You are registering for CSU - Troop Leader/ Adult Registration Form - Oct. 26th

Registration Form created by ECC SMSTA

Minimum of TWO Leaders/Adults must stay on Campus at all times.rnrnCost: $3.00 if leaders want a badgernrnLeaders will be placed in activity classrooms as needed.rnrnPlease register each adult separately.rnrnMail checks payable to: East Central College - Attn: Education DepartmentrnrnMailing address:rnAttn Education Department, East Central College, 1962 Prairie Dell Road, Union, MO 63084rnrnIf you have any questions, please send an e-mail to: [email protected]

First Name: *

Last Name: *

Troop # *

Position within Troop *

Cell Phone # day of CSU *

E-mail address: *

Please re-enter the E-mail address: *

Send me a confirmation email (recommended)

Do you need to accompany a particular scout with special needs?

Special needs Scout's Name:

May we contact you regarding future ECC / scout events? *

Do you want a ECC - CSU Badge? *

Do you want a 2019 segment Badge? *

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