Silver Gate District will again be sponsoring a 5 day High Adventure Backpacking trek this summer, June 30th through July 4^th, 2000. Use this form to register for the Silver Gate District’s Third Annual High Adventure Backpacking Expedition in July.

Name of Scout/Scouter______________________________________

Birth Date________________________________________________

Address_________________________________________________

Phone Number____________________________________________

Scout Signature___________________________________________

Parent Signature__________________________________________

Deposit of $20.00 is required at time of registration. Final fees will be due at a later date. Deposit is non-refundable.

By signing I understand the conditions and responsibilities for being considered, accepted and participating in this Silver Gate District backpacking event into the high Sierra’s between June 30^th and July 4th, 2000. Conditions are outlined in the flyer attached to this form.