Pioneer & Patriot Registration

Camper Information
For questions contact your Troop’s Summer Camp Coordinator or Jason Bragdon at ahglouky@gmail.com.
Name
First Last
DOB
Age
Grade Entering
Troop #
Camp T-shirts: Each camper and volunteer is provided one free wicking t-shirt on their first day at camp (additional $5 for extended sizes*). Additional t-shirts are available for purchase at $15 each ($20 for extended sizes*). Indicate additional t-shirt orders below. Please see T-Shirt Size Chart
Choose Shirt Size
Additional Shirts ($15 ea.)
T-Shirt Total ($)
Parent/Guardian Information
Parents Name(s)
First
Email
Address
Street Address City State / Province / Region ZIP / Postal Code
Phone
Phone

Pioneer & Patriot Registration.