Scout Camping Application Form

Has your troop previously camped at the Daniel Lady Farm

Yes

No

Name

Email

Start date requested

MM/DD/YYYY

End date requested

MM/DD/YYYY

Name and No. of Scout Unit

Town/city

State

- None -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle EastArmed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederate States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming

BSA Council or other affiliation

Number of campers (est.)

Number of tents and type

Arrival date and time

Service project requested

Yes

No

Name

Phone

Address

Email

Scout Leader in charge at campsite

Scout Leader cell #

Special needs?

Yes

No

Additional Comments

Submit