2020 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
Which MOHAB Treks are you interested in (check all that apply)?*
- SESSION 1 (June 21-28, 2020) - Wilderness Trekking I
- SESSION 1 (June 21-28, 2020) - Wilderness Packrafting I
- SESSION 1B (June 21-July 5, 2020) - Wilderness Trekking II (50 Miler Program - 2 Weeks)
- SESSION 1C (June 21-July 5, 2020) - Wilderness Packrafting II (MOHAB EXTREME - 2 weeks)
- SESSION 2 (June 28-July 5, 2020) - Wilderness Trekking I
- SESSION 2 (June 28-July 5, 2020) - Wilderness Packrafting I
- SESSION 3 (July 5-12, 2020) - Wilderness Trekking I
- SESSION 3 (July 5-12, 2020) - Wilderness Packrafting I
- SESSION 2B (July 5-19, 2020) - Wilderness Trekking II (50 Miler Program - 2 Weeks)
- SESSION 2C (July 5-19, 2020) - Wilderness Packrafting II (MOHAB EXTREME - 2 weeks)
- SESSION 4 (July 12-19, 2020) - Wilderness Trekking I
- SESSION 4 (July 12-19, 2020) - Wilderness Packrafting I
- SESSION 5 (July 19-26, 2020) - Wilderness Trekking I

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2020 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