2011 Puff-Up
October 7-9, 2011
Camp Strake Cub World

Pack Registration Form

Registration by October 1, 2011 is strongly encouraged!
You must bring a completed (parts A and C only) Annual Health and Medical Record
for each participant, and each unit must supply at least two (2) volunteers
who will be there for the entire Saturday and help work the event.

Pack #    Chartered to Person handling Pack registration Position Address E-mail address that you check often: Please re-enter your e-mail address: Phone Number: Home Work Person #1 serving as volunteer staff Address E-mail address: Please re-enter e-mail address: Phone Number: Home Work Person #2 serving as volunteer staff Address E-mail address: Please re-enter e-mail address: Phone Number: Home Work Attendance Estimate (if any are none, specify '00') Tigers Wolves Bears Webelos Siblings Adults Total x $5.00 = $ Please enter additional comments here, if any. For example: Camping Fri-Sat? Fri-Sun? Sat-Sun? Please note before pressing Submit: Registration is not confirmed until payment is received. Make checks payable to: Archdiocesan Catholic Committee on Scouting Please mail payment to: Melvin Hart 8618 Sonneville Houston, TX 77080-3517 E-mail: hartmelvin@comcast.net (713) 462-1464 (This address will display on the next page) Also, please check everything in this page, including arithmetic