Scout Group Field Trip Registration

Contact Info

Primary Contact Name*

First Last

Primary Contact Email*

Enter Email Confirm Email

Primary Contact Mobile Phone*

Name of adult coming to the Wildflower Center in charge of scouts*

First Last

Mobile phone for adult coming to the Wildflower Center in charge of scouts*

Scout Troop Name*

Address*

Street Address Address Line 2 City State ZIP Code

County

Self-guided Scout Group Field Trips are offered Monday - Sundays, 9 a.m. - 4 p.m. PLEASE NOTE: Scout packs are only available if one is selected.

Which scout pack would you like to use?*

Select Desired Field Trip Date*

Select Start Time*

Select End Time*

Select Alternate Field Trip Date*

Select Start Time*

Select End Time*

What grade level(s) are your Scouts?*

Select multiple grade levels by using Command (Mac) or Control (PC)

How many troops?

Please enter a number from 1 to 20.

How many scouts?*

Please enter a number greater than or equal to 5.

How many leaders?*

How many chaperones? (not including leaders)

Are you are member?*

Please let us know if your students have any special needs. If you have any additional information you want to include, please add it here.

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