2017 National Scout Jamboree Request to attend.
Please consider my application that I have submitted on‐line via the Summit website.
First Name: __________________________________________________________________
Last Name: __________________________________________________________________
BSA Membership Number: ______________________________________________________
Home unit type and number: _______________________________
(I.e. Troop 13, Pack 141, Crew 22)
Registration Code: _____________________________________________________________
(This should be a 13 digit code located in your email confirmation from the Summit)
Signature of parent: ___________________________________________________________
Signature of leader: ___________________________________________________________
(Scoutmaster, Crew Advisor, Cubmaster for Webelos II)
Return this form along with your email confirmation to the Scout Service Center (address below)
with a $250 deposit. The deposit is due by February 15, 2016 to ensure a spot for the 2017
National Jamboree.
Middle Tennessee Council, BSA
National Jamboree
P.O. Box 150409
Nashville, TN 37215