Environmental Learning Center Registration Form.

Contact Name:

Pack/Troop #:

Mailing Address:

Zip Code:

Avg. age of Group

# of Children

# of Adults

City//State

Daytime Phone

American Honda Rider Education Center's available Monday - Thursday. Unless prior arrangements are made:

GIRL SCOUT'S

DAISY

BROWNIE

JUNIOR

BEAR CUBS

Elective

Cub SCOUT'S

TIGER CUBS

BEAR CUBS

WOLF CUBS

WEBELOS

Elective

Note:  All registrations are subject to availability. Reservations are tentative until confirmed by the American Honda Rider Education Center.

1st. Choice of Date:

2nd. Choice of Date:

Questions

EMAIL ADDRESS:

Requested Time:

**All programs are 2 hours long, please plan accordingly. Programs start promptly at your requested time.

**Please have groups consume snacks prior to entering the facility.

**Program may be rescheduled due to inclement weather.

Grade Level

BLANK ** ROSIE PETAL** (New for 2012)** CLOVER PETAL (NEW for 2012)Make the World a better Place (Rose)Use Resources Wisely (Green)

**Hiker (New for 2012)**Bugs (New for 2012)Earth and SkyOutdoor AdventuresAnimalsWatching WildlifeECO-ExplorerScience in ActionWater EverywherePlantsLeave no Trace

**Animal Habitats (New for 2012)**Flowers (New for 2012)WildlifeYour Outdoor SurroundingsEarth Connections

BLANKLet's Go Outdoors AchievementLeave No Trace Awareness AwardElectives: (1elective may be added to achievement)

BLANKSharing Your World with Wildlife AchievementJump-Start to Leave No Trace Awareness Award

BLANKLeave No Trace Awareness Award (Your living World Included)Birds Elective

BLANKForesterNaturalistLeave No Trace (#3 & 4 Not Included)

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