Pre-Registration Form
Webelos Klondike 2002
Manitoga District of Westchester-Putnam Council, BSA
Saturday, February 23, 2002
9:00 a.m. to 2:00 p.m.
FDR State Park - Yorktown Heights, New York

PRE-REGISTRATION IS REQUIRED!
February 13, 2002 deadline for pre-registration with full payment received at Council.
Different from past years, late registration will NOT be accepted.
Walk-ins or Webelos who are not pre-registered will NOT be allowed to participate.
$6 per person

Each sled must have a minimum of two adults, one of whom must be a registered leader.  There are no refunds.  Each sled must also provide one large can (26 ounces) of hot cocoa mix at check-in on February 23.

Pack number: ________  town Pack is located in: ___________________________
Pack’s chartered organization: __________________________________________
Contact person:
    name: ___________________________________________________________
    address: __________________________________________________________
                __________________________________________________________
    email address: _____________________________________________________
    daytime telephone number with area code:  (          )  ______________________
    evening telephone number with area code:   (          )  ______________________
    cellular or pager telephone number with area code:   (          )  _______________
Number of sleds:        _________
Number of Webelos:  _________  X $6 =  $ ___________
Number of adults:      _________  X $6 =  $ ___________
Total enclosed:                                         $ ___________

Make checks payable to “Westchester-Putnam Council, BSA“.
      “Webelos Klondike #105” MUST be written on all checks.
      Your check number:  ___________

Mail this completed form with full payment before February 13, 2002 to:
                        Manitoga District Webelos Klondike 2002
                        Westchester-Putnam Council, BSA
                        41 Saw Mill River Road
                        Hawthorne, NY   10532

Westchester-Putnam Council, BSA       www.wpcbsa.org       (914) 773-1135