| When the hike is completed, return this form and the participant form to the Great Southwest Council office. On the participant form, list the CURRENT REGISTERED Scouts and Leaders who have met all the requirements for this award. I certify that all the conditions stated on the participant form have bee met by each applicant. |
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_______________________________ Scoutmaster/Adult Hike Leader |
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| Names of adult leaders on hike | ||
___________________________ ___________________________ ___________________________ |
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| OA Trails Program, Lodge 66 Great Southwest Council Boy Scouts of America 5841 Office Blvd., NE Albuquerque, NM 87109 |
COST OF PATCHES: Trail Center Patch: $3.00 Segments: $1.00 (Price subject to change without prior notice.) |
| DATE OF HIKES: From ______________ to ______________ Troop No. ___________ Hike Leader ____________________________ Address _______________________________ ______________________________________ |
FOR OFFICE USE ONLY Received ________________________ Date Sent _______________________ Cost ___________________________ |
| Center Patch | ______ | Pecos Falls | ______ | Rio Molino | ______ |
| Beatty's Cabin | ______ | Pecos Wilderness | ______ | Rio Nambe | ______ |
| Intercamp | ______ | Spirit Lake | ______ | Skyline | ______ |
| Lake Johnson | ______ | Rio Medio | ______ | Valle Largo | ______ |
| Pecos Baldy | ______ |
PECOS WILDERNESS SERIES
Order of the Arrow
LODGE 66 TRAILS PROGRAM