ADAMS Scouting - Cub Scout Recharter Information

This form is only for current registered scouts that would like to continue cub scouting next year. Your membership will be terminated automatically if we do not recieve this form by the due date. Scout and Parent information fields are required. Sibling information is only needed is they are registered cub scouts with Pack 1576. Rechartering Letter to Parents
If you are new scout wanting to register, use instruction on 'How do we join Cub Scout' under the Cub Scouts section.

Scout First Name:

Scout Last Name:

Scout Rank:

Scout Date of Birth:	Month: Day: Year:

Scout School Grade:

Address 1:

Address 2:

City:

State:

Zip Code:

Parent1 First Name:

Parent1 Last Name:

Parent1 Date of Birth:	Month: Day: Year:

Parent1 Phone #:

Parent1 Employeer:

Parent1 Email:

Parent1 myscouting.org user ID or BSA ID:

Parent2 First Name:

Parent2 Last Name:

Parent2 Phone #:

Parent2 Email:

Parent2 myscouting.org user ID or BSA ID:

Sibling1 First Name:

Sibling1 Last Name:

Sibling1 Scout Rank:

Sibling1 School Grade:

Sibling1 Date of birth:	Month: Day: Year:

Sibling2 First Name:

Sibling2 Last Name:

Sibling2 Scout Rank:

Sibling2 School Grade:

Sibling2 Date of birth:	Month: Day: Year: