Day Camp Den Roster 3 copies of this form are required Presented by Cascade Pacific Council

Camp Attending _____________________ Pack # ____________________ District _____________________________ Reservation # _______________ Week in Camp _________________ Camp Den Name__________________________ Please return these forms to your Camp Director at your camp’s pre-camp meeting or other designated time. Adults/ Den Chiefs in Camp

Days in Camp

DC

Adults/ Den Chiefs in Camp

Days in Camp

DC

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Please check the DC box if the person listed is a Den Chief. Medical Alert: Place a check mark on those youth who have a medical condition noted on part A of the medical form. Place “A” for Absent and “P” for Present for Each Scout, Each Day. FILL OUT AT CAMP Name of Scout

Phone

Medical Alert

Grade & Rank

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Membership Checked By: _____________Date: ___________

//Portland/filestru/camping&properties/admin/publishedforms&reports/reservationforms/daycampreservationforms

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Day Camp Den Roster 12 - Cascade Pacific Council

... your Camp Director at your camp's pre-camp meeting or other designated time. ... Absent and “P” for Present for Each Scout, Each Day. Name of Scout. Phone.

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