Note: If you use this fill-in form, please make (3) copies
Please make sure that all information is completed by the parent including name, address, phone number, registration year, etc. Be sure parent signs the form
PLEASE MAKE SURE I HAVE BOTH COPIES OF THE FORM. If the parent keeps one of the copies by mistake, you can submit a photo copy with the registration packet. If the troop wants to keep a copy, you will need to make photocopies for your records and submit the original 2-part form with the troop registration packet.
Racial and ethnic information is optional from the parent. If it is not completed by the parent, the leader or troop registrar should complete the information and indicate one or both was completed by the leader by checking the visual survey indicated in the lower right of the form in the colored margin as "VS 1" for racial data and "VS 2" for ethnic data.
The following codes need to be added in the boxed area at the lower right in the colored margin of the page: Fill in the corrent codes for your Service Unit from the table on the below.
SU 1
SU 2
SU 3
SU 4
Council Code
622
622
622
622
Troop #
Your Troop#
Your Troop#
Your Troop#
Your Troop#
Report Code
678
679
680
685
Registration Area
023
023
023
023
Important: If the adult holds multiple positions in one or more troop, please indicate EVERY position held and for EVERY troop at the top of the form. NOTE: There is only one '01' per troop. Co-leaders are '02' and all other troop positions (i.e. treasure, cookie chair, responsible adult, etc.) are '03' position codes