Scout Selection

Emblem Selection

Contact us at [email protected] to receive a coupon code for your replacement emblem if the emblem/medal received arrived damaged

Scout's Information

Name

Grade

Parent's Email

Parent's Phone Number

Parish

Purchaser's Information

Name

Phone Number

Relationship to Emblem Recipient

Unit Number

Council

I am the purchaser and Unit Leader

Unit Leader's Name

Leader's Phone Number

Leader's Email

I am the purchaser and emblem counselor

Emblem Counselor's Name

Counselor's Phone Number

Counselor's Email

Name

Address

Name

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