Individual Registration

Please enter information in the form below to process registration for event Goshen 2026.

Registrant First Name: *

Registrant Last Name: *

Attendee Type *

Registration Type *

What days will you attend? *

Sunday

Monday

Tuesday

Wednesday

Thursday

Friday

Age *

Den - Check Box *

AOL

Webelos

Bears

Wolf

Tiger

Lion

Den *

I affirm *

I am a registered adult with Pack 289 and have taken Youth Protection Training

YPT Date *

Emergency Contact Name *

Emergency Contact Phone *

Address *

City *

State *

Zip *

Email *

Phone

Any Special Dietary Requirements *

Allergies *

Any medical concerns *

Behavior Policy *

I have read and agree that all scouts and adults will abide by the behavior policy outlined on the event page

Amount

Payment Processing Fee

Gross Amount

Payment Method *

Offline Payment (Scout Account) Credit Card Payment Venmo