Scout #1
Scout's Name #1
First Name
Last Name
E-mail
Patrol
Please Select
Fast Falcons
Mighty Misfits
Screaming Eagles
SWAT
T-Shirt Size
Please Select
Youth - Large
Small
Medium
Large
XL
XXL
XXXL
Emergency Phone #
-
Area Code
Phone Number
Program Choice
*
Tecumseh Island - 1st Year Camper Program
AM and PM Merit Badges
COPE Course (AM Only) And 2 Merit Badges (Scouts must be at least 13 and First Class)
High A.C.E.S full Program (Over 14)
Misc
Mile Swim - practice at 6:30am daily
Dawn Hike - 6am Tuesday
Mad River Trace - 7-10pm M-Th
BSA Snorkeling Award - early am class
Prime Time Merit Badge 7-8pm
Session A
Please Select
Archery MB
Art MB
Camping MB
Canoeing MB
Engineering MB
First Aid MB
Fish and Wildlife Management MB
Forestry MB
Kayaking MB
Leatherwork MB
Lifesaving MB
Rifle Shooting MB
Soil and Water Conservation MB
Swimming MB
Weather MB
Geology MB
Insect Study MB
BSA Lifeguard
C.O.P.E.
Technology Center
Tecumseh Island
Session B
Please Select
BSA Lifeguard
C.O.P.E.
Technology Center
Tecumseh Island
Basketry MB
Bird Study MB
Canoeing MB
Composite Materials MB
Cooking MB
First Aid MB
Geocaching MB
Indian Lore MB
Instructional Swim
Kayaking MB
Mountain Biking
Nature MB
Shotgun Shooting MB
Swimming MB
Wood Carving MB
Mammal Study MB
Pulp and Paper MB
Pulp and Paper MB
Reptile and Amphibian Study MB
Session C
Please Select
Art MB
Chemistry MB
Climbing MB
Cooking MB
First Aid MB
Fish and Wildlife Management MB
Forestry MB
Geocaching MB
Indian Lore MB
Leatherwork MB
Lifesaving MB
Rowing MB
Shotgun Shooting MB
Swimming MB
Trail 2 Eagle- one single merit badge
Weather MB
Geology MB
Insect Study MB
POW- Pionering, Orienteering, Wilderness survival
Small Boat Sailing MB
Tecumseh Island
Trail to Eagle
Session D
Please Select
POW- Pionering, Orienteering, Wilderness survival
Small Boat Sailing MB
Tecumseh Island
Trail to Eagle
Archery MB
Basketry MB
Bird Study MB
Camping MB
Climbing MB
First Aid MB
Fishing MB
Nature MB
Rifle Shooting MB
Rowing MB
Stand Up Paddle Board
Swimming MB
Trail 2 Eagle- one single merit badge
Wood Carving MB
Alternate #1
Please Select
Archery MB
Art MB
Basketry MB
Bird Study MB
Black Powder
BSA Lifeguard
C.O.P.E.
Camping MB
Canoeing MB
Chemistry MB
Climbing MB
Composite Materials MB
Cooking MB
Engineering MB
First Aid MB
Fish and Wildlife Management MB
Fishing MB
Forestry MB
Geocaching MB
Geology MB
Indian Lore MB
Insect Study MB
Instructional Swim
Kayaking MB
Leatherwork MB
Lifesaving MB
Mammal Study MB
Mile Swim
Mountain Biking
MRT
Nature MB
POW- Pionering, Orienteering, Wilderness survival
Pulp and Paper MB
Pulp and Paper MB
Reptile and Amphibian Study MB
Rifle Shooting MB
Rowing MB
Shotgun Shooting MB
Small Boat Sailing MB
Snorkeling BSA
Soil and Water Conservation MB
Stand Up Paddle Board
Swimming MB
Technology Center
Tecumseh Island
Trail 2 Eagle- one single merit badge
Trail to Eagle
Weather MB
Wood Carving MB
Alternate #2
Please Select
Archery MB
Art MB
Basketry MB
Bird Study MB
Black Powder
BSA Lifeguard
C.O.P.E.
Camping MB
Canoeing MB
Chemistry MB
Climbing MB
Composite Materials MB
Cooking MB
Engineering MB
First Aid MB
Fish and Wildlife Management MB
Fishing MB
Forestry MB
Geocaching MB
Geology MB
Indian Lore MB
Insect Study MB
Instructional Swim
Kayaking MB
Leatherwork MB
Lifesaving MB
Mammal Study MB
Mile Swim
Mountain Biking
MRT
Nature MB
POW- Pionering, Orienteering, Wilderness survival
Pulp and Paper MB
Pulp and Paper MB
Reptile and Amphibian Study MB
Rifle Shooting MB
Rowing MB
Shotgun Shooting MB
Small Boat Sailing MB
Snorkeling BSA
Soil and Water Conservation MB
Stand Up Paddle Board
Swimming MB
Technology Center
Tecumseh Island
Trail 2 Eagle- one single merit badge
Trail to Eagle
Weather MB
Wood Carving MB
Back
Next
Scout #2
Only complete if necessary or it makes you.
Scout's Name #2
First Name
Last Name
E-mail
Patrol
Please Select
Fast Falcons
Mighty Misfits
Screaming Eagles
SWAT
T-Shirt Size
Please Select
Youth - Large
Small
Medium
Large
XL
XXL
XXXL
Program Choice
*
Tecumseh Island - 1st Year Camper Program
AM and PM Merit Badges
COPE Course (AM Only) And 2 Merit Badges (Scouts must be at least 13 and First Class)
High A.C.E.S full Program (Over 14)
Misc
Mile Swim - practice at 6:30am daily
Dawn Hike - 6am Tuesday
Mad River Trace - 7-10pm M-Th
BSA Snorkeling Award - early am class
Prime Time Merit Badge 7-8pm
Session A
Please Select
Archery MB
Art MB
Camping MB
Canoeing MB
Engineering MB
First Aid MB
Fish and Wildlife Management MB
Forestry MB
Kayaking MB
Leatherwork MB
Lifesaving MB
Rifle Shooting MB
Soil and Water Conservation MB
Swimming MB
Weather MB
Geology MB
Insect Study MB
BSA Lifeguard
C.O.P.E.
