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Serving the youth of our communities through education, preservation, and recreation

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CLASSES
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Webelos Activity Badge Class Registration

All fields are required.

Cub Scout Name:               
Street Address:    
City:                    State:  Zip Code:
Phone (with area code):     
Email address:   
Pack Number:     Council:

Select one class per period

10:00 to 11:20
Aquanaut
Click here to register for our Cub Scout Belt Loop Rodeo in the same afternoon!

Guardian/Emergency Information
Parent/Guardian Name:       
Home Phone with Area Code:                      
Work/Cell Phone with Area Code:    
 

Emergency Contact Name:    Relationship:
Home Phone with Area Code:                      
Work/Cell Phone with Area Code:    

Does the participant have a history of or currently have any physical limitations that might prevent him/her from fully participating in any classes?  Yes  No
If yes, please describe below.  If none, state "NONE"

Please list any special medications, allergies to food or drugs or any other pertinent medical information.  If none, state "NONE"


 

 
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Copyright © 2008-2009 Cabrillo Beach Youth Waterfront Sports Center
Last modified: Saturday, January 30, 2010 1:47 PM