Boy Scouts Of America Youth Application
Boy ScoutS of AmericA
youth ApplicAtion
Boy Scouting
Scout Oath or Promise
On my honor I will do my best
to do my duty to God and my country
Cub Scouting
and to obey the Scout Law;
to help other people at all times;
Tiger Cub
Cub Scout
to keep myself physically strong,
Webelos Scout
Venturer/Sea Scout
mentally awake, and morally straight.
Cub Scout Promise
Venturing Oath
I, (name), promise to do my best
To do my duty to God and my country,
As a Venturer, I promise to do my duty to
To help other people and
God and help strengthen America, to help
To obey the Law of the Pack.
others, and to seek truth, fairness, and
adventure in our world.
Varsity Scouting
28-406C
408
Boy Scouts of America
information for parents
A parent or guardian must certify that he or she has read this information sheet for all applicants under 18 years of age.
(Venturing and Sea Scout members: It is important that you share this with your parents.)
Welcome to the Boy Scouts of America!
• Military training and drills are prohibited. Marksmanship and elementary drill for ceremonies
are permitted.
Your child is joining more than 4 million members of the Boy Scouts of America. Please take the time to
review this material and reflect upon its importance. Visit www.scoutparents.org.
• The Boy Scouts of America recognizes the importance of religious faith and duty; it leaves sectarian
religious instruction to the member’s religious leaders and family.
The BSA and the Chartered Organization
• Members who do not belong to a unit’s religious chartered organization shall not be required to participate
The Boy Scouts of America makes Scouting available to our nation’s youth by chartering community
in its religious activities.
organizations to operate Cub Scout packs, Boy Scout troops, Varsity Scout teams, Venturing crews, and
• Two registered adult leaders or one registered adult leader and a parent of a participant, one of whom
Sea Scout ships.
must be 21 years of age or older, are required on all trips and outings. If trips and outings are coeduca-
The chartered organization must provide an adequate and safe meeting place and capable adult leadership,
tional, leaders of both genders must be present.
and must adhere to the principles and policies of the BSA. The BSA local council provides unit leader training, • Corporal punishment and hazing are not permitted. Parents and unit leaders must work together to solve
program ideas, camping facilities, literature, professional guidance for volunteer leaders, and liability insur-
discipline problems.
ance protection.
• One-on-one activities between youth members and adults are not permitted; personal conferences must
Scouting’s Volunteers and You
be conducted in plain view of others.
• If you suspect that anyone in the unit is a victim of child abuse, immediately contact the Scout executive,
Scouting’s adult volunteers provide leadership at the unit, district, council, and national levels. Many are
who is responsible for reporting this to the appropriate authorities.
parents of Scouts; many entered Scouting as youth members. Each chartered organization establishes a unit
• All Scouting activities are open to parental visitation. There are no “secret” organizations within the Boy
committee, which operates its Scouting unit, selects leadership, and provides support for a quality program.
Scouts of America.
Unit committees depend on parents for membership and assistance.
Commit to Become a ScoutParent
Excerpt from the Declaration of Religious Principle
A ScoutParent must be at least 21 years old and is a parent or adult mentor of a Scout who enthusiastically
participates with their Scout and also helps other volunteers provide the best quality program experience to
The Boy Scouts of America maintains that no member can grow into the best kind of citizen without recog-
all youth in every unit. Visit www.scoutparents.org.
nizing an obligation to God and, therefore, recognizes the religious element in the training of the member, but
it is absolutely nonsectarian in its attitude toward that religious training. Its policy is that the home and orga-
Note: If the parent is not serving as a ScoutParent, the parental signature on the application indicates
nization or group with which the member is connected shall give definite attention to religious life. Only per-
approval of the ScoutParent, and also if the ScoutParent does not live at the same address as the Scout, a
sons willing to subscribe to these precepts of the Declaration of Religious Principle and to the Bylaws of the
separate adult application is required.
Boy Scouts of America shall be entitled to certificates of membership.
The respective unit committee selects the Cubmaster, Scoutmaster, Varsity Scout Coach, Venturing Advisor,
or Sea Scout Skipper, subject to approval of the head of the chartered organization or the chartered organi-
zation representative and of the BSA. The unit leader must be a good role model because our children’s val-
Policy of Nondiscrimination
ues and lives will be influenced by that leader. You need to know your child’s unit leader and be involved in
the unit committee’s activities so you can evaluate and help direct that influence.
Youth membership in the Boy Scouts of America is open to all boys and young adults who meet the joining
requirements. Membership in Scouting, advancement, and achievement of leadership in Scouting units are
Scouting uses a fun program to promote character development, citizenship training, and personal fitness
open to all youth without regard to race or ethnic background and are based entirely upon individual merit.
for every member. You can help by encouraging perfect attendance, assisting with your child’s advancement,
attending meetings for parents, assisting with transportation, and assisting when called upon by the unit
leader.
Ethnic background information. The BSA receives inquiries from various agencies regarding racial
composition. Please fill in the appropriate circle on the application to indicate ethnic background.
Program Policies
Chartered organizations agree to use the Scouting program in accordance with their own policies as well
Thank You
as those of the BSA. The program is flexible, but major departures from BSA methods and policies are not
permitted. As a parent, you should be aware that
The Boy Scouts of America appreciates you taking time to become familiar with Scouting. We feel that an
• Leadership is restricted to qualified adults who subscribe to the precepts of the Declaration of Religious
informed parent is a strong ally in delivering the Scouting program. Help us keep the unit program in accord
Principle, the Scout Oath, the Scout Law, and the BSA Standards of Leadership.
with Scouting principles. Alert the unit committee, chartered organization representative, and head of the
• Citizenship activities are encouraged, but partisan political activities are prohibited.
chartered organization to any major deviations. Please do your fair share to support a quality unit program.
Tips for completing the Application for Youth Membership:
BOYS’ LIFE MAGAZINE
Print—do not use cursive.
Use black or dark blue ink.
A message to parents. The youth registration fee is $10 for one year.
Press firmly when printing.
Print one letter only in each box.
Boys’ Life is the monthly magazine of the Boy Scouts of America. It will help in your Scouting program and
Use upper-case letters and stay within the blue boxes for legibility.
stimulate your interest in good reading. The subscription is only $12 a year (half the new regular rate of
Fill in circles; do not use check marks.
$24 a year). Just fill in the Boys’ Life circle on the application. Please calculate and remit the appropriate
Make sure you have all needed signatures on application.
state and local taxes. On late registrations it may be necessary to deliver back issues. Boys’ Life will not
Don’t alter the application—it could affect the quality of the scan.
begin for at least two months after you register.
Mailing address example:
7
0
3
F
I
R
S
T
S
T
Joining requirements
Parent/Guardian Information
Cub Scout Pack
Boy Scout Troop/Varsity Team
Pack membership is open to boys.
Boy Scout Troop
1. Complete the information on the application page and sign your name, indicating approval.
Your son can be a Scout if he has completed the fifth grade and is at least 10 years old or is age 11 or has earned the
2. Give the completed application and fees to the Cubmaster.
Arrow of Light Award and is at least 10 years old, but has not reached age 18.
1. Complete the application (sign your name, indicating approval).
Tiger Cub—Must be under the age of 8, have completed kindergarten or be in the first grade, or be age 7.
2. Give the completed application and fees to the Scoutmaster.
Cub Scout—Must have completed first grade but not completed third grade, or be age 8 or 9.
Webelos Scout—Must have completed third grade but not completed fifth grade, or be age 10 but not yet 11
3. Secure a copy of the Boy Scout Handbook and complete the joining requirements as listed.
1⁄2.
Parent Agreement
Health information. Please fill out the personal health history Class 1 form, No. 34414B, found on
I have read the Cub Scout Promise and I want my son to join the pack. I will assist him in observing the
www.scouting.org/forms and give it to the unit leader.
policies of the Boy Scouts of America and of his pack’s chartered organization. I will
Varsity Team
• While he is a Tiger Cub, serve as his adult partner and participate in all meetings and activities and
Varsity Scouting—A male youth must be at least 14 years of age and not yet 18.
approve his advancement.*
(Complete the application process as above and give it to the Varsity Coach.)
• While he is a Cub Scout, help him grow as a Cub Scout and approve his Cub Scout advancement.
Health information. Varsity Scouting involves strenuous activities. You should inform your Varsity Scout Coach of any
• While he is a Tiger Cub, Cub Scout, or Webelos Scout, attend monthly pack meetings and take part in
condition that might limit your son’s participation. Please fill out the personal health history Class 1 form, No. 34414B,
other activities; assist pack leaders as needed.
found on www.scouting.org/forms and give it to the unit leader.
*If the parent is not serving as the adult partner, the parental signature on the application indicates
Cut along dotted line.
approval of the adult partner and also if the adult partner does not live at the same address as the
Registration and Subscription Fee Chart
Tiger Cub, a separate adult application is required.
TEMPORARY MEMBERSHIP
Term per
Youth/adult
Boys’ Life
CERTIFICATE
Health information. Please fill out the personal health history Class 1 form, No. 34414B, found on
month
registration fee
subscription fee
(Good for 60 days)
www.scouting.org/forms and give it to the unit leader.
