To download this form as a reminder for yourself or to give to others, click here.

BOY SCOUTS OF AMERICA

Sponsored by Los Padres Council

California’s Central Coast

College of Commissioner Science – 2012

Saturday, October 27, 2012

Sign In/Registration: 7:45 am to 8:30 am

College Curriculum: 8:30 am to 4:30 pm

Pacific Christian Church – Santa Maria

3435 Santa Maria Way – Santa Maria

$25.00 – if registered & paid by October 22          $15.00 – CCS staff

$30.00 – late registration (after October 22) or paid at the door

See prerequisites, degree requirements and schedule available - click here

Continental breakfast and lunch with beverages will be provided.

Questions?? Contact your District Commissioner or Jim Snowdy at (805) 441-1176 or jimsnowdy@seagreenunlimited.com

PARTICIPANT REGISTRAION FORM

PLEASE PRINT CLEARLY

District: ________________________________________  Position: _________________________________________

Name: ________________________________________________ Phone: ____________________________________

Address/City/Zip: __________________________________________________________________________________

Email: ________________________________________________________Fees enclosed: $_____________________

If you have any dietary restrictions; please let us know by October 22^nd : _______________________________________

Drop off at any of the three Council Service Centers or mail with your payment to:

BSA – College of Commissioner Science – 4000 Modoc Rd. Santa Barbara, CA. 93110

- OR -

Register online at www.lpcbsa.org through the council calendar.