Cub Scout Pack 140

Cub Scout Pack 140 Personal Data Name: _______________, _______________ Nickname: _______________ Home Address: _________________________________________________ ______________________________________________________________ Mailing Address: ________________________________________________ (if different)_____________________________________________________ E-mail: _____________________@_______________.____________________ Home Phone: (___) __________ ___________ Phone: (___) __________ Date of Birth: __/__/__ Date Last Physical __/__/__ Joined Pack: __/__/__ Current Grade:___ Eligible Webelos:__/__/__ Became Tiger: __/__/__ Cub:__/__/__ Webelos:__/__/__ BScout:__/__/__ BSA#: __________ Boys Life: Y / N SSN: _______________ Medical Alert: ______________________________ Father: Mother: _______________, _______________ _______________, _______________ Work Phone: (___) __________ Work Phone: (___) __________ ________ Phone: (___) __________ ________ Phone: (___) __________ ________ Phone: (___) __________ ________ Phone: (___) __________

Signing up can be completed in eithor of two ways;

Print the above page, fill in all the requested information and send it to:
Cub Scout Pack 140
Boy Scouts of America
PO Box 261
Scottsville, New York 14546-1129
Download a copy of the form by RIGHT clicking here, selecting "Save Target As" or "Save Link As" depending on the browser your using, saving it on your harddrive, opening it in a text editor such as Notepad, filling in all the requested information and emailing the completed form to the Cub Scout Master.