Name:
Address:
City:
Zip:
Telephone Number:
Your Email Address:
Troop/Crew Number:
District Name:
Council Name:
The Name of the merit badge course that you would like to attend:
Remember, to be sure that the subject line of
your email address reads, SPARK
Lodge merit badge class, otherwise it might get deleted. Please do not send
this information as a file
attachment. Thank you.
If you have any questions, you may call Richard A. Blank at 610-534-7217, or email Rick@k3bsa.org.