Provisional Camp Registration Form printable pdf download

HAWK MOUNTAIN SCOUT RESERVATION

Provisional Camp

The Hawk Mountain Scout Reservation will be offering two “Provisional Camps” for Boy Scouts who are

unable to participate at Summer Camp with their unit. If you are away the week your Troop regularly

comes to camp or for some other reason have not attended, this is your opportunity to do so.

If you are a registered Boy Scout, you can attend. The Hawk Mountain Scout Reservation will provide

Adult leadership for the week. As a provisional Scout, you choose your own Merit Badges (However, you

must have your Scoutmaster’s approval and have signed Merit Badge Cards). The early bird fee through

May 20, 2016 is $355.00. The regular fee of $375.00 for May 21 and beyond. Provisional Week takes place

July 3, 2016 – July 9, 2016 (Prov Wk 1) and during July 31, 2016 – August 6, 2016 (Prov Wk 2). There is a

$100.00 deposit due with the reservation form.

A week spent at the Hawk Mountain Scout Reservation will be a rewarding experience you will remember

forever! Come join us for the 2016 Camping Season. Experience Climbing and Rappelling, Sailing,

Shooting a Shotgun or Rifle and other fun activities.

After completing, and submitting, the following registration form, a Council representative will contact you.

If you have any questions, please contact David Muldowney, Director of Support Services at

or 570-754-7552.

----------------------------------------------------------------------------------------------------

HMSR PROVISIONAL CAMP - Registration Form

Scout’s Name__________________________________ D.O.B._______________

Address____________________________________________________________

City________________________________ State__________ Zip_____________

Phone____________________ Troop#_____________ District_______________

Please circle week attending: Provisional Week 1

Provisional Week 2

$100.00 Deposit is due with registration. Payment may be made by one of the

following:

____ (cash)

____ (check) Make checks payable to: Hawk Mountain Council

____ (charge unit account) Unit Number ________

____ (credit card) Master Card, Visa, Discover or American Express

Name as it appears on card: ____________________________________________

Address____________________________________________________________

Credit Card Number: _________________________________________________

Expiration Date: ___________

3 digit code on back of card ___________

Return to: Hawk Mountain Council

5027 Pottsville Pike, Reading, PA 19605

R: 2.12.16

Provisional Camp Registration Form