Wood Badge S5-415-20

Wood Badge Registration Form

Complete this form to indicate your Letter of Intent for Wood Badge S5-415-20 to be held at Belk Scout Camp, Midland, NC starting on Friday, July 31, 2020 at 7:00 am through Sunday, August 2, 2020 at 5:00 pm and Saturday, August 22, 2020 at 7:00 am through Sunday, August 23, 2020 at 5:00 pm.

Personal Information

*First Name:  *Last Name:  *Date of Birth: 
*Address: 
*City:   *State:   *Zip: 
*Email: 
Phone Home:   Work:   Cell: 
Occupation:   Employer: 
Dietary Restrictions: 

Scouting Background

*Years In Scouting Youth:   *Adult:   *Eagle:   
*Council:   *District: 
*Present Scouting Position:   *Tenure (yrs): 
*Unit / #:   Scout ID #: 
Scouting Awards received: 
Who invited you to attend Wood Badge: 

Completion Dates of Required Training

Youth Protection:   Leader Specific Module(s):   Outdoor Skills Training:  

Acknowledgements

I understand that I must provide a complete Boy Scouts of America Annual Health and Medical Record to participate in the Wood Badge course.
I submit this Letter of Intent for Attendance to Wood Badge S5-415-20 to be held at Belk Scout Camp, Midland NC starting on Friday, July 31, 2020 at 7:00 am through Sunday, August 2, 2020 at 5:00 pm and Saturday, August 22, 2020 at 7:00 am through Monday, Sunday, August 23, 2020 at 5:00 pm. I understand that attendance at all sessions is mandatory and is required for certification. I am a registered adult leader. I have completed all required training modules for my current Scouting position.

Cancellation / Refund Policy

If you are unable to attend, you must notify the Course Director / Assistant Course Director of Program. Refunds will be returned as follows:
  • Before June 13, 2020 - All fees paid
  • June 13, 2020 - June 26, 2020 - Refund of $100
  • After June 26, 2020 - No refund
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