2011 Jamboree Preliminary Application

2011 Jamboree Pre-Application*

*Note: Please be aware that this application is only an Pre-Application*.
IT DOES NOT GUARANTEE YOU ACCEPTANCE TO THE 2011 JAMBOREE.
Once selections are made, the selected Troops will be notified and
they will be asked to register again with their FINAL information.

Please fill the below form out to the best of your ability.
We will use it to gauge our interest levels and gather initial information.

Please press "Submit Data" at the bottom once you have completed the form.
NOTE: The Jamboree is restricted to scouts over 14 or First class and above



Contact Name (First and Last)		*
Troop #:		*
Contact Email Address:		*
Street Address:		*
City:		*
State:		*
Zip Code:		*
Contact Phone Number:		*
Alternate Phone Number:
Total Scouts Attending:		*
Total Adults Attending:		*
How many Scout Reach Scouts would you be able to accommodate for the Jamboree? (Accommodations include food camping arrangements, and adult supervision)		*
Midshipman Sponsor's Name
Midshipman Sponsor's Class (2011, 2011, 2012, 2013)
Will you have an O-6 and above, or equivalent, attend the Jamboree with your Troop? Please check box if yes
Comments: