OA Ceremony Request Form

All Ceremony Team requests need at least a 30 day notice.

Please fill out the form completely so we can better understand and handle your request.  A member of our Ceremony team will contact you.

Unit Information

Unit Number:*
Unit Type:*
Type of Ceremony:*

Contact Information

Adult Contact Name:*
Adult Contact Position:*
Contact Email Address:*
Contact Home Number:
-
Contact Cell Number:
-
Charter Organization Name:*
Charter Organization Address:

Scouts Participating in Ceremony

Estimated Number of Scouts:*
Any Special Needs Scouts:*
If Yes, Explain:

Ceremony Information

Ceremony Date:*
 / 
 / 
Ceremony Time:*
 : 
Ceremony Location:*
Changing Area Available:*
Is 120V Power Availabe:*
Will the Ceremony be:*
If Outside, what plans do you have for inclement weather:

Submit the Request (Must provide up to 30 days prior to Ceremony Date)

Name:
(if different from Contact)
Additional Comments:
Word Verification: