Program Payment Form Using Paypal

Girl Scout Programs
Cub Scout Programs
Boy Scout Merit Badges
Scout Field Trip Programs
Date of Program*
Month
Day
Year
Pack or Troop Number and City*
Contact person*
First Last
Scout Name (for Individual Enrollment only)
First Last
Address*
Street Address City State ZIP Code
Scout Deposit*
- PayPal
Please choose one:
Oceanography - Individual Enrollment - $45.00 per scout Quantity
Price: $45.00
Environmental Science - Individual Enrollment - $45.00 per scout Quantity
Price: $45.00
Extra scouts for two-hour group program Quantity
Price: $14.50
Extra scouts for a four-hour group program Quantity
Price: $22.50
Horseshoe Crab Twilight Walk - $9 per person Quantity
Price: $9.00