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District Date/Time Location Camp Contact for Questions Late Fee
Begins Code
Birmingham June 11 - 159:00 am - 3:00 pm
Ruffner Mountain Nature CenterJamise Toyer
jtwebster12@hotmail.com June 5 355
Cherokee June 25 - 294:00 pm - 8:30 pm
Oak Mountain State Park Dana Thrasher danaethrasher@gmail.com
June 12 233
June 4 - 82:00 pm - 7:30 pm
Oak Mountain State Park Malinda Holmes shelbydaycamp2018@gmail.com
May 21 256 Shelby
June 11 - 15 4:30 pm - 8:30 pm
Fultondale Elementary Sheena Anderson sheenalynnanderson@gmail.com
211Three Rivers
Dana Thrasher danaethrasher@gmail.com
June 12 233
2018 Cub Scout Day Camp - Passport to Adventure GREATER ALABAMA COUNCIL
Cub Scouts set your course for a summer adventure! A summer adventure is coming your way! Sign up for 2018 Cub Scout Day Camp and have new adventures by
discovering friendships, earning belt loops, and having fun. Enjoy the following activities: Archery, BB Guns, Scout Skills, Games, and MORE!
www.1bsa.org
Vulcan June 25 - 29 4:00 pm -8:30 pm
Oak Mountain State Park
Arrowhead 907
Cheaha/Choccolocco June 19 - 219:00 am - 3:00 pm
Oxford Lake Twyala McKinney tjbmckinney@gmail.com
517
Cheaha/Choccolocco June 26 - 289:00 am - 3:00 pm
First Baptist Church - Ashland Rebekah Teel pipsqueak133@gmail.com
517
Etowah Noccolula Falls 574
Mountain Lake June 29:00 am - 5:00 pm
Camp Comer Angie Southersangie_southers@yahoo.com
774
Mulberry - Blount
Sequoyah June 29:00 am - 5:00 pm
Camp Comer Angie Southersangie_southers@yahoo.com
774
Talakto June 11 - 158:00 am - 3:00 pm
National Speleological Society Park May 28 832
Brad Arnettebarnette@districtattorney.org
June 309:00 am - 4:00 pm
Palisades Park Allison Sloan asloan1221@gmail.com
June 22 989
Mulberry - Cullman June 169:00 am - 4:00 pm
Christ Covenant Presbyterian Church Allison Sloan asloan1221@gmail.com
June 8 982
June 17-224:00 pm - 9:00 pm Point Mallard Park June 4
Julianna Carlson julicarlson@gmail.com
Westmoreland June 11-154:00pm - 9:00pm
Camp Westmoreland Fauna Stevens mafauna@gmail.com
957
Three Rivers
Three Rivers
June 98:00 am - 4:30 pm
June 22 - 24, Fri 4:30-8:00Sat 9:00-4:00, Sun 2:00-6:00
Holy Infant of Prague Catholic Church
Pell City Lakeside Park Linda Parkcielindo@windstream.net
Linda Parkcielindo@windstream.net
211
211
June 14 Derrick Russawderrick.russaw@scouting.org
DAY CAMP REGISTRATION FORM
Day Camp 3 Digit Code on Flyer: _______ Location: _________________________________ Date: ______________________________
Cub Scout Name: ______________________________________________________________________Date of Birth: ____/_____/_______
District: ____________________________ Pack # _________________ Age: ________ Rank: _________Grade in Fall 2018: _________
Address: ___________________________________________________ City: ______________________ Zip: ______________________
Parent/Guardian Name: _____________________________________________ Home Phone: ___________________________________
Cell Phone: ___________________________________ Email: _____________________________________________________________
Yes, I will work as a volunteer. Please call me at the following numbers.
Home: ___________________________ Work: _______________________ Cell: _______________________
Days I can work: Mon Tues Wed Thurs Fri All Week
5-Day volunteers rebate—is for day camp leaders approved by the Camp Director, who work all week: $30.00 discount for first child and
$20.00 discount for second child. Full fees must be paid up front. All VOLUNTEER discounts will be applied after day camp is completed!
A/M A/LG A/XLG A/2X LG A/ 3X LG
Parents/Guardians - Fill out the T-Shirt size your child will most likely wear!
Y/S Y/M Y/L A/SM A/M A/LG A/XLG
___A/XLG ___A/2X LG ___A/ 3X LG
(For week long walking den leaders) ADULT T-SHIRT SIZE A/SM
EXTRA SHIRTS FOR SALE $10.00 EACH
___Y/S ___Y/M ___Y/L ___A/SM ___A/M ___A/LG
Day Camp Registration fee is $75, Late Fee is $25 in addition to registration fee*Etowah and Three Rivers-Pell City are $25,*Mountain Lake and Sequoyah are $35*Mulberry-Blount and Mulberry-Cullman, are $40, Late Fee is $10*Cheaha/Choccolocco-Ashland & Oxford Lake“No-Shows” will not be granted refunds. Refunds, less a 20% service fee will be considered for sickness, death in the family or a school related issue.
Greater Alabama Council, BSA Huntsville Service Center
516 Liberty Parkway 2211 Drake Avenue SW
Birmingham, AL 35243 Huntsville, AL 35805
or by fax 205-970-0349 or by fax 256-883-2193
CUB SCOUT CONTACT INFORMATION (From Health Form Part A)
List other adults authorized to present your child for medical treatment or transportation to and from Camp.
1. ____________________________________________________________ Cell Phone: ___________________________________
2. ____________________________________________________________ Cell Phone: ___________________________________
3. ____________________________________________________________ Cell Phone: ___________________________________
SUPPLEMENTAL HEALTH INFORMATION
Copies of Annual BSA Health and Medical Record Part A and Part B must be submitted along with this registration form.
Health Officer May Administer:
* Benadryl (Amount)_______ * Tylenol (Amount) ________ * Advil (Amount) _______ How Often _______
If your child will require medication at camp it is to be turned into the Health Officer each morning in its original container with its
instructions. Exceptions to this include certain medications, such as inhalers or EpiPens that need to be with the child.
List any medications to be taken at camp:
Medication: __________________________________________________________________________
Signature: _________________________________________________ Date: ___________________
FOR COUNCIL USE ONLY:
Health Form Received: Date: _______________
I am paying by (Check One) Cash Check #_____ Visa MC Disc
Card #: _____________________________________________________________ Ex. Date: _______
Name on Card: ____________________________________ Signature (required): _______________________________
Day Camp Fee $ ____________
Late Fee $ __________Additional t-shirt $ ____________
Balance $ _____________
Bill me on __________
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