Pack 195

2011 Spring Campout

Reservation Form

Den #: ____________________________________________
Scout Name: ____________________________________________
Akela Name: ____________________________________________

Attending ceremony Saturday evening only: Y/N (circle one)

Camping: Y/N (circle one)

Number
Camping
Per
Person

Cost
Adults: _______ x $15 = _______
Kids over 6: _______ x $10 = _______
Kids under 6: _______ $0 ___0___
_______ Total: _______

Will you help with an activity: Y/N (circle one)

Please submit reservation and payment to your den leader by the pack meeting on April 20th.