Outreach Scout Program Registration Form

Outreach Scout Program Registration Form

Please fill out the following form in order to register for our outreach Scout programming. You will hear back from the DelMNS Education Team within two weeks of completing and submitting your registration form. Thank you!

Contact Name
Contact Name
First
Last
Contact Address
Contact Address
City
State/Province
Zip/Postal
Address for Program Location (if different from Contact Address)
Address for Program Location (if different from Contact Address)
City
State/Province
Zip/Postal
Day-of Contact (If different from Contact above)
Day-of Contact (If different from Contact above)
First
Last
Scout Level
First Choice Start Time of Program (9:00 a.m.-4:00 p.m.)
Second Choice Start Time of Program (9:00 a.m.-4:00 p.m.)
Program Selection
Disclaimer: DelMNS will fulfill as many badge requirements as possible during the allotted program time; however, I understand that many badges require long-term projects and resources that DelMNS does not have at its disposal to complete in the span of a single program. Therefore, fully completing all requirements for most badges during your program is unlikely.