(Required to Receive Credit)

Campout Location: ________________________ Date: _______________

Scouts Name

1)_______________________ 7)_______________________

2)_______________________ 8)_______________________

3)_______________________ 9)_______________________

4)_______________________ 10)______________________

5)_______________________ 11)______________________

6)_______________________ 12)______________________

Cost shouldn’t exceed $ 7.00 per person.

Camporee Fee or State Park Fee Per Scout $_________

Scout Who Purchased Food________________________

*** GROCERY RECEIPT MUST BE ATTACHED ***

*** FORM MUST BE TURNED IN MONDAY AFTER CAMPOUT ***