MBU Application Form

BSA MERIT BADGE AND WEBELOS UNIVERSITY

Application for Admission & Registration Form

I hereby apply for admission to the Choctaw Area Council, BSA

Merit Badge University

for the 2007 Session.

Name: __________________________________________________

Address: ________________________________________________

________________________________________________________

Troop #: ___________________ Phone #: _____________________

Age: ______________________ Rank: _______________________

Please enroll me in the following: (Indicate 1st, 2nd, 3rd Choice)

Cinematography _____	Metalwork _____
Citizenship in the Community _____	Woodwork _____
Citizenship in the Nation _____	Electronics _____
Communications _____	First Aid _____
Personal Fitness _____	Space Exploration _____
Emergency Preparedness _____

Webelos Only:

Artist _____

Showman _____

Adult Leaders, Ventures, and Older Scouts (14+)

When Help Does Not Come _____

Signature of Applicant _____________________________________

Signature of Parent of Guardian _____________________________