Individual Registration Request Form

Individual Registration Request

Please fill out this form if you would like your group to register and pay independently yet still be eligible for the group discount. By filling out this form, you accept the responsibility of organizer/contact person.
Please note: Your group CANNOT start registering until you have been emailed a custom registration code. If they register before receiving this code, they are not eligibile for the group discount.
Your name

First NameLast Name
E-mail
example@example.com
Phone Number

Area CodePhone Number
What is your group name?
ex: Pack 1
What is your intended date of overnight?

MonthDayYear
Date
CLICK HERE TO VIEW A FULL LIST OF CALENDAR EVENTS
What is your estimated headcount?
Additional Instructions
Should be Empty: