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Merit Badge Counselors Registration form for the Aquehonga District. Please fill out completely and click the submit button at the bottom of the page.

E-mail Address: *
First Name *
Last Name *
Street Address *
City *
State *
Zip Code *
Telephone Number *
Merit Badge
Level of Expertise	Subject in line with my job Hobby, working knowledge Special training or knowledge
Merit Badge
Level of Expertise	Subject in line with my job Hobby, working knowledge Special training or knowledge
Merit Badge
Level of Expertise	Subject in line with my job Hobby, working knowledge Special training or knowledge
Merit Badge
Level of Expertise	Subject in line with my job Hobby, working knowledge Special training or knowledge
Merit Badge
Level of Expertise	Subject in line with my job Hobby, working knowledge Special training or knowledge
Merit Badge
Level of Expertise	Subject in line with my job Hobby, working knowledge Special training or knowledge
Merit Badge
Level of Expertise	Subject in line with my job Hobby, working knowledge Special training or knowledge
Troop # *
BSA ID # *
Youth Protection Date *
Do you wish to work only with your own troop *	Only with My Troop I will work with all Scouts


* Required