Dan Beard Council, Scouting America
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Scout Membership Registration Assistance
Form to request financial assistance for Scouting registration.
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It is the belief of the Dan Beard Council that Scouting programs should be available to all youth. Thanks to strong community and Scouting family support, some funds for financial assistance are available to assist with fees for council events and member registrations. As funds are limited, financial assistance is based on need. The council cannot cover subscription to Scout Life magazine, and alternatives should be sought before requesting assistance. For assistance with camp fees, individuals should use the separate Campership Application. Please discuss the use of this form with your Membership Executive before submission. All requests are kept confidential.
Scout Name
(Required)
First:
Last:
Scout Address:
Street Address:
Address Line 2:
City:
State:
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Zip Code:
Unit Type:
(Required)
Pack
Troop
Crew
Post
Unit Number:
(Required)
District:
Your Email Address:
(Required)
Email Address
Confirm Email Address
Your Phone Number:
(Required)
Best Time to Call You:
(Required)
Select A Time
8:00 am
8:30 am
9:00 am
9:30 am
10:00 am
10:30 am
11:00 am
11:30 am
12:00 pm
12:30 pm
1:00 pm
1:30 pm
2:00 pm
2:30 pm
3:00 pm
3:30 pm
4:00 pm
4:30 pm
5:00 pm
5:30 pm
6:00 pm
6:30 pm
7:00 pm
7:30 pm
8:00 pm
8:30 pm
Unit Leader Information
Unit Leader Name:
(Required)
Unit Leader Phone Number:
(Required)
Unit Leader Email:
(Required)
Preferred Method of Contact:
(Required)
Email
Phone
Statement of Need
Fee Amount:
(Required)
Amount able to pay:
(Required)
Please consider an investment towards your Scout's program, as able.
Requested Amount:
(Required)
Dan Beard Council will consider amounts up to $80 per Scout while funds last.
Explanation of Need for Assistance:
(Required)
Has the Scout participated in any of the following:
(Required)
Popcorn Sale
Coffee Sale
Camp Card Sale
Many chartering organizations are willing and able to assist with the registration fees for Scouts. Has the chartering organization been approached?
(Required)
Yes
No
How will the chartering organization assist?
Requested by:
(Required)
Relationship to Scout:
(Required)
Δ
Financial Assistance Form for Scouting Membership
This field is hidden when viewing the form
Next Steps: Sync an Email Add-On
To get the most out of your form, we suggest that you sync this form with an email add-on. To learn more about your email add-on options, visit the following page (https://www.gravityforms.com/the-8-best-email-plugins-for-wordpress-in-2020/). Important: Delete this tip before you publish the form.
It is the belief of the Dan Beard Council that Scouting programs should be available to all youth. Thanks to strong community and Scouting family support, some funds for financial assistance are available to assist with fees for council events and member registrations. As funds are limited, financial assistance is based on need. The council cannot cover subscription to Scout Life magazine, and alternatives should be sought before requesting assistance. For assistance with camp fees, individuals should use the separate Campership Application. Please discuss the use of this form with your Membership Executive before submission. All requests are kept confidential.
Scout Name
(Required)
First:
Last:
Scout Address:
Street Address:
Address Line 2:
City:
State:
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Zip Code:
Unit Type:
(Required)
Pack
Troop
Crew
Post
Unit Number:
(Required)
District:
Your Email Address:
(Required)
Email Address
Confirm Email Address
Your Phone Number:
(Required)
Best Time to Call You:
(Required)
Select A Time
8:00 am
8:30 am
9:00 am
9:30 am
10:00 am
10:30 am
11:00 am
11:30 am
12:00 pm
12:30 pm
1:00 pm
1:30 pm
2:00 pm
2:30 pm
3:00 pm
3:30 pm
4:00 pm
4:30 pm
5:00 pm
5:30 pm
6:00 pm
6:30 pm
7:00 pm
7:30 pm
8:00 pm
8:30 pm
Unit Leader Information
Unit Leader Name:
(Required)
Unit Leader Phone Number:
(Required)
Unit Leader Email:
(Required)
Preferred Method of Contact:
(Required)
Email
Phone
Statement of Need
Fee Amount:
(Required)
Amount able to pay:
(Required)
Please consider an investment towards your Scout's program, as able.
Requested Amount:
(Required)
Dan Beard Council will consider amounts up to $80 per Scout while funds last.
Explanation of Need for Assistance:
(Required)
Has the Scout participated in any of the following:
(Required)
Popcorn Sale
Coffee Sale
Camp Card Sale
Many chartering organizations are willing and able to assist with the registration fees for Scouts. Has the chartering organization been approached?
(Required)
Yes
No
How will the chartering organization assist?
Requested by:
(Required)
Relationship to Scout:
(Required)
Δ
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