Youth Registration Form

My Son son wants to be a:
Cub Scout (kindergarten* through 5th grade) *Kindergarten program available in most areas.
Boy Scout (11-17 years old)
Gender *
Ethnic Background (for informational purposes only) *

Family Information

Gender *
Relationship to Youth *
How did you hear about us? *

Payment Information

BSA Registration Fee (incls $1 processing fee) *
Boys' Life Subscription? *
Boys' Life Subscription Fee
• I understand that I am registering my son to become a member of the Boy Scouts of America and that the fees above will be paid directly to the BSA and are non-refundable. I understand that my local unit may charge additional annual dues or membership fees. Such fees are determined by the individual unit and are not paid to the BSA. *
Please certify that a parent or guardian has read and understands the Information for Parents document. *
Signature of Parent or Guardian * 🛈
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