2008 GREEN BAR - NYLT
Atlanta Area Council, Boy Scouts of America
1800 Circle 75 Parkway, SE
Atlanta, GA 30339
Please register yourself
Choose the week you want to attend
First Preference
Must select the First Preference
Select Week
Sep 5-7 & 12-14, 2008
Scout's general information
First Name
Middle Initial
Last Name
Suffix
Any suffix like Jr. or III should be added here.
Name on Name Tag
This is the first name you would like to be called by.
Example Jim or JT but not James Smith III
Birth Date
MM/DD/YYYY
(adult) T-shirt Size
Select Size
XXL
XL
L
M
S
Scout's Address Information
Street
City
State
Zip
Email
Scouting Related Information
Rank
Chose Rank
First Class
Star
Life
Eagle
Current Leadership Position
Scoutmster's Information - If SM is related to you choose an ASM who knows you well
SM First Name
SM Last Name
SM Email
SM Telephone
###-###-####
Council
Select your council name
Choose a Council
Atlanta Area Council
Alapaha Council
Central Georgia Council
Chattahoochee Council
Chehaw Council
Coastal Empire Council
Flint River Council
Georgia Carolina Council
Northeast Georgia Council
Northwest Georgia Council
Okefenokee Area Council
other - type name below
Other Council
If other - type Council name below
District
Select your District name - if the Council is AAC!
If from AAC; Select District
AAC-Button Gwinnett District
AAC-Chattahoochee District
AAC-Cherokee/Pickens District
AAC-Covered Bridge District
AAC-East Atlanta District
AAC-Foothills District
AAC-Hightower Trail District
AAC-Milton District
AAC-Mountain Lake District
AAC-North Atlanta District
AAC-Picketts Mill District
AAC-Soapstone Ridge District
AAC-South Atlanta District
AAC-South Fulton District
AAC-Sweetwater District
AAC-Tara District
AAC-Three Rivers District
AAC-West Atlanta District
AAC-Yellow River District
AAC- District
Out of Council
Troop Number
Applicant Information
Applicant Statement
Tell why you have decided to apply to the Green Bar National Youth Leadership Training course and what you expect to gain from the course.
Physical Limitations
Give any Physical limitations or Restrictions
Medical Limitations
Give any Medical limitations or Restrictions
Dietary Limitations
Give any Dietary limitations or Restrictions
Commitment
On my honor as a Scout I promise that I will faithfully live according to the Scout Oath and Scout Law during the Green Bar National Youth Leadership Training and thereafter. I will represent my troop with honor and do all I can to pass on my knowledge and skills to my fellow Scouts. I am or will be by the beginning of the course at least 13 years old and at least a First Class Scout and have successfully completed two week long summer camps. I understand that I must attend ALL course sessions in order to complete the course.
Green Bar-NYLT is not a week of summer camp. It is not free time. It is not an opportunity to earn merit badges. It is definitely not a vacation.
Commitment Check Box
By checking this box I understand and promise the above statements.
Parent Section
To be filled by a parent
Accommodations
Scout will need accomodations for medical or physical or religious reasons
Medications - Prescriptions.
Scout may will have and may use the following Prescribed Medications
Special Requests
Parent Name
Parent's Email
Daytime Telephone Number
###-###-####
Nighttime Telephone Number
###-###-####