NR CDC NYLT - Alpine Scout Camp

Alpine Scout Camp Alpine, NJ 10/26 - 10/28 NYLT

Location:    Alpine Scout Camp, Alpine, NJ
     441 US Highway 9 W
     Alpine, NJ  10522

* required information
Registration 
Registration Information
First Name:*
Middle Initial:
Last Name:*
Suffix:
Spouse name if attending:
Address Line 1:*
Address Line 2:
City:*
State:*
ZIP/Postal Code:*
Email:*
Phone:*
Cell Phone:
Age:* years old
Gender:* Female   Male  
NYLT Position:*
I have been Authorized by Council Personnel, I have no fee. (Name of Council Staff Authorizing):*
Local Council Name:*
Area:
Emergency Contact:*
Emergency Contact Phone #:*
Badge Name:*
Food Allergies and/or Restrictions:*
Housing at Camp?:*
Fees
NYLT Adults
NYLT Adult Participant
$121.00
NYLT Adult Staff
NYLT Event Staff
$105.00
NYLT Youth
NYLT Youth Participant
$111.00
NYLT Youth Staff
NYLT Youth Event Staff
 


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