2023 Huntsville Day Camp Registration

Confirm Camp Dates*

Day Camp: June 19 - 23, 2023

Rank in May of 2023:*

Grade in Fall of 2023:*

Cub Scout Name:*

First NameLast Name

Scout's Gender*

BoyGirl

Cub Shirt Size: (Included in fee)*

District:*

Age:*

Pack Number:*

Parents/Guardians Name:*

First NameLast Name

Primary Phone:*

Area CodePhone Number

Cell Number (If different from Primary Phone):*

Area CodePhone Number

Work Number:*

Area CodePhone Number

E-mail*

Will you work as a volunteer:*

YesNo

What days can you work. You may select multiple days:

Volunteer Shirt Size:

CUB SCOUT CONTACT INFORMATION:*

	Name	Cell Phone
Contact 1
Contact 2
Contact 3

Adults NOT authorized to take youth to and from Camp:

SUPPLEMENTAL HEALTH INFORMATION

Health Officer May Administer:

Benadryl:*

YesNo

Benadryl Amount:

Benadryl How often:

Tylenol:*

YesNo

Tylenol Amount:

Tylenol How often:

Advil:*

YesNo

Advil Amount:

Advil How often:

If your child will require regular medication at camp it is to be turned in to the Health Officer each day at the beginning of Day Camp in its original container with its instructions. Exceptions to this include certain medications, such as inhalers or EpiPens, that need to be with the child.

Other Medications:

Does your child have any mobility issues or concerns?*

YESNO

Please provide information regarding your child's mobility issues.*

Does your child have or require any special needs or provisions our staff should be aware of?*

YESNO

Please provide information regarding your child's special needs or provisions so our staff can support them at Camp.*

I accept the above information and grant the Camp Medic permission to treat my Scout for minor medical issues.*

YesNo

Calculation

Payment*

Huntsville Day Camp *EARLY BIRD DISCOUNT*$95.00

Additional T-shirt $10.00

SizeQuantity

Subtotal $0.00Tax $0.00Total $0.00

Credit Card