Shootout in the
Old West
Check Desired Session :July 16 August 20 September 10 October 22
Pick either the morning session (8:30-12:30) Morning
BB guns or archery
or the afternoon session (12:00-4:00):
Afternoon BB guns or archery
You may pick both sessions and pay double
Cub Scout Name(s):_____________________________________________________________________
Adult Name(s): _______________________________________________________________________
Address: __________________________________ City: __________________ Zip: __________
Email: __________________________________________ Phone: (______) ________ - _________
Pack #____ District:
_______________________________
Special dietary needs: _________________________________________________________________
Number of youth: _____ @
$_____
$25 1 Month Before $30 On Time 2 Weeks before $40 less than 2 weeks before =
Number of adults: ______ (no fee for adults to attend with their Cub Scout for this event) Extra Lunch $10
If by credit card: Name on card: _________________________________________________________
Credit card number: __________ __________ ____________ ____________ Exp: ______ / ______
Amount: $_____________ Signature: __________________________
CLIP AND RETURN FORM ABOVE OR REGISTER ONLINE
To protect your confidential information, do not email this form with your credit card number
Reservations are made on a first-come, first-served basis. During your morning or afternoon
of fun, you’ll be able to shoot at either the archery range or the BB gun range. The adult-to-
youth ratio for Cub camping is one-to-four for Webelos, one-to-two for Wolf and Bear Cubs,
and one-to-one for Tiger Cubs. See website for other standard Scouting rules.
To make your reservation, complete this registration form and:
Return it with your payment to 970 W Julian St, San Jose, CA 95126
Make checks payable to the “SVMBC BSA”
FAX the form (408-280-5162) with your credit card information.
Register on-line registration:
activities/
For more information: Email
or call 408-638-8300
Please notify us in writing at least two weeks prior to the committed date for cancellations. All refunds
are subject to a 15% cancellation fee. No refund will be processed within one week of the activity date.
The event will be held rain or shine.