REGISTRATION FORM PACK/TROOP # _______________________
Leader in charge _________________________________________
Phone _______________Email _____________________________
We will have ______ Webelos Patrols
We will have ______ Scout Patrols
Enclosed are our fees for the Klondike
_____ Scouts (Webelos) X $5.00 = $ ________
_____ Adults who want a patch X $2.50 = $ ________
(Adults working at a Klondike get a free patch)
_____Late Fee of $10 or $20 ? = $ ________
Total $ ________
Registration due by January 10th....A Late fee of $10.00 will be charged for registrations after the 10th and a fee of $20 will be charged if unit registers the day of the event. Refunds will be made for up to 4 Scouts or Adults if notified the day of the Derby.
ACCIDENT INSURANCE # ________________________
Make checks payable to Mt Baker Council, BSA
(Bring your receipt to the Derby...Patches will be distributed at Derby)
(IF WE RUN SHORT OF PATCHES WE CANNOT REORDER, SO THOSE WHO PAY FIRST WILL GET THEIR PATCHES FIRST)
Mail or deliver to
Klondike Pete
Mt Baker Council, BSA
1715 100th Pl SE
Everett, WA 98205
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Office Notes