Registration: 2017 Cub Scout Day Camp-Week 2

Thank you for choosing Camp Split Rock. Please complete the form below. This information will assist our staff in ensuring that your son has an enjoyable experience at Camp Split Rock. Complete and accurate answers are important. This information will be shared with the Camp Director and council staff for administrative purposes. Nashua Valley Council does not share information collected through this registration system with outside organizations.

This camp must comply with regulations of the Massachusetts Department of Public Health and be licensed by the local board of health. Pursuant to MA regulations, you may request copies of background checks, health care and discipline policies, as well as procedures for filing grievances by contacting our camp director.

Discount Code:
First Name:
Last Name:
Confirm Email:
Pack #:
Unit Town:
Parent Name:
I would like to volunteer as a den leader:
In September my son will enter:
Will you be using our bus service (additional fee applies)? If so, which stop would you like to get on and off at?:
Notes / Comments / Medical or dietary restrictions:
Would you like to add a photo of your son's den for $12? :
How did you first hear about this?:
Is this registration an encore week of day camp?:
Enter the Security Code: