* Materials needed Cub Scout Leaders Guide
Registration Deadline 8/20/2014 No Walk-ins
Please check the trainings you would like to attend Brand New
Leaders Returning Leaders
Training Time Early Reg. Cost
By 8/15
Late Reg. Cost
After 8/15
Early Reg. Cost
By 8/15
Late Reg. Cost
After 8/15
Youth Protection 9:00a-10:00a N/C N/C N/C N/C
This Is Scouting & Cub Scout Fast Start 10:00a-12:00p Incl.
below Incl. below
Lunch 12:00p-12:30p
Tiger Den Leader Specifics * 12:30p-3:00p
$15.00 $20.00
$5.00 $10.00
Wolf & Bear Den Leader Specifics * 12:30p-3:00p $5.00
$10.00
Webelos Den Leader Specifics * 12:30p-3:00p $5.00 $10.00
Cub Master / Committee Specifics * 12:30p-3:00p $5.00 $10.00
Total $ $ $ $
Name
__________________________________________________________________________________________
Unit Type _______________ Unit Number_________________ District
________________________
Adult Volunteer Position
___________________________________________________________________________
___ I am currently a registered adult volunteer in the Redwood
Empire Council.
If you are not registered as an adult volunteer in the REC, the
record of your training may not be accurate.
Email Address _________________________________ My Email may be
used to receive info about REC and its events.
Phone (day) ____________________________________ Phone (evening)
_______________________________
Mailing Address
_________________________________________________________________________________
_______________________________________________________________________________________________
Do you require any accommodations during the training?
_____________________________________________
BRING A LUNCH BEVERAGES AND LIGHT SNACKS PROVIDED Please
check-in 15 mins. before class
REDWOOD EMPIRE COUNCIL - POMO DISTRICT Training
Saturday August 23, 2014 at Bethlehem Lutheran Church 1300 St
Francis Rd, SR 95409
Cub Scout LEADER SPECIFIC TRAINING
PAYMENT INFORMATION - Refund policy: No refunds. Contact Peggy
Bimbi 707-544-6950 or [email protected]
Payment Amount $____________________ Call 707-546-8137 during
business hours to pay by phone. Payment Type: Check/Cash Visa or
Master Card REC Unit Acct. Other______________________
CC # _____________________________________________ Expiration
____________ V-code (3 digits on back of card) _________
Cardholders name __________________________________ Signature
________________________ Phone _________________ My signature
indicates that I agree to pay all fees in accordance with the
credit card company.
Street Address __________________________________ Zip
________________________
Unit Acct. Signers Signature
_____________________________________________ Daytime
Phone_________________________
REC Unit Account: Unit Type______________ Number____________
Pack, Troop, Crew, Post, or Group
Please write to the REC Service Center to apply for an exception
at:
1000 Apollo Way, Suite 106, Santa Rosa, CA 95407 or email
[email protected] or fax 707-546-8163.
