Scout Resource Center         Louisville, Colorado              

Scout Registration This form is used to register Scouts in Troop 575. 

Return to Registration Home:  click here                            Required fields are in bold print.

Scout Information:

First Name welcome
Last Name
Middle Initial
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Home Phone
Scout E-mail
Scout Cell Phone
Current Rank:
Date of Birth
Current Grade in School  
Receiving Boy's Life Magazine?



Yes
No

 
Boy Scout registration is $85.00 and must be paid by February 12th, 2010.
The registration fee can be debited from the Scout's account if he has enough funds
available or if not, please make your  $85.00 check  payable to Troop 575.
   
Payment Method  
Parent Information
Father:
First Name
Last Name
Work Phone
Home Phone
Cell
E-mail
Mother:
First Name
Last Name
Work Phone
Home Phone
Cell
E-mail
     

Thank you for registering for Boy Scout Troop 575!   You will see a confirmation form
once you click on the submit button.