1
.85
—
This certifies that
Venturing Crew/Sea Scout Ship (Coeducational)
2
1.70
2.00
3
2.55
3.00
__________________________________
I submit my $10 registration fee for one year. I am at least 14 years of age and have completed the eighth
grade or am 15 years of age and not yet 21. Must have parent/guardian approval if under 18 years of age.
4
3.40
4.00
is a member of ______________________
5
4.25
5.00
Venturers and Sea Scouts registered in a crew or ship prior to their 21st birthday may continue as mem-
__________________________________
bers after their 21st birthday until the crew or ship recharters or until they reach their 22nd birthday,
6
5.10
6.00
Unit leader signature
whichever comes first.
7
5.95
7.00
__________________________________
Venturing and Sea Scouting include challenging physical and mental activities. If you have not recently had a
8
6.80
8.00
Date
complete medical examination, you are urged to see your family physician. Notify your Advisor/Skipper if you
9
7.65
9.00
require special medication or if your physician recommends limited activity. Please fill out the personal health
10
8.50
10.00
history Class 1 form, No. 34414B, found on www.scouting.org/forms and give it to the unit leader.
11
9.35
11.00
12
10.00
12.00
USE BlACk OR BlUE INk ONlY.
Unit type:
Cub Scout
Boy Scout
Varsity Scout
Venturing
Sea Scout
Lone Cub Scout
• Print—do not use
(Fill in the circle.)
Pack
Troop
Team
Crew
Ship
youth
Unit
cursive.
Lone Boy Scout
number:
• Print one letter or
•
For pack registration
select one:
Tiger Cub
Cub Scout
Webelos Scout
memBerShip
number only in
each box.
Arrow of Light earned
Mark here if new to Scouting.
Former Scout
Former Venturer
Former Sea Scout
If applicant has an unexpired membership certificate, registration may be accomplished in this unit by paying $1 for processing the transfer. Mark and attach certificate. It will be returned by the council.
• Use upper-case
T
ransfer application
letters and stay
Transfer from council number:
Unit type:
Pack
Troop
Team
Crew
Ship
Unit number:
within the blue
• Fill in radio buttons
boxes for legibility.
completely.
Enter membership number from unexpired certificate:
Name and address information (Please print one letter in each space—press hard, you are making a copy.)
First name (No initials or nicknames)
Middle name
Last name
Suffix
J O H N
A N D R E W
S M I T H
Country Mailing address
City
State
Zip code
U S 1 2 3 4 A N Y
S T R E E T
A N Y T O W N
N Y 1 2 3 4 5
Home phone
Date of birth (mm/dd/yyyy)
Grade
Ethnic background:
African American
Native American
Alaska Native
Asian
5 5 5 - 1 2 3 - 4 5 6 7
0 1 / 0 1 / 1 9 9 5
0 6
•
Caucasian/White
Hispanic/Latino
Pacific Islander
Other
School
O A k
T R E E
E L E M E N T A R Y
Gender:
Male
Female
Boys’ Life
subscription
Parent/guardian information
Mark here if address is same as above.
I commit to be an active ScoutParent.
Mark here if you are the Tiger Cub adult partner
Mark here if the adult partner/ScoutParent is not living at the same address; complete and attach an adult application.
Select relationship:
Parent
Guardian
Grandparent
Other (specify)
•
First name (No initials or nicknames)
Country Mailing address
City
State
Zip code
U S 1 2 3 4 A N Y S T R E E T
A N Y T O W N
N Y 1 2 3 4 5
28-406C
Home phone
5 5 5 - 1 2 3 - 4 5 6 7
SAMPLE
Middle name
Last name
Suffix
D E B O R A H
S U E
S M I T H
Date of birth (mm/dd/yyyy)
Occupation
Employer
Gender:
0 1 / 0 1 / 1 9 7 2
M
• Make sure you have
all needed signatures
years.
F
Business phone
Ext.
Previous Scouting experience
Cell phone
on application.
• three
-
-
X
-
-
for
file
Parent/guardian e-mail address
I have read the attached information sheet and approve the application
on
A N Y P A R E N T @ A N Y E - M A I L A D D R E S S . C O M
(signature of parent/guardian required if applicant is under 18 years of age).
Retain
Deborah Sue Smith
/
/
Bill Taylor
Signature of parent/guardian
Date
Signature of unit leader (or designee)
$
Registration fee
.
$
Boys’ Life fee
.
Signature of Venturer
This form is read by machine. Please print the numbers and letters as shown on the sample application.
