2019 MOHAB Registration Form

Step 2: Complete the MOHAB Registration Form

Use this form to submit a registration request for your troop, crew, or provisional Scout for a MOHAB program. We'll call you back to confirm your registration and help you process your payment!

Are you a:*
- Boy Scout Troop
- Varsity Team
- Venture Crew
- Provisional Scout or Scouts
- Other
Information About Your Troop/Team/Crew/Provisional Group
Troop/Team/Crew #*
District*
Council*
# of youth (14-20 years old) you expect to bring:*
# of adults (21+ years old) you expect to bring:*
How many High Adventure Crews would you like to form at MOHAB (maximum Wilderness crew size is 13)*
Unit Trip Coordinator (or Provisional Scout Parent/Primary Adult Contact)
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Alternate Unit / Adult Contact
Name*
First Last
Phone*
Email*
Select the Trek & Dates for this Application
Refer to the chart below when selecting your dates and treks:
Which MOHAB Treks are you interested in (check all that apply)?*
- SESSION 1 (June 23-30, 2019) - Wilderness Trekking I
- SESSION 1 (June 23-30, 2019) - Wilderness Packrafting I
- SESSION 1B (June 23-July 7, 2019) - Wilderness Trekking II (50 Miler Program - 2 Weeks)
- SESSION 1C (June 23-July 7, 2019) - Wilderness Packrafting II (MOHAB EXTREME - 2 weeks)
- SESSION 2 (June 30- July 7, 2019) - Wilderness Trekking I
- SESSION 2 (June 30 - July 7, 2019) - Wilderness Packrafting I
- SESSION 3 (July 7-14, 2019) - Wilderness Trekking I
- SESSION 3 (July 7-14, 2019) - Wilderness Packrafting I
- SESSION 2B (July 7-21, 2019) - Wilderness Trekking II (50 Miler Program - 2 Weeks)
- SESSION 2C (July 7-21, 2019) - Wilderness Packrafting II (MOHAB EXTREME - 2 weeks)
- SESSION 4 (July 14-21, 2019) - Wilderness Trekking I
- SESSION 4 (July 14-21, 2019) - Wilderness Packrafting I

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2019 MOHAB Registration Form

Step 2: Complete the MOHAB Registration Form

Information About Your Troop/Team/Crew/Provisional Group

Unit Trip Coordinator (or Provisional Scout Parent/Primary Adult Contact)

Alternate Unit / Adult Contact

Select the Trek & Dates for this Application

Refer to the chart below when selecting your dates and treks: