Scout Program Request Form

First Name*

Last Name*

Troop Number*

Email Address*

Telephone Number*

Address*

City*

State*

Zip Code*

County*

Comments:

Which educational program are you interested in?

Village LifeWoodland EncounterMeadowcroft Rockshelter TourArchaeology Merit BadgeIndian Lore Merit BadgeMeadowcroft Plants!Meadowcroft Rocks!

Approximate Number of Attendees*

Requested Visit Date*

First Choice:

Second Choice:

Camping?

YesNo

Do you want to sign up for the History Center's teacher scouting newsletter?

YesNo

Do you want to sign up for Meadowcroft's email newsletter?

YesNo