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Please complete the entire registration form.

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Account information
Your preferred username; punctuation is not allowed except for periods, hyphens, and underscores.
A valid e-mail address. All e-mails from the system will be sent to this address. The e-mail address is not made public and will only be used if you wish to receive a new password or wish to receive certain news or notifications by e-mail.
Parent(s) Personal Information
Enter the parent's first name (one parent, if 2 parents, enter the other separately)
Enter the parent's last name (one parent, if 2 parents, enter the other separately)
Enter the second parent's first name, if applicable, or "N/A"
Enter the second parent's last name, if applicable. or "N/A"
Please enter the parent's home phone number The content of this field is kept private and will not be shown publicly.
Enter the second parent' home phone number, if different The content of this field is kept private and will not be shown publicly.
Enter the parent's work telephone number The content of this field is kept private and will not be shown publicly.
Enter the second parent's work phone number if applicable The content of this field is kept private and will not be shown publicly.
Enter the parent's cell phone number or N/A if none The content of this field is kept private and will not be shown publicly.
Enter the second parent's cell phone number, if applicable The content of this field is kept private and will not be shown publicly.
Enter the email address where you prefer to get Scouting messages
Enter the second parent's email, if applicable
Check the box if you have a vehicle you can use for Scout trips The content of this field is kept private and will not be shown publicly.
Do you have a vehicle that you can use for Scout trips? The content of this field is kept private and will not be shown publicly.
Enter the parent's home address number, street, and apartment number if any The content of this field is kept private and will not be shown publicly.
Enter the second parent's home address, number, street, and apartment number, if applicable The content of this field is kept private and will not be shown publicly.
Enter the parent's home address city The content of this field is kept private and will not be shown publicly.
Select the second parent's home address city The content of this field is kept private and will not be shown publicly.
Select the state of the parent's home address The content of this field is kept private and will not be shown publicly.
Enter the zip code for the parent's home address The content of this field is kept private and will not be shown publicly.
Enter the zip code for the second parent's home address, if different The content of this field is kept private and will not be shown publicly.
Please list any ways you are able & willing to help out, such as fund-raising, driving, any special skills you can share, etc. Don't be shy! The content of this field is kept private and will not be shown publicly.
Please list any ways you are able to help out, such as fundraising, driving, sharing special skills, running activities, etc. Don't be shy! The content of this field is kept private and will not be shown publicly.
please check the box only if you are a Pack/Troop 14 Scout Leader or Assistant Leader
please check the box only if you are a Pack/Troop 14 Leader or Assistant Leader
what state does thisparent live in The content of this field is kept private and will not be shown publicly.
Scout(s) personal info
Enter the boy's first name
Enter the boy's last name
Enter the boy's date of birth The content of this field is kept private and will not be shown publicly.
What school grade is the boy in? The content of this field is kept private and will not be shown publicly.
What school does the boy attend? The content of this field is kept private and will not be shown publicly.
Enter the boy's phone number (home or primary number where you prefer to get calls) including area code The content of this field is kept private and will not be shown publicly.
Enter the boy's home (primary residence) address: number, street, apartment number if any The content of this field is kept private and will not be shown publicly.
Select the city for the boy's primary residence address The content of this field is kept private and will not be shown publicly.
Select the State for the boy's primary residence address The content of this field is kept private and will not be shown publicly.
Enter the zip code for the boy's primary residence address The content of this field is kept private and will not be shown publicly.
Enter the boy's preferred email address for Scouting messages The content of this field is kept private and will not be shown publicly.
If the boy has any significant allergies or special health conditions that the Scout leaders need to be aware of, please enter them here. The content of this field is kept private and will not be shown publicly.
(Optional) Please enter the boy's primary health care provider's name and phone number here for emergency contact purposes. The content of this field is kept private and will not be shown publicly.
Please provide the name and phone number(s) of an emergency contact person other than the parents. The content of this field is kept private and will not be shown publicly.
The content of this field is kept private and will not be shown publicly.
The content of this field is kept private and will not be shown publicly.
The content of this field is kept private and will not be shown publicly.
what school does the boy attend? The content of this field is kept private and will not be shown publicly.
The content of this field is kept private and will not be shown publicly.
The content of this field is kept private and will not be shown publicly.
The content of this field is kept private and will not be shown publicly.
The content of this field is kept private and will not be shown publicly.
Please note any special medical conditions or food restrictions. The content of this field is kept private and will not be shown publicly.
The content of this field is kept private and will not be shown publicly.
The content of this field is kept private and will not be shown publicly.
The content of this field is kept private and will not be shown publicly.
The content of this field is kept private and will not be shown publicly.
The content of this field is kept private and will not be shown publicly.
The content of this field is kept private and will not be shown publicly.
The content of this field is kept private and will not be shown publicly.
The content of this field is kept private and will not be shown publicly.
Please not any special medical conditions or dietary restrictions. The content of this field is kept private and will not be shown publicly.
Scout(s) Personal Info
The content of this field is kept private and will not be shown publicly.
Scouting Info
Select the appropriate Scouting rank
The content of this field is kept private and will not be shown publicly.