Hawkeye Area Council Application Form Page 2

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Details of Wood Badge
Wood Badge 2016
Course C3-172-16:
Course C3-172-16
Course Limit: 48 participants
A standby list will be created on
In 1911 Baden-Powell took the first steps in training
a first-paid in full, first-registered basis.
Scoutings’s adult leaders by organizing a series of
lectures for Scouters. He made great strides in the
Course Dates:
years that followed, culminating in 1919 with the
The course consists of one orientation
2016 Registration:
establishment of Wood Badge training. Wood
meeting, and two 3-day weekends with at
Badge recipients now number more than 100,000
least one patrol meeting between those two weekends.
Please select all that apply.
and can be found in all corners of the world.
Orientation Meeting: August 27, 2016
Enclosed is my deposit of $50.00
______
Wood Badge participants have the opportunity to:
(1:00 PM to 3:00 PM)
to hold my reservation.
Understand Scouting as a family of interrelated,
Weekend 1: September 23 - 25, 2016
_____ I understand that my deposit is
value-based programs providing age-appropriate
(Friday 7:30 AM to Sunday 5 PM)
th
non-refundable after May 6
, 2016.
activities for youth.
Weekend 2: October 14 - 16, 2016
_____ I also understand that my full
Recognize contemporary leadership concepts and
(Friday 7:30 AM to Sunday 5 PM)
th
payment is due by August 19
, 2016.
discover how they are relevant to the Scouting
_____ I confirm that I meet the criteria for
Location:
movement.
Wood Badge Course C3-172-16.
Howard H. Cherry Scout Reservation
Apply the skills learned as a member of a successful
_____ I would like an invitation & course
Camp Wakonda
working team.
4514 Boy Scouts Rd
application sent to the address below.
Revitalize their commitment to Scouting by sharing
Central City, IA 52214
in an inspirational experience that provides Scouting
(Checks payable to Boy Scouts of America, please.)
with renewed leadership.
Cost:
Main Contact Information:
$230.00 per person
Many Scouters consider Wood Badge to be a peak
Early Bird Rate: $200.00 if paid in full
Name: _____________________________
experience of their Scouting careers. It has served
by May 6th, 2016. Full payment is due by
th
Address: ___________________________
as a source of training and inspiration to thousands.
August 19
, 2016
City: ______________________________
Who may attend Wood Badge?
Scholarships are available.
State: _______________ Zip: __________
Wood Badge is for all leaders in the Boy Scouts of
HAC participants can receive a $30.00 -
Home Phone: _______________________
America. It has been developed for Cub Scout, Boy
Use Discount Code: HAC30OFF
Cell Phone: _________________________
Scout, and Venturing leaders, as well as council and
Hawkeye Area Council (HAC) Leadership Dinner
E-mail: ____________________________
district leaders. The course content and leadership
Scholarship
Scouting Position: ___________________
principles introduced apply to Scouters of all
Unit Type: _________ Number: ________
leadership positions and will provide a common
Medical Examination:
District: ___________________________
foundation of leadership skills to be used throughout
Wood Badge is considered a high adventure activity
Council: ___________________________
all program areas.
and therefore requires part A, B, and C of the BSA
I completed basic BSA Training in ______
medical form. This includes examination by a
Qualifications:
(year).
medical professional within one year prior to the
Each Scouter invited to participate in Wood Badge
course start date.
Please Detach This Form & Return To:
training must be a registered member of the Boy
Course Director:
Hawkeye Area Council, B.S.A.
Scouts of America and must have completed the
If you would like more information or have any
Attn: Wood Badge Registration
basic training courses for their Scouting position.
nd
questions about this course, the course director
660 32
Avenue SW
They must successfully complete a BSA Annual
will be happy to help you.
Cedar Rapids, Iowa 52404
Health and Medical Record-parts A, B, and C on the
form. The forms are available on the BSA website
Janice Coleman
Thank You!
( ).
2107 Birchwood Dr NE, Cedar Rapids, IA 52402
Phone: (319) 573-3206
Email:

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