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Wilderness Counselor Interest Form
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Email Address
*
Your answer
Phone Number
Your answer
Currently Registered with the BSA as?
*
Pack
Troop
Crew
District Member
Merit Badge Counselor
Not Registered Member of the BSA
Other:
Program of Interest
*
Aquatics
Brownsea Island (Scout to First Class Program)
COPE/Climbing
Eco-Con
Fishing
Scoutcraft
Shooting Sports
STEM
Other:
Required
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