2017 Benton District Merit Badge Clinic
When: October 13-14, 2017
Where: Camp Alpine, Alpine, OR
More info: Go to www.CorvallisStakeYM.com
Scout Last Name *
Your answer
Scout First Name *
Your answer
Scout Leader Full Name *
Your answer
Parent or Guardian Full Name *
Your answer
Parent or Guardian Phone # *
(Emergency Contact)
Your answer
Unit # *
i.e., 162, 3, 265
Your answer
Scout Leader Email Address:
Your answer
Scout Leader Phone #:
Your answer
Morning Merit Badge Session *
Please select one morning class. Note that if you sign up for the morning session of an all day class, you must also sign up for its companion afternoon session. For Radio, you may choose whether to attend half day or all day (those that attend all day may complete the badge). NOTE: THE FOLLOWING SESSIONS ARE NOW FULL: Citizenship in Nation, Digital Technology, Geocaching, Emergency Preparedness, Metalwork, First Aid
Afternoon Merit Badge Session *
Please select one afternoon class. Note that if you sign up for the morning session of an all day class, you must also sign up for its companion afternoon session. For Radio, you may choose whether to attend half day or all day (those that attend all day may complete the badge). NOTE: THE FOLLOWING SESSIONS ARE NOW FULL: Citizenship in Nation, Digital Technology, Emergency Preparedness, Metalwork, Insect Study, Reptile & Amphibian Study
Medical Notes
Please list any allergies or medical conditions of which we should be aware.
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