the BSA through their registration.
Mr.
Mrs.
Ms.
Miss
Mx
Mstr.
Prof.
Rev.
Dr.
Title
First Name
Last Name
13
Adult 2: Contact InformationWe've copied the address from your Scout, please update as needed. You can find your 'BSA Member ID' by clicking on your my.scouting.org profile.
Address
City
IN
Please Select
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
State
Zip
Adult Cell Phone
Adult Home Phone
Adult Email
BSA Member ID
14
Adult 2: BSA #Please include your BSA Member Number here. You can find this information in my.scouting.org profile.
15
Adult 2: Youth Protection Training* This field is required.To protect our Scouts, we require that all Adults complete BSA Youth Protection Training every 2 years. Please upload an image of your completion certificate here. The training takes an estimated 72 minutes to complete.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Youth Protection Training Certificate
Cancelof
16
Contact Name* This field is required.This adult will not be eligible to participate in troop outings or activities until registered and YPT is complete.
Mr.
Mrs.
Ms.
Miss
Mx
Mstr.
Prof.
Rev.
Dr.
Title
First Name
Last Name
17
Contact InformationWe've copied the address from your Scout, please update as needed. This adult will not be eligible to participate in troop outings or activities until registered and YPT is complete.
Address
City
IN
Please Select
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
State
Zip
Adult Cell Phone
Adult Home Phone
Adult Email
18
Joining MonthPlease select the month of your first meeting with the Troop. This will allow us to enter advancements beginning on that date.
February
January
February
March
April
May
June
July
August
September
October
November
December
19
Adult Only Dues - $0Hidden field used to set Adult Only Fees to $0
20
Troop DuesOur Troop 'Scout Dues' are prorated based on the joining month and cover Scout Awards, Advancements and other program expenses. The 'Annual Charter Facility Fee' covers operations and overhead for our camping equipment, trailers, and meeting facilities. Outing fees are not included and will vary based on the location, duration and scheduled activities. BSA and Crossroads Council will collect their additional prorated fees during the application process.
Scout Dues
Annual Charter Facility Fee
21
Invoice ID
22
Troop Dues

Our Troop 'Scout Dues' are prorated based on the joining month and cover Scout Awards, Advancements and other program expenses. The 'Annual Charter Facility Fee' covers operations and overhead for our camping equipment, trailers, and meeting facilities. Outing fees are not included and will vary based on the location, duration and scheduled activities. BSA and Crossroads Council will collect their additional prorated fees during the application process.

You will recieve a Paypal invoice after submitting this form with the following:

Scout Dues: ${troopDues55[1]}

Annual Charter Facility Fee: ${troopDues55[2]}
Should be Empty:

Scout Dues:	${troopDues55[1]}
Annual Charter Facility Fee:	${troopDues55[2]}

Troop Dues