Request Form "*" indicates required fields Name* First Last Phone*Email* Mailing Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Troop Name*Number of participants*Troop Level (check all that apply)* Daisy Brownie Junior Cadette Senior Bobcat Tiger Wolf Bear Webelos Boy Scout Scheduling Details Please provide us with a few preferred dates and potential start and departure times. We will confirm these details with you shortly after you submit the request form. Programs usually begin on the hour or half hour. Please plan to arrive at Hanna's Town 15 minutes before the program starts. For example, if you want your program to start at 10 a.m., please arrive at 9:45. Preferred Date #1*MonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Preferred Date #2*MonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Preferred Date #3*MonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Program Start Time* Hours : Minutes AM PM AM/PM Program End Time* Hours : Minutes AM PM AM/PM Would you like to pay in advance or be invoiced afterward?* Pay in advance Invoice afterward Program Options A tour of Hanna’s Tavern, the Gaol, and Fort is included with every Scout visit. We will finalize your selections shortly after you submit the request form. We offer a number of hands-on, customizable programs to help them meet badge requirements in areas such as nature, heritage, and art. Each program listed below runs between 30 minutes to 1 hour depending on your needs. Activities* Archaeology Design a Flag Fraktur Frontier Court Historic Clothing Historic Textiles Native American Traditions (special program) Nature Exploration Toys and Games Do you have any special requests? (accessibility, museum shop visit, lunch tables, etc.)*
