Sponsor ____________________________________ City _________________ Pack _________

Please list names of all Boys and Adults attending. Include a signed: Health History form for each participant and Your approved yellow Tour Permit copy.

____ Youth @ $_______ =$______ ____ Adult @ $_______ =$______ ____ Extra Patches @ $_______ =$______   ____ Total                     $_______   Check in paperwork Complete Yes No Health Forms     Tour Permit     Unit Roster     Registration Fees

Webelos Scouts	Health Form	Fees paid	Registration use only Received Dist. Activity Patch
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Webelos Leaders Registered with BSA
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Additional Adults
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