South Carolina Royal Rangers
2015 District Pow-Wow
No Country For Scared Men
May 15-17, 2015 - River Oaks Retreat Center
Church Name:
Address:
City:
OP Coordinator:
SC
Outpost #:
*Chartered:
Phone:
Phone:
Zip:
(
(
YES
)
)
NO
-
*An outpost does not need to be chartered to attend Pow-Wow. Non-chartered outposts will pay a higher registration fee.
If your outpost charter is not current and you would like to charter, please contact your district director.
All persons registered will receive a t-shirt. Indicate the total number of each size needed for all person registered for Pow-Wow. Shirt sizes are
ordered bases on early registration numbers. If you register after the early deadline, you may not receive the correct sizes for your outpost.
Total
Total
Total
Total
Total
number
number
number
number
number
of Discovery Rangers (3rd – 5th Grades)
of Adventure Rangers (6th – 8th Grades)
of Expedition Rangers (9th – 12th Grades)
of Adult Leaders (to staff your outpost)
REGISTERED for Pow-Wow
T-shirts – Adult Sizes ONLY
XS
XL
S
2X
M
3X
L
4X
VOLUNTEERS AND ON-STAFF PASTORS DO NOT REGISTER WITH THEIR OUTPOST. VOLUNTEERS USE THE SEPARATE VOLUNTEER REGISTRATION
FORM AVAILABLE ON-LINE. PASTORS MAY REGISTER ON-SITE UPON ARRIVAL AT CAMP. VOLUNTEERS AND ON-STAFF PASTORS ARE NO-CHARGE.
REGISTRATION – USE APPROPRIATE LINE(S)
CHARTERED OUTPOST - $35/person if RECEIVED on or before April 18, 2015
NON-CHARTERED OUTPOST - $42/person if RECEIVED on or before April 18, 2015
CHARTERED OUTPOST - $42/person if RECEIVED after April 18, 2015
NON-CHARTERED OUTPOST - $49/person if RECEIVED on or before April 18, 2015
EARLY ARRIVALS – Not before 5PM Thu – CHARTERED OUTPOST - $8/person
EARLY ARRIVALS – Not before 5PM Thu – NON-CHARTERED OUTPOST - $10/person
TOTAL AMOUNT DUE
Registered
$35
$42
$42
$49
$ 8
$10
x
x
x
x
x
x
TOTAL
STAFF USE ONLY
$
$
$
$
$
$
$
Please return this application with payment payable to SC Royal Rangers to:
SC District Royal Rangers
Pow-Wow Registration
417 Hermitage Court
Lexington, SC 29072-8083
REFUND POLICY: No refunds will be made. Any outpost submitting funds greater than attendance will receive a credit toward the
next district event or to a SCRR Store order, less $5.00/person. Any credit must be used by December 31 of the same calendar year or
it will be considered a donation.
MEDICAL FORMS: ALL persons attending Pow-Wow must have a current SCRR medical form. The medical forms are available on
the web site – www.scdrr.org/formspage. Please remind your Ranger parents and all leaders this form MUST BE NOTARIZED WITH
SEAL! Your cooperation is appreciated.
PASTOR’S AUTHORIZATION OF ADULT WORKERS. This form is available on the same web page. A staff pastor must initial
beside the name of each adult and then sign the bottom of the form. This form is mandatory and is for the protection of our Rangers.
DO NOT MAIL this form with your registration. Bring it with you to Pow-Wow.
OP Coordinator Signature
DATE: