Form

2010 Troop 848 Summer Camp Registration

First Name*

Last Name*

Age*

Rank*

Patrol*

Home Phone*

You can supply up to three e-mail addresses to ensure you get the messages. If you need more, email John Kmetz or Joe Koenig to have them added

Email 1*

Email 2

Email 3

Emergency Contact Name 1*

Emergency Contact Phone 1*

Emergency Contact Name 2*

Emergency Contact Phone 2*

Adult Information- Information below is only needed for adults attending summer camp

Adult Transportation

Cell Number

Merit Badge Counselor

Volunteer Opportunities

Comments