THM On Demand Form

On Demand Request Form

A THM Scout Representative will contact you within 2 - 4 business days. Please note a minimum of 10 Scouts is required to book an On Demand class. A list of all Scout offerings can be found on our website: www.thehealthmuseum.org/programs/scout
Contact Name*

First NameLast Name
Contact Email*
example@example.com
Contact Phone Number*
Please enter a valid phone number.
Troop/Pack Number*
Expected Number of Scouts*
A minimum of 10 scouts is required to register.
Programs

Please select from Girl Scouts, Cub Scouts, or Scouts BSA options
Girl Scouts
Select the scout rank(s) you are scheduling for.
Cub Scouts
Select the scout rank(s) you are scheduling for.
Scouts BSA Merit Badges - Eagle Required
Select the Merit Badge you are scheduling for.
Scouts BSA Merit Badges - Non-Eagle Required
Select the Merit Badge you are scheduling for.
What special program(s) are you interested in?

PrivateTwilightOvernight
Disclaimer: The above classes are open to all. You do not have to be in a scouting group to attend the classes.
Preferred Date(s)

Please select your first and second choice options for a class date
Preferred Date - 1st Choice*

MonthDayYear
Date
Preferred Date - 2nd Choice*

MonthDayYear
Date
Additional Comments/Questions
List any accessibility needs, if applicable.
Should be Empty:

On Demand Request Form