Troop 111 Lansing MI Mackinac Honor Guard/MISSP Application

2027 Scout Application

Troop 111 (Lansing) Mackinac Island Scout Service Program - Smilin' Happy Scouts! DATES NOT YET DETERMINED
Thank you for your interest in the Mackinac Island Scout Service Program! For more information in the camp, please visit our web site http://www.troop111bsa.com

Parents: This application is to be completed by the Scout, but they may need some information from you. The Honor Guard requires a level of maturity including the scout being responsible for their own communication with leadership (copying parents for Youth Protection).

The parent listed first on this application will receive an email from Troop111Lansing@gmail.com OR noreply@jotformsign.com asking for a signature on two forms required to participate. Please complete these as soon as possible. The application is not complete without these signatures.

All communication between adult leaders and scouts follows all rules of Scouting America's youth protection. The application also asks for parent contact information, and you will be copied on all messages. Please be sure Parent email is correct!

ALL PRACTICES including the training campout weekend, as well as every day of our week on the Island are mandatory for attendance. Failure to attend practices can result in your removal from the Honor Guard. A $50 non refundable deposit is required immediately upon acceptance. Please see the website for practice schedules.
Scout Name

First NameMiddle InitialLast Name
SCOUT Email
example@example.com
Birth Date

MonthDayYear
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Landline Phone (Leave BLANK if you do not have a home/landline phone)
Please enter a valid phone number.Format: (000) 000-0000.

Scout Information

Troop 111 STRICTLY follows Youth Protection communication guidelines. There will be no 1:1 communication between adults and scouts. Group Emails and a Blast Text service are used for updates and information, this is an opt in service you will invited to upon acceptance of your application. Parents are also included and can fill in their information later in this form. Please leave Mobile phone blank if you do not have a mobile phone.
Scout Mobile Number
Format: (000) 000-0000.
Current Scout Rank
T-Shirt Size
Please list any food allergies or enter NONE.

Home Troop Information

Scoutmasters will be contacted to provide a reference for all new scouts. In the Michigan Crossroads Council some Troop numbers are repeated. Please fill in the City of your Troop to make sure we identify the correct unit.
Troop NUMBER
What City is your Troop From?
Scoutmaster Name

First NameLast Name
Scoutmaster Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Scoutmaster E-Mail Address
example@example.com

Parent / Guardian Information

Parents/Guardians will be your FIRST emergency contacts. They will also be included in the Troop Emails.
Parent 1

First NameLast Name
Parent 1 Email
example@example.com
Parent 1 Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent 2

First NameLast Name
Parent 2 Email
example@example.com
Parent 2 Phone
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact

In the event a parent cannot be reached, who can we contact?
Emergency Contact Name

First NameLast Name
Emergency Contact Phone
Please enter a valid phone number.Format: (000) 000-0000.

Honor Guard Information
How many years have you served with the Troop 111 Honor Guard? (Enter 0 if this is your first year with Troop 111)
What other activities (band, sports teams, clubs, etc.) do you do. Also share with us any leadership you provide in your home troop or other activities.
Share with us how you provide Cheerful Service to others.
Do you want to attend Catholic Mass on the Island?
Should be Empty:

2027 Scout Application

Scout Information

Home Troop Information

Parent / Guardian Information

Emergency Contact

Honor Guard Information