Scout Badge Request Form-Anana Prana

Scout Badge Request Form

Please select the options that work for you and your troop! You'll receive a quote in 24 hours. A deposit is required to reserve the date

Name of Person in Charge

Last Name

Phone Number

Troop age (ie: cubs, brownies, etc)

Where would you like the class to take place?

When would you like the class to take place?

How many scouts will we be expecting?

What Girl Scout Badges do you want to work on? (select as many as you wish)

Daisy Shapes in Nature AND Design with Nature COMBO

Daisy Outdoor Art Maker

Daisy Model Car Design Challenge

Daisy Roller Coaster Design Challenge

Daisy Board Game Design Challenge

Brownie Outdoor Art Creator

Brownie Shapes in Nature AND Design with Nature COMBO

Brownie Painting Badge

Brownie Making Games

Brownie Potter Badge

Junior Staying Fit Badge

Junior Outdoor Art Explorer

Junior Jeweler Badge

Junior Digital Photographer Badge

Junior Drawing Badge

Junior Shapes in Nature

Cadette Outdoor Art Apprentice Badge

Cadette Comic Artist Badge

Cadette Outdoor Art Apprentice

Cadette Book Artist Badge

Senior Outdoor Art Expert

Senior Collage Artist Badge

Senior Textile Artist Badge

Ambassador Photographer Badge

Ambassador Outdoor Art Master

Other (please write in the comment box below)

What Boy Scout Badges would your Troop like to work on?

Badges and Patches

Girl Scout Badges Included ($3.50 each)

Boy Scout Badges Included

Anana Prana Activity Patch Included ($2 each)

Choose your "just for fun" ADD-ONs!

YOGA class. Mats available upon request. $5 per guest

FACE PAINTING $5 per guest

GLITTER TATTOOS - (FREE)

SLIME making! $5 per guest, all materials included

No Add-ons

Other (please include a note below)

Please feel free to write any other ideas, concerns, questions, or comments below.

I understand that although all precautions are taken, some incidents during class are possible due to improper or accidental use of materials. I agree to not hold Glaucia Romano, or Anana Prana, responsible for accidents that may occur during class.

All scouts will have parental permission slips releasing Anana Prana (business) and Glaucia Romano (teacher) of liability for injuries, accidents, property damages, or losses.