2013 Cub Scout Summer Day Camp For SCOUTREACH
At St. Martin De Porres 555 Northampton St. Buffalo, NY
“Come Out and Join our Jungle Safari”
When: July 22- 26, 2013 from 9am-4pm Where: St. Martin De Porres (555 Northampton St., Buffalo, NY)
Grades: 1-5
Transportation: Scouts must provide their own transportation to St. Martin De Porres every day.
ANY QUESTIONS ASK UNIT LEADER OR CALL
Bob Kuebler: 830-8240
SPACE IS LIMITED
All Scouts must have a BSA Medical form to Attend Camp.
Registration Dead Line July 1, 2013
Scout (s) Name:___________________________________________________________
Parents Name: ___________________________________________________________
Age: ___________________ Grade going in to 2011-2012 school year_______________
Address:________________________________________________________________
City __________________________ State:________________ Zip Code:____________
Phone # _________________________________________________________________
Emergency Contact Name and Number:_______________________________________
T-Shirt Size_________