Seneca District Registration Form

Seneca District

Training Registration

First Name	Last Name
Address #1
Address #2
City	State Zip
Position

Upcoming Training

Some Merit Badges require attendance at both sessions (Part I and II). The cost is $5 per session.

If attending both sessions, please remark in comments the second part.

Weather - Requirement #8. Please refer to page 63 for a sample weather log. It is recommended that you either bring in a picture of your rain gauge or the rain gauge itself.

District

Pack #

Unit Type (check one) Pack
Troop
Venturer

Payment Method (check one) Paid by Pack
Paying at Arrival
Mailing Check

If Paid by Pack (Person Authorized to Pay)

Comments?

Seneca District · 50 Hough Hill Road, PO Box 261 · Falconer, NY 14733-0261 · (716) 665-2697