2015 Great Neusiok District Cub Scout Fishing Derby

DATE: May 9, 2015

PLACE: Camp Tuscarora

TIME: 8:30a.m. to 12:30p.m. (Check-in begins at 8:00a.)

COST: $7.00 per Scout (Includes event patch)

NEEDED: *A Cub Scout and Parent/Guardian * Fishing Pole (Rod & reel, cane pole, etc.) * Bait (Live bait only! No artificial lures) * A Bucket or small cooler * Cub Scout Spirit

Fill out the attached Registration Form and return to the Council office by Thursday, April 30, 2015

**** Concessions will be available for purchase on site all day including breakfast and lunch menu items. Biscuits, pastries, hot dogs, chips, coffee and soda, just to name a few. Best prices in town, so be sure to bring a little spending money with you! ****

If you have questions regarding this event,

Contact: Sarah Fernandez (919) 270-0475

neusiokscouter@aol.com Or contact the Council office at (919) 734-1714

** A complete list of derby rules is available, and will be distributed via hand-outs, email blasts, as well as posted online. **

REGISTRATION FORM Hassanamisco District Cub Scout Fishing Derby

Deadline: Friday September 27, 2013 Please fill in and mail to: Mohegan Council, BSA 19 Harvard St. Worcester, MA 01609. Make Checks payable to: “Mohegan Council”, - Reference: “Activity Code 6820”. Registrations paid by Credit Card, and Unit Accounts may be faxed to the Council at 508-752-3047. ------------------------------------------------------------------------------------------------------------------------------------ (Please Print) Pack #________Contact Person: _______________________________ Phone #:_______________________ Contact Person Email Address: ________________________________ Total Number of Cub Scouts Attending: _______x $8.00 per Scout Total $_________ Total Number of Adults Attending wanting Event Patch: ________x$3.50 per Patch Total $_________ Total Number of Scouts and Adults attending: ________ Amount Due:$ ________ ------------------------------------------------------------------------------------------------------------------------------------ METHOD OF PAYMENT

[ ] Check made out to “Mohegan Council” Enclosed, Please reference “Activity Code nnnn” [ ] *Unit Account - Pack # ________ *Committee Chair Signature Required: _____________________________ [ ] Master Charge/ Visa (Circle One) #__________________________________ Expires: _______________

REGISTRATION FORM

Great Neusiok District Cub Scout Fishing Derby Saturday, May 9, 2015

Deadline to register: Thursday, April 30, 2015

Please fill out and mail to: Tuscarora Council, BSA P.O. Box 1436 Goldsboro, NC 27533-1436

. Make Checks payable to: “Tuscarora Council” Registrations paid by Credit Card may be faxed to the Council Office at (919) 734-6540

(Please Print)

Pack # Cub Scout’s Name(s): Parent or Guardian’s Phone #: Parent or Guardian’s Email Address: Total Number of Cub Scouts Attending: x $7.00 per Cub Scout Total $ Total Number of Adults attending ordering Event Patch: x$3.50 per patch Total $ Total Number of Cub Scouts and Adults attending: Amount Due:$

METHOD OF PAYMENT

[ ] Check made out to “Tuscarora Council” enclosed

[ ] Master Charge/ Visa (Circle One) # Exp: CVV:_______

______________________________________________________ _______________________________________________

Credit Card Authorizing Signature Print Name

Street Address City, State & Billing Zip Code

Email Address Phone Number