Paper Discovery Center Cub Scout/Girl Scout Programs

2015-2016 Registration Form

To register for a Scout workshop, please fill out the following information. Payment must accompany all registrations. Space is limited and will not be held without payment.

There are no refunds for cancellations; substitutes are permitted. Refunds will be issued for programs cancelled by PDC due to low registration or inclement weather.

Leader’s (or Parent’s) Name: ______________________________________________________________

Street Address: ________________________________________________________________________

City: __________________________ State: ___________ Zip: _________________

Den/Pack/Troop No: __________ Scout Level: ________Contact Phone: __________________

Contact Email Address: ____________________________________________________

Event Name: _________________________ Date: _______________________________

Please Register the Following:

Name	Age	Name	Age

A note about siblings: Siblings age 6 and up are welcome to attend scout clinics with scout groups. Siblings must be registered and paid in advance. On-site registration cannot be accommodated.

A note about parents: Parents attending should expect to work with the attending scouts. The PDC relies on active parent/chaperone engagement to make the experience rewarding for the scouts. Cell phone use is discouraged.

Method of Payment: check________ Cash_________ Credit Card (MasterCard or Visa only) __________

MasterCard/VISA #_______________________________________________________________ Expires__________ Security Code___________

Mail, deliver or fax registrations with payment to: Paper Discovery Center, 425 W Water Street, Appleton WI 54911. Phone: 920-380-7491 Fax: 920-731-2704 Email: linda@paperdiscoverycenter.org

Please do not mail cash or email credit information for your own protection.