Brimfield Merit Badge College Scout Registration 2017
Saturdays February 11th, March 11th & March 18th
9AM to 12 noon

Hitchcock Free Academy
2 Brookfield Road
Brimfield, MA 01010
http://www.hitchcockacademy.org/

Contact Heather Briere at (413) 668-8304 with any questions

Email address *
Scout Information
Scout Last Name *
Your answer
Scout First Name *
Your answer
Best Contact Phone Number *
Your answer
Troop Number *
Your answer
Troop Town *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone Number *
Your answer
Session Information
Choose one offering for Session 1- 9AM to 9:50AM *
Choose one offering for Session 2- 10AM to 10:50AM *
Choose one option for Session 3- 11AM to 11:50AM *
Other Information
How did you hear about this event?
Comments and/or questions
Your answer
Thank you for registering!
You will receive an email confirmation of this registration. We look forward to seeing you soon!
A copy of your responses will be emailed to the address you provided.
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