Name *

First Name

Last Name

Is your scout intersted in attending Seabase in 2022? *

YES

NO

Are you interested in attending Seabase in 2022? *

YES

NO

Is your scout interested in attending Philmont in 2023? *

YES

NO

Are you interested in attending Philmont in 2023? *

YES

NO

Are you willing to coordinate trip for your Scout's Seabase crew in 2022? *

YES

NO

Are you willing to coordinate Fundraising efforts for your Scout's Seabase crew? *

YES

NO

Are you willing to be a registered leader as an Assistant Scoutmaster or Committee member?dio *

YES

NO