HOAC-BSA

Heart of America Council, Boy Scouts of America Logo

All Scouting 500 event staff must be 15 or older,

First Name

Last Name

Mobile Number

Address

City

State

Zip

T-Shirt Size

Serving on staff for

Recruited By:

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I will be serving on staff, but have special needs. Click here to complete our Special Event Care Plan http://igfn.us/f/16bm/n

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Card Number

Expiration Date

CVV

Thank you for registering to serve on staff at the 2017 Scouting 500. The person who recruited you will be in contact with you.