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 __________