National Summertime Pack Award Application Cub Scout Pack No.________________ of chartered organization__________________________________________________ Name has qualified for this award by conducting a pack activity in the summer months of ______________, Year JUNE

JULY

AUGUST

Type of pack activity

____________

____________

____________

Number of dens participating

____________

____________

____________

Number of dens qualifying (50 percent of the den’s Cub Scouts participating)

____________

____________

____________

Number of the pack’s Tiger Cubs participating

____________

____________

____________

Number of the pack’s Wolf Cub Scouts participating

____________

____________

____________

Number of the pack’s Bear Cub Scouts participating

____________

____________

____________

Number of the pack’s Webelos Scouts participating

____________

____________

____________

Number of parents/family members participating

____________

____________

____________

Please send us the following National Summertime Pack Award items:

One Pack Award Certificate, No. 33731

One Pack Award Streamer, No. 17808

______ Tiger Cub pins, No. 14332

______ Wolf pins, No. 14333

_______ Den participation ribbons, No. 17806 ______ Bear pins, No. 14334

______ Webelos pins, No. 14335

SUMMERTIME ACTIVITIES TRACKING SHEET JUNE Leader(s) responsible______________________________________________________________________________________ Pack activity_____________________________________________________________________________________________ Location________________________________________________ Date_______________________ Time________________ Number of dens that participated _________ Number of dens with at least 50 percent of members present ________ Number of Tiger Cubs participating ______

Number of Wolf Cub Scouts participating ______

Number of Bear Cub Scouts participating ______

Number of Webelos Scouts participating _______

Number of parents/family members participating _______ Comments _____________________________________________________________________________________________

JULY Leader(s) responsible______________________________________________________________________________________ Pack activity_____________________________________________________________________________________________ Location________________________________________________ Date_______________________ Time________________ Number of dens that participated _________ Number of dens with at least 50 percent of members present ________ Number of Tiger Cubs participating ______

Number of Wolf Cub Scouts participating ______

Number of Bear Cub Scouts participating ______

Number of Webelos Scouts participating _______

Number of parents/family members participating _______ Comments _____________________________________________________________________________________________

AUGUST Leader(s) responsible______________________________________________________________________________________ Pack activity_____________________________________________________________________________________________ Location________________________________________________ Date_______________________ Time________________ Number of dens that participated _________

Number of dens with at least 50 percent of members present ________

Number of Tiger Cubs participating ______

Number of Wolf Cub Scouts participating _______

Number of Bear Cub Scouts participating ______

Number of Webelos Scouts participating _______

Number of parents/family members participating _______ Comments _____________________________________________________________________________________________

Date needed ___________________________

Cubmaster signature _____________________________________________

Pack committee chair signature_____________________________________

Send to _______________________________ Name

_______________________________________________________________ Street, city, state, zip code

TO ASSURE PROMPT RECOGNITION, SUBMIT APPLICATION TO LOCAL COUNCIL SERVICE CENTER AS SOON AS POSSIBLE AFTER YOUR AUGUST ACTIVITY. 2012 Printing

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