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Boy Scout Day Camp Registration
Register and pay early to reserve your Scout's space in classes!  Class sizes are limited and space is not guaranteed until we receive your payment!

All fields are required.

Name:               
Street Address:    
City:                    State:  Zip Code:
Phone (with area code):     
Email address:   
Age:    Troop:       Council: 

Please select T-Shirt size.  Shirts are adult sizes.

Select one Free   Extra Shirts

None
Small
Medium
Large
Extra Large
Double Extra Large (2XL--$1.00 more)
Triple Extra Large (3XL--$2.00 more)

  

  QTY     T-SHIRT SIZE
X $10.00

 

    

STEP ONE:
Select                      your week(s)		 STEP TWO:
Select the merit badges you would like for the time session you would like.		 STEP THREE:
 
  FULL DAY $170 Extended AM Extended AM

AM SESSION $90

PM SESSION $90
9:00 to 10:20 10:30 to 11:50 1:00 to 2:20 2:30 to 3:50
Select a class for each time slot for the week(s) you are registering.
8/13-17

FIRST CHOICE:

Please make an alternate choice below in the event your class is full at the time of your registration:
ALTERNATE CHOICE:

FIRST CHOICE:
Please make an alternate choice below in the event your class is full at the time of your registration:
ALTERNATE CHOICE:

FIRST CHOICE:
Please make an alternate choice below in the event your class is full at the time of your registration:
ALTERNATE CHOICE:

FIRST CHOICE:
Please make an alternate choice below in the event your class is full at the time of your registration:
ALTERNATE CHOICE:

8/20-24

FIRST CHOICE:

Please make an alternate choice in the event your class is full at the time of your registration:
ALTERNATE CHOICE:

FIRST CHOICE:

Please make an alternate choice in the event your class is full at the time of your registration:
ALTERNATE CHOICE:

FIRST CHOICE:

Please make an alternate choice in the event your class is full at the time of your registration:
ALTERNATE CHOICE:

FIRST CHOICE:

Please make an alternate choice in the event your class is full at the time of your registration:
ALTERNATE CHOICE:

Guardian/Emergency Information
Parent/Guardian Name:       
Home Phone with Area Code:                      
Work/Cell Phone with Area Code:    
 

Emergency Contact Name:    Relationship:
Home Phone with Area Code:                      
Work/Cell Phone with Area Code:    

Does the participant have a history of or currently have any physical limitations that might prevent him/her from fully participating in any classes?  Yes  No
If yes, please describe below.  If none, state "NONE"

Please list any special medications, allergies to food or drugs or any other pertinent medical information.  If none, state "NONE"

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Copyright © 2008-2009 Cabrillo Beach Youth Waterfront Sports Center
Last modified: 06/24/08

Dr. Fisher