RIO GRANDE COUNCIL

BOY SCOUTS OF AMERICA

Laguna Station
Registration Form Summer 2004

Council____________________________________________________________

Unit (circle one) Troop / Crew / Post____________________________________

Number in crew:    Youth_____________________Adults__________________

Week Number & Dates attending______________________________________

SAILING ADVENTURE

Reserve for _______ participants @ $ 495.00  Total fee _____________

SCUBA CERTIFICATION

Reserve for _______ participants @ $ 495.00  Total fee _____________

ISLAND ADVENTURE

Reserve for _______ participants @ $ 450.00  Total fee _____________

GULF FISHING ADVENTURE

Reserve for _______ participants @ $ 495.00  Total fee _____________


Leader____________________________________________________________
                     First Name      Last name

Mailing address____________________________________________________

City____________________________State_________________Zip__________

Home Phone_____________________Business Phone_____________________

E-Mail address_____________________________________________________

*****Reservation fee of $ 50 per participant must accompany reservation for any program.  The  deposit
is
non-refundable, and will be applied toward the total fee.