Scouting Programs Interest Form Contact Name First Last Email Address* Phone Number*Troop NumberAge(s)/Scout Level(s)*Number of ParticipantsHow many individuals are planned to participate in the scouting program? This information is needed to help us design and price your program experience. Program Location On-site at Dorothy Rider Pool Wildlife Sanctuary, Emmaus Off-site at different location or troop meeting place Preferred Program Date MM slash DD slash YYYY Program RequestsPlease share any additional information that may be help us accommodate your scouting program request. CAPTCHAPhoneThis field is for validation purposes and should be left unchanged.