2009 Cub Scout Summer Camp Den/Pack Reservation -Form
Pack # Den# District Phone: ( ) _ _ _ _
Camp Leader name_________
Address -------------------------------City State Zip Email Address Asst. Camp Leader(s)
SESSIONS ARE LIMITED TO 135 PEOPLE: FIRST COME FIRST SERVED Cub Scout Summer Camp: Register as a Den or Pack -
$105/boy & $55/adult
1.__ 2.-3.__
4.__
June 13-15 June 19-21 June 26-28
July 3-5
Total boys x $105 = Total adults x $55=
_ _
Please send payment with reservation form to: Summer Camp, Mid-Iowa Council, P.O. Box 3009, Des Moines, IA 50316-0009