Unit type:
Cub Scout
Boy Scout
Varsity Scout
Venturing
Sea Scout
Lone Cub Scout
youth
(Fill in the circle.)
Pack
Troop
Team
Crew
Ship
Unit
Lone Boy Scout
number:
memBerShip
For pack
registration select one:
Tiger Cub
Cub Scout
Webelos Scout
Arrow of Light earned
Mark here if new to Scouting.
Former Scout
Former Venturer
Former Sea Scout
If applicant has an unexpired membership certificate, registration may be accomplished in this unit by paying $1 for processing the transfer. Mark and attach certificate. It will be returned by the council.
Transfer from council number:
Pack
Troop
Team
Crew
Ship
Unit number:
Transfer application
Unit type:
Enter membership number from unexpired certificate:
Name and address information (Please print one letter in each space—press hard, you are making a copy.)
First name (No initials or nicknames)
Middle name
Last name
Suffix
Country Mailing address
City
State
Zip code
U S
Home phone
Date of birth (mm/dd/yyyy)
Grade
Ethnic background:
-
-
/
/
African American
Native American
Alaska Native
Asian
Caucasian/White
Hispanic/Latino
Pacific Islander
Other
COPY
School
Gender:
Male
Female
Boys’ Life
subscription
COUNCIL
Parent/guardian information
Mark here if address is same as above.
I commit to be an active ScoutParent.
Mark here if you are the Tiger Cub adult partner
LOCAL
Mark here if the adult partner/ScoutParent is not living at the same address; complete and attach an adult application.
Select relationship:
Parent
Guardian
Grandparent
Other (specify)
First name (No initials or nicknames)
Middle name
Last name
Suffix
Country Mailing address
City
State
Zip code
U S
28-406C
Home phone
Date of birth (mm/dd/yyyy)
Occupation
Employer
Gender:
-
-
/
/
M
years.
F
Business phone
Ext.
Previous Scouting experience
Cell phone
three
-
-
X
-
-
for
file
Parent/guardian e-mail address
I have read the attached information sheet and approve the application
(signature of parent/guardian required if applicant is under 18 years of age).
on
Retain
/
/
Signature of parent/guardian
Date
Signature of unit leader (or designee)
$
2001
Registration fee
.
$
Boys’ Life fee
.
Signature of Venturer
Unit type:
Cub Scout
Boy Scout
Varsity Scout
Venturing
Sea Scout
Lone Cub Scout
youth
(Fill in the circle.)
Pack
Troop
Team
Crew
Ship
Unit
Lone Boy Scout
number:
memBerShip
For pack
registration select one:
Tiger Cub
Cub Scout
Webelos Scout
Arrow of Light earned
Mark here if new to Scouting.
Former Scout
Former Venturer
Former Sea Scout
If applicant has an unexpired membership certificate, registration may be accomplished in this unit by paying $1 for processing the transfer. Mark and attach certificate. It will be returned by the council.
Transfer from council number:
Pack
Troop
Team
Crew
Ship
Unit number:
Transfer application
Unit type:
Enter membership number from unexpired certificate:
Name and address information (Please print one letter in each space—press hard, you are making a copy.)
First name (No initials or nicknames)
Middle name
Last name
Suffix
Country Mailing address
City
State
Zip code
U S
Home phone
Date of birth (mm/dd/yyyy)
Grade
Ethnic background:
-
-
/
/
African American
Native American
Alaska Native
Asian
Caucasian/White
Hispanic/Latino
Pacific Islander
Other
School
Gender:
Male
Female
Boys’ Life
subscription
UNIT COPY
Parent/guardian information
Mark here if address is same as above.
I commit to be an active ScoutParent.
Mark here if you are the Tiger Cub adult partner
Mark here if the adult partner/ScoutParent is not living at the same address; complete and attach an adult application.
Select relationship:
Parent
Guardian
Grandparent
Other (specify)
First name (No initials or nicknames)
Middle name
Last name
Suffix
Country Mailing address
City
State
Zip code
U S
28-406C
Home phone
Date of birth (mm/dd/yyyy)
Occupation
Employer
Gender:
-
-
/
/
M
years.
F
Business phone
Ext.
Previous Scouting experience
Cell phone
three
-
-
X
-
-
for
file
Parent/guardian e-mail address
I have read the attached information sheet and approve the application
(signature of parent/guardian required if applicant is under 18 years of age).
on
Retain
/
/
Signature of parent/guardian
Date
Signature of unit leader (or designee)
$
Registration fee
.
$
Boys’ Life fee
.
Signature of Venturer
