Registration Assistance Request

End of Fees & Calculations
SUBTOTAL OF ALL FEES
Calcullated - Do Not Modify
Amounts to be Paid by Family(s), Chartered Organization and Unit

Unless prevented by extenuating circumstances, the unit and/or charter organization are also expected to provide assistance.
Amount to be Paid by Family(s)
Total for all families, if more than one
Amount to be Paid by Chartered Organization
Amount to be Paid by Unit
Total (Family(s) + Chartered Org + Unit)
Calcullated - Do Not Modify
TOTAL ASSISTANCE REQUESTED
Calcullated - Do Not Modify
Names and circumstances of youth and adults for whom this form is being submitted.*
Please explain the demonstrated need for assistance for ALL individuals. Utilize information provided via the Individual Information Form(s)

Unit Representative
UNIT REPRESENTATIVE APPROVAL

To be completed by Charter Organization Representative, Committee Chair or Unit Leader

On behalf of our Scouting program, I request the above financial assistance.
Unit Representative - Name*
Chartered Organization Representative Name
Unit Representative - Email*
example@example.com
Unit Representative - Signature*

Clear
Date*

MonthDayYear
Position*
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District Executive (Unit Serving Executive)
District Executive (Unit Serving Executive)
As the District Executive (Unit Serving Executive), I certify that these youth and/or adults have been properly recruited into the indicated unit. (If the exeuctive position is vacant, please indicate such.)
District Executive (Unit Serving Executive) - Signature (If Approved)

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District Executive (Unit Serving Executive) - Initials
Date

MonthDayYear
Date
Notes
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Staff Leader / Commissioned Professional
Staff Leader / Commissioned Professional
As the Staff Leader, I have discussed and verified the nature of this request for financial support to cover these associated registration costs. I have reviewed the applications and this request for support which meets with my approval.
Staff Leader - Signature (If Approved)

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Staff Leader - Initials
Date

MonthDayYear
Date
Notes
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VP of Membership
Based upon the information provided by the Unit Serving Executive and verified by the Staff Leader, I hereby confirm that the Council (or other third-party) is paying part or all the registration fee(s) in accordance with a board-approved Council plan and any National membership validation requirements.
VP of Membership - Signature (If Approved)

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VP of Membership - Initials
Date

MonthDayYear
Date
Notes
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Scout Executive
Based upon the information provided by the Unit Serving Executive and verified by the Staff Leader, I hereby confirm that the Council (or other third-party) is paying part or all the registration fee(s) in accordance with a board-approved Council plan and any National membership validation requirements.
Scout Executive - Signature (If Approved)

Clear
Scout Executive - Initials
Date

MonthDayYear
Date
Notes

Registration Assistance