2018 LVAC Mountain Man Rendezvous
February 9 th-11th, 2018       www.lvacbsa.org
Register Online-Need Help wendy.meadows@scouting.org
(One Registration Form Per Staff Member – PLEASE WRITE LEGIBLY IN INK) As staff, you will need to be able to work all weekend and stay at your assigned location for the duration of the event.

Name: _______________________________________________________________________________________

Full Address __________________________________________________________________________________

Home Telephone: ___________________________________  Other Phone: _______________________________

Email Address (s) ______________________________________________________________________________

Event you will be working: _______________________________________________________________________

Event(s) you would be willing to work should your selected event be over staffed: ___________________________

_____________________________________________________________________________________________

Food Allergies, special dietary needs, or other items (medical, etc.) staff should be aware of: ___________________

_____________________________________________________________________________________________

Unit #_______Troop:  ____Team:_______Crew:_______ Ship:_______

  Staff Registration fee = $25.00 per person   
Registration fee covers belt buckle, commemorative metal mug, Dinner, Breakfast, Lunch, Dinner & Breakfast.

Amount Paid (plus extras if applicable):  $ _______________________________________  Date Paid: ___________________

Payment Received by: ________________________________________________________________________________________

As Booshway, I want to thank you for your services and dedication in helping put on this great event.
Without Scouters/volunteers like you, this event could not have occurred for the past 35 years.

Del Ray, 2018 LVMMR Booshway

Extra Items which may be purchased (mark below and pay associated costs):

Medallion - $5.00 each ______	Extra Belt Buckle - $10.00 each ________
(Extra items can be picked up at the event during staff check-in.)

cut here and retain below for your records
2018 LVAC Mountain Man Rendezvous -Staff Registration Receipt 
Name: _________________________________________________________  Date: ___________________
Amount Paid: $ _____ Extra Items: Medallion: ___ Belt Buckle: ____ 
Payment received by: __________________________________________________________________________
Updated: January 4, 2017