FALL CAMPORALL
SEPTEMBER 28-30, 2001
CAMP BERRYESSA

PATROL REGISTRATION FORM

UNIT NUMBER_______________

Patrol Name: _________________________________________________

Patrol Leaders Name: __________________________________________

Patrol Member__________________________________
Patrol Member__________________________________
Patrol Member__________________________________
Patrol Member__________________________________
Patrol Member__________________________________
Patrol Member__________________________________
Patrol Member__________________________________
Patrol Member__________________________________

Unit Leader Name: ____________________________________________
Assistant Leader: _________________________________
Assistant Leader: _________________________________
Assistant Leader: _________________________________

Total Number of Scouts: ______ at $8.00 each for a total fee of $______
Total Number of Adults: ______ at $8.00 each for a total fee of $______

TOTAL FEE $______      

Please submit this form with a check to:

Cindy Sanders
1117 #A Florida
Vallejo, CA 94590