CAMPING
SHOOTING SPORTS
CASTING CONTEST
FIELD GAMES
CRAFTS
INFLATABLES
AND MUCH MORE!!!
September 23-25 at Pulaski County Park
$5 per Scout and Siblings
$10 per Scout and Siblings to receive a SHIRT!
For More information:
The Event Chairperson, Danny Ashlock can be reached at [email protected] or (859) 583-9627
The Staff Adviser, Kim Ashlock can be reached at [email protected] or (606) 416-8823
Registrations with T-shirt orders are due in the council office by Tuesday, September 8th—sizes are not guaranteed after this date
Registration is due in the council office by September 21st
REGISTER ONLINE AT
www.bgscouting.org
PLEASE PRINT CLEARLY
Pack #:
Parent/Adult Name:
Address:
City/ST/Zip:
Daytime Phone:
Cell Phone:
Email Address
Cub Scout Name(s):
First and Last Name
Grade (Fall ‘16)
Quantity
T-shirt Size
$5 EA
PAYMENT INFORMATION:
Youth Small
_____ Adults = $
FREE
Youth Medium
_____ Cub Scouts @ $5 each = $
Youth Large
_____ Siblings @ $5 each = $
Adult Small
T-Shirts $5 each = $
Order sizes in this chart

Adult Large
TOTAL DUE = $
Payment Enclosed
Please charge my: Visa
Adult Medium
Adult XL
MasterCard
AmExpress
Discover
Card #
Adult 2X
Adult 3X
Exp. Date
CVV:
Mail to Lake Cumberland Cub Campout, Blue Grass Council, BSA, 3445 Richmond Rd., Lexington, KY 40509
You must be a registered Cub Scout to attend this event.
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