Nova November 2023 – The Kaleidoscope Discovery Center

Troop/Crew #

Name of Contact

First

Last

Position

Address

City

State/Province

Zip/Postal

Email

Phone

How many youths are you registering at this time?

Are you able to drive?

Yes

No

What type of vehicle do you drive?

Number of scouts you can drive

Scouting rules requires two-deep leadership. Please expect to bring one Scouter for every four Scouts. If you/your troop is bringing fewer than four Scouts, expect at least one adult to stay. Please list contact info for Scouters below.

Youth 1

Youth 1 Name

First

Last

Youth 1 age

Youth 1 Rank

Merit Badge Choices

Please indicate below the youth’s first, second, and third choice for merit badge. Each has limited enrollment space and we will do our best to accommodate registrant’s first choices based on the order they come in. Please note the prerequisites listed below with the merit badge options. Be sure the youth you are registering meets the prerequisite requirements.
PLEASE DO NOT CHOOSE THE SAME MERIT BADGE FOR EACH OF THE 3 CHOICES

Youth 1’s First Choice of Merit Badge. Please note any prerequisites listed next to the merit badge names bellow:

Youth 1’s Second Choice of Merit Badge. Please note any prerequisites listed next to the merit badge names bellow:

Youth 1’s Third Choice of Merit Badge. Please note any prerequisites listed next to the merit badge names bellow:

Youth 2

Youth’s Name

Youth's Name

First

Last

Youth’s age

Youth’s Rank

Merit Badge Choices

Please indicate below the youth’s first, second, and third choice for merit badge. Each has limited enrollment space and we will do our best to accommodate registrant’s first choices based on the order they come in. Please note each merit badge may have prerequisites, these are all listed clearly here: https://thekaleidoscope.org/nova-stem. Be sure the youth you are registering meets the prerequisite requirements.
Please indicate below the youth’s first, second, and third choice for merit badge. Each has limited enrollment space and we will do our best to accommodate registrant’s first choices based on the order they come in. Please note the prerequisites listed below with the merit badge options. Be sure the youth you are registering meets the prerequisite requirements.
PLEASE DO NOT CHOOSE THE SAME MERIT BADGE FOR EACH OF THE 3 CHOICES

Youth’s First Choice of Merit Badge. Please note any prerequisites listed next to the merit badge names bellow:

Youth’s Second Choice of Merit Badge. Please note any prerequisites listed next to the merit badge names bellow:

Youth’s Third Choice of Merit Badge. Please note any prerequisites listed next to the merit badge names bellow:

Youth 3

Youth’s Name

Youth's Name

First

Last

Youth’s age

Youth’s Rank

Merit Badge Choices

Please indicate below the youth’s first, second, and third choice for merit badge. Each has limited enrollment space and we will do our best to accommodate registrant’s first choices based on the order they come in. Please note the prerequisites listed below with the merit badge options. Be sure the youth you are registering meets the prerequisite requirements.
Please indicate below the youth’s first, second, and third choice for merit badge. Each has limited enrollment space and we will do our best to accommodate registrant’s first choices based on the order they come in. Please note the prerequisites listed below with the merit badge options. Be sure the youth you are registering meets the prerequisite requirements.
PLEASE DO NOT CHOOSE THE SAME MERIT BADGE FOR EACH OF THE 3 CHOICES

Youth’s First Choice of Merit Badge. Please note any prerequisites listed next to the merit badge names bellow:

Youth’s Second Choice of Merit Badge. Please note any prerequisites listed next to the merit badge names bellow:

Youth’s Third Choice of Merit Badge. Please note any prerequisites listed next to the merit badge names bellow:

Youth 4

Youth’s Name

Youth's Name

First

Last

Youth’s age

Youth’s Rank

Merit Badge Choices

Please indicate below the youth’s first, second, and third choice for merit badge. Each has limited enrollment space and we will do our best to accommodate registrant’s first choices based on the order they come in. Please note the prerequisites listed below with the merit badge options. Be sure the youth you are registering meets the prerequisite requirements.
Please indicate below the youth’s first, second, and third choice for merit badge. Each has limited enrollment space and we will do our best to accommodate registrant’s first choices based on the order they come in. Please note the prerequisites listed below with the merit badge options. Be sure the youth you are registering meets the prerequisite requirements.
PLEASE DO NOT CHOOSE THE SAME MERIT BADGE FOR EACH OF THE 3 CHOICES

Youth’s First Choice of Merit Badge. Please note any prerequisites listed next to the merit badge names bellow:

Youth’s Second Choice of Merit Badge. Please note any prerequisites listed next to the merit badge names bellow:

Youth’s Third Choice of Merit Badge. Please note any prerequisites listed next to the merit badge names bellow:

Youth 5

Youth’s Name

Youth's Name

First

Last

Youth’s age

Youth’s Rank

Merit Badge Choices

Please indicate below the youth’s first, second, and third choice for merit badge. Each has limited enrollment space and we will do our best to accommodate registrant’s first choices based on the order they come in. Please note the prerequisites listed below with the merit badge options. Be sure the youth you are registering meets the prerequisite requirements.
Please indicate below the youth’s first, second, and third choice for merit badge. Each has limited enrollment space and we will do our best to accommodate registrant’s first choices based on the order they come in. Please note the prerequisites listed below with the merit badge options. Be sure the youth you are registering meets the prerequisite requirements.
PLEASE DO NOT CHOOSE THE SAME MERIT BADGE FOR EACH OF THE 3 CHOICES

Youth’s First Choice of Merit Badge. Please note any prerequisites listed next to the merit badge names bellow:

Youth’s Second Choice of Merit Badge. Please note any prerequisites listed next to the merit badge names bellow:

