HOAC-BSA

Heart of America Council, Boy Scouts of America Logo

North Star

June 7- 10, 2021
9:00 am- 3:00 pm

Jesse James Park | Holt, MO

Please register as a pack!
Scouts attending from different units must register under their home unit.

Registration fee $70.00 on or before 5/2/21
Registration fee $80.00 on or after 5/3/21
Registration fee $90 added at camp

Adult Leader Contact Information

District Name

Unit Number (0000):

Adult Leader First Name

Last Name

Mobile Number

Address

City

State

Zip

Scout Reservations

How Many Scouts Are You Registering?

List Full Names for Cub Scouts Attending

255 character limit

0 / 255

List Full Names for Cub Scouts Attending (Continued)

255 character limit

0 / 255

How Many Leaders Are Attending?

List Full Name For Cub Leaders Attending

255 character limit

0 / 255

T- Shirts (Youth Receive One Free)

**T-Shirt Totals MUST Equal The Number of Registering Scouts

Youth Small

FREE

Youth Medium

FREE

Youth Large

FREE

Adult Small

FREE

Shirts Available to Purchase for Adults and Den Chiefs

Adult Small T-Shirt

$10

Adult Medium T-Shirt

$10

Adult Large T-Shirt

$10

Adult X-Large T-shirt

$10

Adult 2X-Large T-Shirt

$12

Adult 3X-Large T-Shirt

$12

Adult 4X-Large T-Shirt

$12

Day Camp 2021 Patches

** CUBS WILL RECEIVE ONE FREE PATCH

Day Camp 2021 Coffee Tumbler

Payment Information

This is a secure 256-bit SSL encrypted payment

Card Number

Expiration Date

CVV What is this?

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