Trail to Eagle Week - Western Massachusetts Council, BSA

Western Massachusetts Council

Trail To Eagle Week

Participant Information Survey

Please complete the form below or complete and mail the printable form - do one or the other, not both.

First Name *

Last Name *

Address *

City *

State *

Zip *

Phone *

E-mail Address: *

Birth Date *

Rank *

Unit Type *

Unit # *

Parent/Guardian Name *

Scoutmaster's Name *

Scoutmaster's Email

Which MB's have you earned? *

Please select the merit badges you would like to work on.

1st Choice *

2nd Choice *

3rd Choice *

4th Choice *

5th Choice *

6th Choice *

List any special merit badge requests:

Trail to Eagle scouts are expected to work on 3 or 4 merit badges. Every effort will be made to accommodate a scout’s request, but the final assignments will depend on his needs, the badges selected and the merit badge schedule.

List any special dietary needs:

Do you have any
special medical needs? *

No, I have no special medical needs
Yes - details will be with my medical forms

Do you take any prescription medications on a regular basis? *

No
Yes - details will be with my medical forms.

I understand I am to wear a complete uniform each day *

Questions / Comments

* Required

Trail To Eagle Week
Chesterfield Scout Reservation
Western Massachusetts Council, BSA