Youth’s Third Choice of Merit Badge. Please note any prerequisites listed next to the merit badge names bellow:

Youth 6

Youth’s Name

Youth's Name

First

Last

Youth’s age

Youth’s Rank

Merit Badge Choices

Please indicate below the youth’s first, second, and third choice for merit badge. Each has limited enrollment space and we will do our best to accommodate registrant’s first choices based on the order they come in. Please note the prerequisites listed below with the merit badge options. Be sure the youth you are registering meets the prerequisite requirements.
Please indicate below the youth’s first, second, and third choice for merit badge. Each has limited enrollment space and we will do our best to accommodate registrant’s first choices based on the order they come in. Please note the prerequisites listed below with the merit badge options. Be sure the youth you are registering meets the prerequisite requirements.
PLEASE DO NOT CHOOSE THE SAME MERIT BADGE FOR EACH OF THE 3 CHOICES

Youth’s First Choice of Merit Badge. Please note any prerequisites listed next to the merit badge names bellow:

Youth’s Second Choice of Merit Badge. Please note any prerequisites listed next to the merit badge names bellow:

Youth’s Third Choice of Merit Badge. Please note any prerequisites listed next to the merit badge names bellow:

Youth 7

Youth’s Name

Youth's Name

First

Last

Youth’s age

Youth’s Rank

Merit Badge Choices

Please indicate below the youth’s first, second, and third choice for merit badge. Each has limited enrollment space and we will do our best to accommodate registrant’s first choices based on the order they come in. Please note the prerequisites listed below with the merit badge options. Be sure the youth you are registering meets the prerequisite requirements.
Please indicate below the youth’s first, second, and third choice for merit badge. Each has limited enrollment space and we will do our best to accommodate registrant’s first choices based on the order they come in. Please note the prerequisites listed below with the merit badge options. Be sure the youth you are registering meets the prerequisite requirements.
PLEASE DO NOT CHOOSE THE SAME MERIT BADGE FOR EACH OF THE 3 CHOICES

Youth’s First Choice of Merit Badge. Please note any prerequisites listed next to the merit badge names bellow:

Youth’s Second Choice of Merit Badge. Please note any prerequisites listed next to the merit badge names bellow:

Youth’s Third Choice of Merit Badge. Please note any prerequisites listed next to the merit badge names bellow:

Youth 8

Youth’s Name

Youth's Name

First

Last

Youth’s age

Youth’s Rank

Merit Badge Choices

Please indicate below the youth’s first, second, and third choice for merit badge. Each has limited enrollment space and we will do our best to accommodate registrant’s first choices based on the order they come in. Please note the prerequisites listed below with the merit badge options. Be sure the youth you are registering meets the prerequisite requirements.
Please indicate below the youth’s first, second, and third choice for merit badge. Each has limited enrollment space and we will do our best to accommodate registrant’s first choices based on the order they come in. Please note the prerequisites listed below with the merit badge options. Be sure the youth you are registering meets the prerequisite requirements.
PLEASE DO NOT CHOOSE THE SAME MERIT BADGE FOR EACH OF THE 3 CHOICES

Youth’s First Choice of Merit Badge. Please note any prerequisites listed next to the merit badge names bellow:

Youth’s Second Choice of Merit Badge. Please note any prerequisites listed next to the merit badge names bellow:

Youth’s Third Choice of Merit Badge. Please note any prerequisites listed next to the merit badge names bellow:

Youth 9

Youth’s Name

Youth's Name

First

Last

Youth’s age

Youth’s Rank

Merit Badge Choices

Please indicate below the youth’s first, second, and third choice for merit badge. Each has limited enrollment space and we will do our best to accommodate registrant’s first choices based on the order they come in. Please note the prerequisites listed below with the merit badge options. Be sure the youth you are registering meets the prerequisite requirements.
Please indicate below the youth’s first, second, and third choice for merit badge. Each has limited enrollment space and we will do our best to accommodate registrant’s first choices based on the order they come in. Please note the prerequisites listed below with the merit badge options. Be sure the youth you are registering meets the prerequisite requirements.
PLEASE DO NOT CHOOSE THE SAME MERIT BADGE FOR EACH OF THE 3 CHOICES

Youth’s First Choice of Merit Badge. Please note any prerequisites listed next to the merit badge names bellow:

Youth’s Second Choice of Merit Badge. Please note any prerequisites listed next to the merit badge names bellow:

Youth’s Third Choice of Merit Badge. Please note any prerequisites listed next to the merit badge names bellow:

Youth 10

Youth’s Name

Youth's Name

First

Last

Youth’s age

Youth’s Rank

Merit Badge Choices

Please indicate below the youth’s first, second, and third choice for merit badge. Each has limited enrollment space and we will do our best to accommodate registrant’s first choices based on the order they come in. Please note the prerequisites listed below with the merit badge options. Be sure the youth you are registering meets the prerequisite requirements.
Please indicate below the youth’s first, second, and third choice for merit badge. Each has limited enrollment space and we will do our best to accommodate registrant’s first choices based on the order they come in. Please note the prerequisites listed below with the merit badge options. Be sure the youth you are registering meets the prerequisite requirements.
PLEASE DO NOT CHOOSE THE SAME MERIT BADGE FOR EACH OF THE 3 CHOICES

Youth’s First Choice of Merit Badge. Please note any prerequisites listed next to the merit badge names bellow:

Youth’s Second Choice of Merit Badge. Please note any prerequisites listed next to the merit badge names bellow:

Youth’s Third Choice of Merit Badge. Please note any prerequisites listed next to the merit badge names bellow:

Do we have your permission to use photos of the scouts you’ve registered above for our promotional purposes (print and or electronic). Please list any names we can’t use, or please note that we can use images from any of the scouts.