Scout me in!
Thank you for your interest in Pack 159 chartered by Historic Highlandlake Church. Our Pack has been active for 35 years! We are delighted that you have chosen to join our Cub Scout Pack and we are eager to share this scouting year with you, your child, and your family. Please note that completing this form does not fully register your scout(s) with our Pack. We will be in touch with additional information and a link for you to complete the formal registration process.
Family Details:
Primary Parent/Guardian Name
*
First Name
Last Name
Cell Number
*
-
Area Code
Phone Number
Home Number
-
Area Code
Phone Number
E-mail
*
The best way to reach me is by:
*
Cell Phone
Home Phone
Email
Text message
Other
Secondary Parent/Guardian Name
First Name
Last Name
Address (please enter same if it's the same as the Primary Parent)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
E-mail
example@example.com
Scout Information:
Scout Name
*
First Name
Last Name
Gender
*
Please Select
Female
Male
Nonbinary
Date of Birth
*
-
Month
-
Day
Year
Date
Grade Level
*
Please Select
Kindergarten
1st
2nd
3rd
4th
5th
Do you have additional scouts to register?
*
Yes
No
Scout Name
*
First Name
Last Name
Gender
*
Please Select
Female
Male
Date of Birth
*
-
Month
-
Day
Year
Date
Grade Level
*
Please Select
Kindergarten
1st
2nd
3rd
4th
5th
Submit
Should be Empty: