This is to certify that
Cub Scout Pack No. _________________ of Chartered Organization __________________________________ has
qualified for this award by conducting a pack activity in the summer months of 19________.
JUNE JULY AUGUST
Type of pack activity
Number of dens participating ____________ ____________ ____________
Number of dens qualifying (50 percent of den's ____________ ____________ ____________
Cub Scouts participating)
Number of the pack's Cub Scouts participating ____________ ____________ ____________
Number of the pack's Webelos Scouts participating ____________ ____________ ____________
Number of parents/family members participating ____________ ____________ ____________
Please send us the following National Summertime Pack Award items:
one Pack Award Certificate, No. 33731 ______ Den participation ribbons, No. 17806
one Pack Award Streamer, No. 17808 ______ Cub Scout Summertime Award pins, No. 00464
Cubmaster ____________________________________
Date needed _________________________
For Pack Committee ____________________________________
(Please print.)
Send to ____________________________________________ ____________________________________________
name street, city, ZIP
TO ASSURE PROMPT RECOGNITION, SUBMIT APPLICATION TO LOCAL COUNCIL SERVICE CENTER AS SOON
AS POSSIBLE AFTER YOUR AUGUST ACTIVITY.