Scout Program Registration

This form is to be used for Scout Program Registrations only.

Please fill in the information below and then either print a copy to mail to the Nature Center with your check and submit. If you have any questions, feel free to contact our Program Coordinator at 221-0404, ext. 1.

Leader/Contact Name

Troop/Den Number

Council

Telephone (Home)

Telephone (Daytime)

Address1

Address2

City

State

Zip

Email (if checked regularly)

Number of Scouts

Age and Level of Scouts

First name and last initial of all scouts participating

Topic/Badge to Cover

First Date and Time Choice

Second Date and Time Choice

How did you hear about this opportunity? Please be specific if you can.
 Mailing from the ALNC  Flyer Friend/family member  Radio ad At school  Internet/website Television ad  Other
If 'Other':

  • Payment is required to complete registration for pre-scheduled scout programs. Fees are non-refundable unless the program is cancelled by ALNC.
  • Changes to attendance numbers require 2 weeks notice. Changes after this result in full charge.
  • Troop leaders must carry health forms for all participating scouts for the duration of the program.

Please copy this form for additional registrations.

Mail to:
Aldo Leopold Nature Center
Attn: Program Coordinator
330 Femrite Drive
Monona, WI 53716
Fax: (608) 221-9095