2007 Union District Day Camp
Cub Scout Day Camp Adult Leader Application
 
Please fill out the following information and press the Submit button.  You will be required to sign this form at the initial training meeting current scheduled for Saturday, June 2, 2007 from 1:00 pm to 3:00 pm. 

If you prefer to print this form and submit it in hardcopy, click here. 
Please be sure to sign and date the form and mail it to:

Donna Cox
Day Camp Administrator
7006 Knotty Pine Rd.
Waxhaw, NC  28173
 
Applicant Information
 
Name (Last, First):   ,
Address:  
City, State  Zip:   ,     
Home Phone:  
Work Phone:  
Cell Phone:  
Email Address:  
Social Security Number:    
 
Are you currently a Registered Adult Leader?   Yes   No
If yes with what Pack/Troop are you registered:  
Do you currently have Youth Protection Training?   Yes   No
    If not please go to www.unioncountyscouts.org, click on the Training option on the left hand side, click on BSA OnLine Learning Center and finally click on Youth Protection Training. When you are finished please print out your card and bring it with to leader training.  If you already have Youth Protection please bring me a copy of your current card.
What days are you willing to volunteer?  
MON TUE WED THU FRI
Are you willing to be a  
Den Leader Den Walker Activities Leader
     
I would like to reserve the following places in the tot lot program for my children (please indicate name and age):
 
All volunteers MUST attend training/orientation. This will be held on Saturday, June 2, 2007 from 1:00 to 3:00. Location to be announced at a later date.

References
 
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Address:  
City State, Zip:   ,     
Telephone Number:  
Email Address:  
Relationship:  
   
Name:  
Address:  
City State, Zip:   ,     
Telephone Number:  
Email Address:  
Relationship:  
   
Name:  
Address:  
City State, Zip:   ,     
Telephone Number:  
Email Address:  
Relationship: