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USER INFORMATION
( * = required field )
First Name:  *  
Last Name:  *  
Address:   *  
City:   *  
State:   *  
Zip Code:   *  
Email:  *  
Confirm Email:  *  
Phone:    *  

ADDITIONAL INFORMATION
Council:   *  
Unit Type:   *  
Unit Number:
Gender:   *     Male  
  Female  
Primary Position:   *  
Years in Scouting (Youth):   *  
Years In Scouting (Adult):   *  
I may need financial help:   Yes  
Payment Amount:   *  
Please provide your BSA Membership Number if you know it. This number is printed on your BSA membership card. Providing this number will help us link your registration to your official BSA record.
BSA Membership Number:

By submitting my registration, I understand that ATTENDANCE AT ALL SESSIONS IS REQUIRED (6 full days). Each weekend begins at 7:30 in the morning. I have completed the basic training and outdoor skills training required for my position in Scouting. I am a registered adult with the Boy Scouts of America.

Enter the Security Code:
 

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