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        Cub Resident Camp Application
                   (This is for Cub Scout Staff only)
Age on June 1st of this year:
Cub Residents Camp Dates:
Staff Development: 6/17 - 6/21
                Session 1: 6/21 - 6/23
                Session 2: 6/28 - 6/30
                Session 3: 7/5 - 7/7

Scouting Experience

Check all that apply:
Are you currently registered in BSA?

Camping Experience

Order of the Arrow:

Current Certifications 


                   (check all that apply)

Ecology / Nature
Shooting Sports
Food Service
Camp Management
Medical / Health

        Select Top Three Preferences

                                   (minimum ages in parenthesis)

* means position requires certification by a BSA National Camp School





Parent / Guardian Information if under 18

Lost Pines Staff


                  Scouts BSA 

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