Technology Center
Tecumseh Island
Session B
Please Select
BSA Lifeguard
C.O.P.E.
Technology Center
Tecumseh Island
Basketry MB
Bird Study MB
Canoeing MB
Composite Materials MB
Cooking MB
First Aid MB
Geocaching MB
Indian Lore MB
Instructional Swim
Kayaking MB
Mountain Biking
Nature MB
Shotgun Shooting MB
Swimming MB
Wood Carving MB
Mammal Study MB
Pulp and Paper MB
Pulp and Paper MB
Reptile and Amphibian Study MB
Session C
Please Select
Art MB
Chemistry MB
Climbing MB
Cooking MB
First Aid MB
Fish and Wildlife Management MB
Forestry MB
Geocaching MB
Indian Lore MB
Leatherwork MB
Lifesaving MB
Rowing MB
Shotgun Shooting MB
Swimming MB
Trail 2 Eagle- one single merit badge
Weather MB
Geology MB
Insect Study MB
POW- Pionering, Orienteering, Wilderness survival
Small Boat Sailing MB
Tecumseh Island
Trail to Eagle
Session D
Please Select
POW- Pionering, Orienteering, Wilderness survival
Small Boat Sailing MB
Tecumseh Island
Trail to Eagle
Archery MB
Basketry MB
Bird Study MB
Camping MB
Climbing MB
First Aid MB
Fishing MB
Nature MB
Rifle Shooting MB
Rowing MB
Stand Up Paddle Board
Swimming MB
Trail 2 Eagle- one single merit badge
Wood Carving MB
Alternate #1
Please Select
Archery MB
Art MB
Basketry MB
Bird Study MB
Black Powder
BSA Lifeguard
C.O.P.E.
Camping MB
Canoeing MB
Chemistry MB
Climbing MB
Composite Materials MB
Cooking MB
Engineering MB
First Aid MB
Fish and Wildlife Management MB
Fishing MB
Forestry MB
Geocaching MB
Geology MB
Indian Lore MB
Insect Study MB
Instructional Swim
Kayaking MB
Leatherwork MB
Lifesaving MB
Mammal Study MB
Mile Swim
Mountain Biking
MRT
Nature MB
POW- Pionering, Orienteering, Wilderness survival
Pulp and Paper MB
Pulp and Paper MB
Reptile and Amphibian Study MB
Rifle Shooting MB
Rowing MB
Shotgun Shooting MB
Small Boat Sailing MB
Snorkeling BSA
Soil and Water Conservation MB
Stand Up Paddle Board
Swimming MB
Technology Center
Tecumseh Island
Trail 2 Eagle- one single merit badge
Trail to Eagle
Weather MB
Wood Carving MB
Alternate #2
Please Select
Archery MB
Art MB
Basketry MB
Bird Study MB
Black Powder
BSA Lifeguard
C.O.P.E.
Camping MB
Canoeing MB
Chemistry MB
Climbing MB
Composite Materials MB
Cooking MB
Engineering MB
First Aid MB
Fish and Wildlife Management MB
Fishing MB
Forestry MB
Geocaching MB
Geology MB
Indian Lore MB
Insect Study MB
Instructional Swim
Kayaking MB
Leatherwork MB
Lifesaving MB
Mammal Study MB
Mile Swim
Mountain Biking
MRT
Nature MB
POW- Pionering, Orienteering, Wilderness survival
Pulp and Paper MB
Pulp and Paper MB
Reptile and Amphibian Study MB
Rifle Shooting MB
Rowing MB
Shotgun Shooting MB
Small Boat Sailing MB
Snorkeling BSA
Soil and Water Conservation MB
Stand Up Paddle Board
Swimming MB
Technology Center
Tecumseh Island
Trail 2 Eagle- one single merit badge
Trail to Eagle
Weather MB
Wood Carving MB
Back
Next
Adult Scouter's Name
First Name
Last Name
E-mail
Emergency Phone #
-
Area Code
Phone Number
Are you able to drive?
Yes
No
Number of people you can drive, NOT including yourself. (all mush have seat belts)
1
2
3
4
5
6
0
Do you have any additional comments you want to share?
Permissions Diclaimer
By checking this box, I understand that participation in the activity involves a certain degree of risk. I have carefully considered the risk involved and have given consent for myself or my child to participate in the activity. I understand that participation in this activity is entirely voluntary and requires participants to abide by applicable rules and standards of conduct. I release the Boy Scouts of America, the local council, the activity coordinators, and all employees and volunteers, related parties or other organizations associated with the activity from any and all claims or liability that arise out of participation.
*
I agree to the above terms.
Medical Disclaimer
In case of emergency involving my child, I understand every effort will be made to contact me. In the event that I cannot be reached, I hereby give my permissions to the medical provider selected by the adult leader in charge to secure proper treatment, invluding hospitalization, anesthesia, surgery or injections of medications for my child. Medical providers are authorized to disclose to the adult in charge examination findings, test results and treatment provided for purposes of medical evaluation of the participant, following-up and communication with the participant's parents or guardian and/or determination of the participant's ability to continue in the program activities.
*
I agree to the above terms.
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