Long Beach Area Council, Boy Scouts of America Logo
Webelos Weekend Participant Information
Adult First Name
required
Adult Last Name
required
Mobile Number
required
Email
required
Address
required
City
required
State
required
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Zip
required
Webelos Scout First and Last Name
required
Webelos 1 or 2
required
Select Option
Webelos 1 (going into 4th)
Webelos 2 (going into 5th)
Council Name
required
Select Option
Verdugo Hills Council
Orange County Council
Long Beach Area Council
Greater Los Angeles Area Council
Western Los Angeles Area Council
California Inland Empire Council
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Pack Number
required
Number of Adults Attending ($50 each, x1 required)
required
Select Option
1 Adult
2 Adults
3 Adults
4 Adults
5 Adults
Number of Webelos Attending ($50 each, x1 required)
required
Select Option
1 Webelos
2 Webelos
3 Webelos
4 Webelos
5 Webelos
Number of Non-Webelos Youth
Select Option
1 Youth
2 Youth
3 Youth
4 Youth
5 Youth
Webelos Weekend Apparel
T-Shirt Size for Adult
Select Option
Small
Medium
Large
X-Large
XX-Large
Specify number of adult shirts
T-Shirt Size for Youth
Select Option
Medium
Large
Specify number of youth shirts
Donation Amount
$
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Payment information
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Routing Number
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Account Number
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Account Type
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savings
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Card Number
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Expiration Date
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Expired Credit Card
CVV
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3-Digit Card Verification Number
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4-Digit Card Verification Number
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Donor hereby approves the payment of the donation and/or purchase to Long Beach Area Council, Boy Scouts of America and in the amount set forth herein.
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