2017 “Weather ROCKs” Cub Family Camp Weekend
April 7 – 9, 2017
You may register online at www.quapawbsaevents.org, fill this form out and mail to the
council office, or call the council office to register and pay by a credit card.
Scout First Name _____________Last Name ____________________
District____________ Pack # _______ Age ____ Rank __________
Address ____________________City ________________Zip ______
Parent/Guardian First Name ___________Last Name _____________
Address ________________City _________________Zip _________
Phone # _______________ Email ___________________________
Adult Position ____________________________________________
Emergency Contact___________________Phone #_______________
Names of Non-Scout Siblings and Other Family Members:
Please list any allergies, special needs or dietary restrictions for the Scout and Parent here:
Please Check One:
___We will bring our own tent
___We need to use a tent at camp
Are you checking in Friday night? ___Yes___No
(Check in Friday night will be from 5:00PM - 9:00PM)
___Number attending @ $20 per person = $_______
Registrations Fees include Friday Night Cracker Barrel (snacks),
all meals Saturday breakfast through Sunday breakfast, all
program supplies and crafts, all the BB’s and Archery you can
shoot, all the fish you can catch, and all the fun you can have.
Camp Tent
All registered participants must fill out a BSA Health Form. It can be found here:
http://www.quapawbsa.org/qac-forms/
Total Enclosed: $_______ (make checks payable to Quapaw Area Council)
You may pay by credit card.....(we accept VISA, MasterCard, AmEx, Discover) Credit
Card #_____________________Exp. Date ____________
If mailing, form must be postmarked by March 29, 2017.
Please email questions to [email protected]
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_________________________________________
Please Mail Registration Form to:
Quapaw Area Council, Inc.
Attn: Spring Cub Camp Registration
3220 Cantrell Rd
Little Rock AR 72202-1847
Phone # 501-664-4780 ext 225