2011 Catholic Scout Retreat
October 7-9, 2011
Camp Strake

Unit Registration Form/Maverick Scout Registration

This form must be received no later than September 22, 2011 to have meals provided by the dining hall.
If received after September 22, 2011, the fee will be raised to $35. Camperships are available.
Participants should bring their own drinking cup and/or water bottle (A Scout is thrifty!)

Troop/Crew/Ship Number: Chartered to Parish              Counselor/Facilitator Name Address          E-mail address that you check often: Please re-enter your e-mail address: Phone Number: Home Work AAD Youth Attending? No    Yes; Number Attending x $30.00 = $ (if none, specify '00') PPXII Youth Attending? No    Yes; Number Attending x $30.00 = $ (if none, specify '00') Other Youth Attending? No    Yes; Number Attending x $30.00 = $ (if none, specify '00') Adults Attending? No    Yes; Number Attending x $30.00 = $ (if none, specify '00') Total Cost: $ Has your unit filed a Tour Plan with the council office? yes Is the adult leadership of your unit current in its applicable Youth Protection Training? (Training completed since October 9, 2009, per http://scouting.org/Training/YouthProtection.aspx) yes Is the adult leadership of your unit current in its VIRTUS Training? yes Are you able to invite any maverick Scouts into your camp and make them a part of your troop or patrol for the weekend? yes When do you plan to arrive? Fri. PM    Sat. AM (for planning purposes) When do you plan to depart? Sat. PM   Sun. AM Please enter additional comments here, if any. For example: How many maverick Scouts will you be able to accommodate? Do any of your Scouts or adults have any special needs or requirements? 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