E Council Online Registration

 Basic Troop Camping - Merced Individual Registration
 Overnight in the Mariposa area May 17 to 18
 Attending Adult (all fields required)
First Name
Last Name
Street Address
City
State
Zip
Mail Notices?
Telephone Number (Day)
Cell/Pager Number (Eve)
Email
Email Notices?
Emergency Contact (other than accompanying adult)
Phone Number (Day)
Phone Number (Eve)
Relation
 Fees / Accessibility
     Wheelchair Accessibility
Fee per Adult: $40.00    Sign Language Interpreter
     Physical Assistance
     Other