Cub Scout Pack 255 - Coastside: Montara, Moss Beach, El Granada, Half Moon Bay
Login/Register
Username:
*
Password:
*
Create new account
Request new password
Menu
Home
About Us
Calendar
Contact Us
Pack Information
New Families
Welcome
Resources
Events
Pack Roster
Files
Links
Photo Albums
Online Payments
Created using
myPack
© 2005-2025
SOAR
Member Registration
Username:
*
Password
:
*
Retype Password
:
*
Type:
Scout
Adult
First Name:
*
Middle:
Last Name:
*
Suffix:
Nickname:
Sex:
Male
Female
BDay (mm-dd-yyyy):
BSA ID:
Street Address:
*
City:
*
State:
*
Zipcode:
*
Home Phone:
*
Work Phone:
Cell Phone:
Email #1:
*
Receive
EBlast
Email #2:
Receive
EBlast
Email #3:
Receive
EBlast
Medical Form
Part A (mm-dd-yyyy):
Part B (mm-dd-yyyy):
Part C (mm-dd-yyyy):
Part D (mm-dd-yyyy):
Emergency Contact 1:
Phone Number:
Relation:
Parent
Step-Parent
Sibling
Aunt/Uncle
Grandparent
Legal Guardian
Other
Insurance Company:
Emergency Contact 2:
Phone Number:
Relation:
Parent
Step-Parent
Sibling
Aunt/Uncle
Grandparent
Legal Guardian
Other
Policy Number:
Doctor:
Phone Number:
Medications:
Allergies:
Other: