Unit Information
* denotes a mandatory input field

Scouts Name:






*Unit Number:

POC Name:

*POC Email Address:
If Other Unit, what kind?
Unit or POC Address
Daytime Phone City
*Evening Phone
State Zip

Boy Scout Merit Badge Options
You can pick 1 badge for the morning, or afternoon, or 1 for each.

Girl Scout Merit Badge Options
You can pick 1 badge for the morning, or afternoon, or 1 for each.

Junior Badges

Brownie Try-Its

Senior / Cadette IP's

 
   
You can pay by check or cash, and we can take credit card through PayPal (or even just a regular Pay Pal payment)
If you would like to pay in advance by credit card, please ensure that your phone numbers are correct on this form so that we can call you if there are problems. Credit Card information will be taken on another screen after you click the submit button below. If there is space available on the day of the event, some on-site registrations may be accepted. At that time cash and check will be accepted, but we will have no means on site to accept credit cards..
If you're finished this form click here to send it!