* Your Email Address:

   Salutation:

Mr.Ms.Mrs.Mr. & Mrs.Dr.

* First Name:

* Last Name:

   Home Phone:

* Scout Troop/Den Name:

   Street Address:

   City:

   State:

AKALARCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSNCNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAWAWI

* Zip Code:

* Communication Preference:

Morning by phoneAfternoon by phoneEmail

Scout Program Availability Requests
Please fill out the following information concerning program times and details you are interested in booking.

Brownie Scout Program Name:

Select if applicableArt to WearEat Right, Stay HealthyMoversPuppets Dolls and PlaysScience in ActionScience WondersSensesWater Everywhere

Jr Girl Scout Program Name:

Select if applicableDrawing and PaintingEarth ConnectionsHighway to HealthMaking it MatterScience DiscoveryTheaterWeather Watch

Boy Scout Program Name:

Select if applicableBear: What's CookingTiger: Achievement 1-FamilyWebelos: Showman BadgeWolf: Keep Your Body Healthy

* Expected Number of Scouts:

* Expected Number of Adults:

* Scout Grade Level:

KindergartenFirst GradeSecond GradeThird GradeFourth GradeFifth GradeMixed Grades

Preferred Program Date and Time
Stepping Stones will always try to accommodate your first choice, but booking of dates is subject to availability and is on a first come first serve basis.

Program Date One Optional:

Scout Program Time One:

Please SelectSaturday 10:30 amMonday 4:00 pmTuesday 4:00 pmWednesday 4:00 pmThursday 4:00 pm

Program Date Two:

Scout Program Time Two:

Please SelectSaturday 10:30 amMonday 4:00 pmTuesday 4:00 pmWednesday 4:00 pmThursday 4:00 pm

Program Date Three:

Scout Program Time Three:

Please SelectSaturday 10:30 amMonday 4:00 pmTuesday 4:00 pmWednesday 4:00 pmThursday 4:00 pm

Badges by Night Workshop Preferred Program Date
Stepping Stones will always try to accommodate your first choice, but booking of dates is subject to availability and is on a first come first serve basis. Badges by Night are held Friday evenings from 7:30 pm until 8:00 am the next morning.

Badges By Night Dates:

Please SelectJanuary 5February 2March 2April 13May 4June 1

Deposits and Cancellations
In order to hold your reservation, a non-refundable deposit of 50% will be required within two weeks of booking your program. All cancellations must be made at least 2 weeks prior to the originally scheduled visit. If a visit is rescheduled within 90 days of cancellation, previously made deposits will be honored.

Special Requests and/or Notes:
(i.e., Special Needs, Bi-Lingual, etc.)

Group to visit Age of Reason (Gift Shop)?: