We will be making photo Ids for all scouts.  This is a scouting crime prevention project and will be fingerprinting and laminating the cards at the next pack meeting.   Please fill out all the information on this form that you would like to have on the card.   All information is optional.  2 cards will be made for each boy, one for the child to carry (thus the contact info) and one for the parents to keep.   Cards will also be available for siblings.  There is no cost for any cards.

Name:	_______________________________________________________________________________

Address:	_______________________________________________________________________________

	_______________________________________________________________________________

Home :	_______________________________________________________________________________

Work:	_______________________________________________________________________________

Cell:	_______________________________________________________________________________

Alt 1:	Who: _______________	Num: ____________________________________________________

Alt 2:	Who: _______________	Num: ____________________________________________________

DOB:	____/____/19____	Eyes: __________	Hair: __________

Weight: ________	Height: ________

Rank:	_______________	Den Leader: _______________________________________________

NOTE:	_______________________________________________________________________________

	_______________________________________________________________________________

	_______________________________________________________________________________

	_______________________________________________________________________________

We will be taking Digital Photos of the boys.  Please indicate below if you do not want a photo taken.  None of this information will ever be used except by pack committee approval.  If you do not want information and photos keep, indicate that below and the information will be deleted after the cards are made.  Also, e-mail and disk copies of the pictures can be provided.

[  ] Do not photograph.
[  ] Delete information after cards
	[  ] E-mail a picture.   Email addresss:  ________________________________________
	[  ] Picture on a disk.

Please sign this form and return it .

Parent/Guardian:  __________________________________________	Date: _________________