Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Scouting Position
Please Select
Scoutmaster
Asst. Scoutmaster
Committee Member
Committee Chair
Charter Rep.
Interested Parent
Institutional Head
Scouting Volunteer
As it relates to this course
District
Chintimini
Cascade
Greenwood
Doug Fir
Chinook-Wacoma
Council Volunteer
Other
Council
Oregon Trail
Crater Lake
Cascade Pacific
Other
Unit Type
Please Select
Pack
Troop
Crew
Ship
Post/Club
Unit Number
Emergency Contact:
First Name
Last Name
Emergency Contact Phone:
Please enter a valid phone number.
Emergency Contact Email:
example@example.com
Health or Dietary Concerns?
Course Fee: $25.00
Pay online ($25.00)
Pay at Council Service Center
Pay Today
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