PG Scouts Camp Register

The AGBU AYA Pasadena Glendale Scouts Annual Summer Camp “Panagoum” will take place June 28 - July 6, 2025 at Camp Rancho Alegre, 2680 CA-154, Santa Barbara, CA 93105.

BOY SCOUTS, GIRL SCOUTS, WEBELOS, JUNIOR GIRL SCOUTS - Fee $420

Drop off on Saturday, June 28 at 9:30am at AGBU Pasadena Center.
Pick up on Sunday, July 6 at 3pm at AGBU Pasadena Center.

These scouts must be picked up at the AGBU Center and CANNOT go home with parents after campfire on July 5.

CUB SCOUTS & BROWNIE GIRL SCOUTS - Fee $380

Drop off on Tuesday, July 1 at 9:30am at AGBU Pasadena Center
Mandatory pick up from campground after campfire on Saturday, July 5

Parents who cannot pick up their child on Saturday evening must inform the leadership prior to the start of camping and make necessary arrangements.

Current Contact Information
Payment
Complete

Parent/Guardian 1

Title

First Name

Last Name

Street Address

Street Address Line 2

City

Postal Code

Country

State/Province

All Emails on this form MUST BE UNIQUE.

Phone Number

Affiliate Category

Affiliate Subcategory

Affiliate Year

Parent/Guardian 2

First Name

Last Name

All Emails on this form MUST BE UNIQUE.

Phone Number

Camper

First Name

Last Name

Birth Date

Enter YYYY-MM-DD

Gender

Grade Entering

School

Sign Up

Choose from 1

Scouts $420

Cub Scouts $380

Event(s)

REG_PG Scouts Summer Camp 2025_v1

Event(s) 2

REG_PG Scouts Summer Camp 2025_v2

Camper Health Information

Primary Physician Name

Phone Number

Date of Last Physical Exam

Enter YYYY-MM-DD

Health Insurance Carrier

Policy Number

Allergies

Activity Restrictions

Blood Type

Current Medication(s)

Reason(s) for medication(s)

Emergency Contact

First Name

Last Name

All Emails on this form MUST BE UNIQUE.

Cell Number

Emergency Contact Relationship to Camper

Alumni Category

Alumni Year

Alumni Subcategory

Consents

My child has my permission to participate in the AGBU Pasadena-Glendale Scouts Camp Rancho Alegre on June 28th-July 6th, 2025. To the best of my knowledge, the health history I have submitted to the leadership is accurate.

In the event that I cannot be reached in the case of an emergency, I hereby authorize and give permission to the physician selected by the adult in charge, to hospitalize and provide the proper and necessary medical assistance to my child. I also understand that in the event my child displays unacceptable behavior, I may be asked to pick him/her up from the campsite.

I understand that all medication MUST be brought in its original container with instructions and handed to your Scouts leader. No scout is allowed to carry ANY medication!

Additional Information

By checking this, I acknowledge reading and agreeing to the terms of:

Liability and Health Screening Waiver

I am over 18 years old

Additional Notes

Code

Total $0

Please read our Cancellation/Refund Policy.

AGBU respects your privacy. The data included above is maintained in compliance with international privacy standards (including GDPR) and used to communicate with you about our events, programs and news. To manage your AGBU subscription, email dbupdate@agbu.org. For more information, please read our Privacy Notice and Terms and Conditions.

PG Scouts Camp Register

Parent/Guardian 1

Parent/Guardian 2

Camper

Sign Up

Camper Health Information

Emergency Contact

Consents

Additional Information

Participate

Connect

Events

What's New

PG Scouts Camp Register

Parent/Guardian 1

Parent/Guardian 2

Camper

Sign Up

Camper Health Information

Emergency Contact

Consents

Additional Information

Participate

Connect

Events

What's New

SIGN UP TO HEAR FROM US