2014 Cub Summer Camp Registration

Cub Scouts name:____________________________________________________________ Adult name attending camp: ____________________________________________________ Camp adult participation:
Monday Tuesday Wednesday Thursday Friday All week Resident Camp

Address: __________________________________________________________________________ City: ____________________________ Zip: __________ Phone: (______) ________ - _________ Email: __________________________________________________________________ Pack #__________ Grade in fall 2014: Program level in fall 2014:
Cubs T-Shirt size : 1st 2nd 3rd 4th 5th Webelos 2 Tiger Wolf Bear Webelos 1

Youth small Youth medium Youth large Adult small Adult medium Adult large Adult XL Optional: Special needs (website) Campership (website)

Required: Health form Shooting sports authorization

Fee Summary Youth Camp Fees: $_____ Payment: Adult Fees: $______ Cash Extra T-Shirt: $________ Check (payable to SVMBC) Total: $__________ Credit Card

If paying by credit card: Name on card: _____________________________________________________ Credit card number: ________ ________ ________ ________ Exp:___ / ____ Security code: ______ Signature: _____________________________________
Camp Cost Total $_____ $_____ $_____ $_____ $_____ $_____ $_____ $_____ $_____ (-$_____) $_____ $_____

Lake Cunningham day camps (Fishing and a Friday fun day at Raging Waters) $195 Stevens Creek day camps (BBs & Archery at the Sunnyvale Rod & Gun Club & Fishing) $150 Morgan Hill Day Camp (Achievement Oriented Camp, Tigers!) Vasona Day Camp (Cub Scout School of Magic!) Loma Prieta Towaba (Swimming, Obstacle Course, & more) Vasona Twilight Camp (Twilight Cub Scout School of Magic & Tigers!) Santa Lucia day camps (*SL North Laguna Seca Friday fun day & Tigers!) Fort Benito (Achievement Camp & Webelos Overnight on Wednesday) Loma Prieta Chenoa (Achievement Oriented Camp and Tigers!) $150 $150 $125 $95 $80 $65 $60

*Registration Day (3/22) or Group (4 or more) Discount of $10 per youth Cub Adventure resident camp Webelos resident camps $150 $210 $180 $240

Resident Camp__________________________________Early Bird (Before 4/15)____Regular__________

Resident camp @ Pico Blanco $210 $240 $_____ Adult Fees_______________________________________________________________________________ Cub Adventure resident camp Webelos resident camps Pico Blanco resident camp Additional T-Shirts $50 $115 $115 $80 $145 $145 _____ @ $10 each Grand Total:
Phone: 408-638-8300 Fax: 408-280-5162 970 West Julian Street San Jose, CA 95126

$_____ $_____ $_____ $_____ $_____

E-mail: CubCamp@svmbc.org Website: www.svmbc.org/cubcamp

Dont Play the Game, Live the Game! 2014 Cub Summer Camp Information
Youth Camp Fees
Registrations are accepted for on March 22 at the Scout service center. One T-Shirt for each youth is provided for Camp. Additional TShirts are available for $10 for adults or youth. Registration Day (3/22) or Group (4 or more) Discount of $10 per youth.

Day Camps Lake Cunningham: Stevens Creek : Fort Benito : Loma Prieta Chenoa: Loma Prieta Towaba: Santa Lucia N. County Santa Lucia South County Morgan Hill: Vasona Day Camp: Vasona Camp (Twilight Camp) June 23-27 July 21-25 July 14-18 July 28 August 1 June 16-20 June 16-19 July 14-18 June 23-27 June 16-20 June 16-20 June 23-27 June 23-27 Resident Overnight Camps Chesebrough Webelos Camp: Chesebrough Cub Adventure: Pico Blanco Resident Camp: June 12-15 June 19-22 June 16-18 July 3-6

Adult Participation
All Day camps and Twilight camps: An adult must attend at least two days of camp OR a pack must provide a ratio of 1:4, adult to youth, each day. Cub Adventure resident camp: A minimum ratio of 1:2, adult to youth, is required. Webelos resident camp: A minimum ratio of 1:4, adult to youth, is required. Be sure to attend the pre-camp orientation. See frequently asked questions (FAQ) on the website for more information.

Health Form and Permission Form for Cubs and Adults

All Day camps and Twilight camps: The BSA health form (parts A and B) and the permission to use a firearm (for the BB guns) are to be completed and turned in for the registration to be considered complete. These forms are requested at the time of registration. Cub Adventure resident camp: The BSA health form (parts A and B) and the permission to use a firearm (for the BB guns) are to be completed and turned in for the registration to be considered complete. Webelos resident camp: The BSA health form (parts A and B and C with a current medical examination) and the permission to use a firearm (for the BB guns) are to be completed and turned in for the registration to be considered complete. These forms may be brought to camp with the youth and adult campers. See website for more information and to download the forms. For all camps except Webelos resident camp, these forms should be submitted with the camp registration form at the time of registration. The forms should be brought to camp for the Webelos camps. The health form is required for both youth AND adults. To comply with confidential information standards, the health form should not be emailed to the service center.