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 TroopVarsity TeamVenture CrewProvisional Scout or ScoutsOtherInformation About Your Troop/Team/Crew/Provisional GroupTroop/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)*12Unit 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 AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSaint MartinSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Phone*Email* Alternate Unit / Adult ContactName* First Last Phone*Email* Select the Trek & Dates for this ApplicationWhich 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
MONTANA HIGH ADVENTURE BASE (MOHAB)
WILDERNESS TREKKING AND PACKRAFTING IN AMERICA'S REMOTEST WILDERNESS
MONTANA HIGH ADVENTURE BASE (MOHAB)
WILDERNESS TREKKING AND PACKRAFTING IN AMERICA'S REMOTEST WILDERNESS