INDIVIDUAL TIGER CUB RECORD

Tiger Cub Den ___________________________________________________________

PERSONAL DATA Attendance

Name __________________________________________________________________________________ Attendance and Dues

Address _______________________________________________________________________________ D = Present at den meeting

City, State, Zip ____________________________________________________ P = Present at pack meeting

Home phone______________________________________________________ G = Present at Go See It

Date of birth ______________________________________________________ S = Present at special pack activity

Religious organization ____________________________________________ If dues are collected, record amount paid on date shown.

School ______________________________________________________ YEAR

ATTENDANCE

Parent’s or guardian’s name______________________________________ DATE

ª

Home address ____________________________________________________

City, State, Zip ____________________________________________________ DATE
ª

Home phone______________________________________________________
Business address____________________________________________ DATE
ª

City, State, Zip ____________________________________________________

Business phone _____________________________________________ DATE
ª
Occupation __________________________________________________

Alternate contact __________________________________________________________________ DATE

ª
E-mail address ___________________________________________________________

DATE
ª
Adult partner name (if different) __________________________________
Home address ____________________________________________________
DATE
ª
City, State, Zip ____________________________________________________
Business address____________________________________________
DATE
Business phone _____________________________________________ ª

E-mail address ___________________________________________________________

DATE
Alternate contact ____________________________________________ ª

DATE
Membership ª

Months in another pack _________________________________________________

DATE
Date ____________________________________________________________________________________________________ ª

Joined this pack _________________________________________________________________________________

DATE
Date will complete grade 1 or become 8_____________________________ ª

To Wolf den _________________________________________________

To another pack _____________________________________________ DATE
ª
D .50 G .50 D P S
Dropped from pack________________________________________________ 3/7 3/7 3/14 3/14 3/14 3/28
(Sample)

Resources, Forms, and Applications 34-27