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Thank you for your interest in becoming a Pack 12 Cub Scout. We ask for a parent or guardian to fill this form, because Children's Online Privacy Protection Act requires us not to accept information from children 13 or younger, and because a parental involvement is essential in helping their child along the scouting trail. Please note the privacy information immediately below the submit button of this form.

  Parent's Name:

Mailing Address

                  City:

Zip Code:                                                    

Daytime telephone:                                                                 

Night telephone:                                                             

My child is in 1st 2nd 3rd 4th 5th grade.                        

Are you willing to work with your child and help them grow in scouting? Yes No.

I understand I must be 13 years of age or older to submit this information.

Privacy Information: The Boy Scouts of America, NeTSeO Trails Council, and Pack 12 are committed to respecting and protecting the personal privacy of its members and those who visit its Web site. It is our policy to acquire personal information from users only by overt and voluntary means, and only when it is in the interest of the user to provide it, and to utilize this information only for the purpose it was provided. The Pack 12 Online Privacy Policy explains the kinds of information the Pack 12 Web site collects and how it is used.




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