Registration: 2017 Camp Wanocksett Provisional Week 3

Please complete the form below. This information will assist our staff in ensuring that your registration is processed efficiently. Complete and accurate answers are important. This information will be shared with the event coordinators and council staff for administrative purposes. Nashua Valley Council does not share information collected through this registration system with outside organizations.

YOU ARE REGISTERING TO ATTEND CAMP WITH THE PROVISIONAL TROOP. DO NOT USE THIS FORM IF YOU ARE PLANNING TO ATTEND CAMP WITH YOUR TROOP.

USER INFORMATION
Discount Code:
First Name:
Last Name:
Address:
City:
State:
Zip:
Email:
Confirm Email:
Phone:
Troop #:
Unit Town:
Age at Start of Event:
Will this Scout be attending multiple weeks of camp including this week of Provo?:
  Yes    No  

IMPORTANT: DON'T FORGET TO SELECT YOUR BADGES
Select your choice of classes below. A or B indicates badges that require two periods. Please select the corresponding class in the next period.BSA Lifeguard requires all three periods. The Wanocksett Adventure Team meets Periods A & B.
First Period Merit Badge:
1
Second Period Merit Badge:
1
Third Period Merit Badge:
1
Notes / Comments / Medical or dietary restrictions:
1
How did you first hear about this?:
Enter the Security Code:
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