Muir District Cub Scout Pre-Registration |
Please fill out this form and print it from your browser. |
| PACK NO. EXPIRE DATE TERM MONTHS | Check One |
Tiger Cub Grade 1 (or age 7) |
Cub Scout Grade 2 or 3 (or age 8 or 9) |
Webelos Scout Grade 4 or 5 (or age 10) |
| If applicant has an unexpired membership certificate, registration may be
accomplished in this unit by paying $1 for processing the transfer. Check the box and attach certificate.
It will be returned by the council. TRANSFER FROM : COUNCIL NO. UNIT TYPE UNIT NO. |
|
First Name |
MI |
Last Name |
Suffix |
| Social security number - - |
|
Country |
Address |
City |
State |
ZIP Code - |
|
Home Phone |
Date of Birth |
Grade |
School |
Boy's Life |
| Cub Scout Parent/Guardian or Tiger Cub Adult Partner Information |
| If the adult partner is not the parent living at the same address complete and attach an adult application |
| Relationship | Guardian | Tiger Cub Adult Partner |
|
First Name |
MI |
Last Name |
Suffix |
| Social security number - - |
|
Home Phone |
Date of Birth |
Occupation |
Employer |
Sex |
|
Business Phone |
Previous Scouting experience |
|
Youth email address |
Parent email address |
___________________________________________ Signature of Cubmaster | I have read the attached information sheet and approve the application __________________________________________________________ Signature of Parent |
Date |