Scouts Name: ___________________________________________
Den #_____________
Den Leader______________________
Address________________________________________________
City_________________
Zip code w/four digit________________
Phone #_____________________
Contact Name___________________ Phone #________________
Email* _________________________________________________
Payment received:
Amount_______________
Cash or Check#___________
Received by: _________________________________________
*All parents are encouraged to provide email addresses for contact.

------------------------------------------------------------------------------------------ Cub Scout Pack 138 Chaperone Policy

According to Minsi Trails Council policy, no child is to be dropped off at a pack event without an adult chaperone. Den Leaders are not responsible for the children at pack functions. Chaperones are responsible for your child. In the event of an emergency, parents should only be a phone call away. If a child is dropped off without a chaperone ,the Children and Youth services will be contacted.

I have read the above and agree to same:

Parent Signature