PLEASE REGISTER FOR 1 OF THE FOLLOWING:

Course # CRN # Course Title Date Campus CostYCLS-5227 61103 Nature Merit Badge 6/26 - 6/27/18 DR $10.00

YCLS-5228 61102 Fish and Wildlife Management 6/28/18 DR $10.00Merit Badge

June 26, 2018 – June 28, 2018Tuesday - Thursday8:00 a.m. – 4:00 p.m.

Downriver Campus21000 Northline Road, Taylor, MI 48180

Nature Merit Badge provides scouts with a understanding ofa very close connection between the soil, the plants, and allanimal life, including people. Understanding this connection,and the impact we have upon it, is important to preserving thewilderness, as well as to our own well-being as members ofthe web of nature.

Fish and Wildlife Management Merit Badge provides aninsight into wildlife management from the science and art ofmanaging the wildlife, both animals and fish, with which weshare our planet. By maintaining the proper balance and thedynamics that go with it requires humankind's attention.Understanding various stewardship tools to help minimize oreradicate the possibility of extinction of any given species.

BOY SCOUTS AMERICA

Please register at the Downriver Campus, 21000 Northline, Taylor, MI 48180.Registration form is on the back of this flyer.

OFNATURE MERIT BADGE

FISH & WILDLIFE MANAGEMENT MERIT BADGE

For more information contact Jacqueline GrowPhone: 734-946-3500 ext. 3208 • growjacq@msu.edu

Registration call 734-374-3229

in partnership with The Boy Scouts of America presents

Wayne County Community College District (WCCCD), pursuant to the requirements of Titles VI and VII of the Civil Rights Act of 1964, Title IX of Education Amendments of 1972, Section 504 of theRehabilitation Act of 1973, the Age Discrimination Act of 1975, the Vietnam-Era Veterans Readjustment Act of 1974, The Elliot-Larsen Civil Rights Act, Executive Order 11246 and Title II of the Americanswith Disability Act (ADA) complies with all Federal and State laws and regulations prohibiting discrimination and with all requirements and regulations of the U.S. Department of Education. It is the policyof WCCCD that no person, on the basis of race, color, religion, national origin, age, sex, height, weight, marital status, disability, or political affiliation or belief, shall be discriminated against, excludedfrom participation in, denied the benefits of, or otherwise be subjected to discrimination in employment or in any program or activity for which it is responsible or for which it receives financial assistancefrom the U.S. Department of Education. (Policy adopted by the Wayne County Community College District Board of Trustees, July 28, 1993)

Payment method must accompany form. PLEASE DO NOT SEND PAYMENT IN MAIL!(All checks must have the driver’s license number and telephone number of the signer of the check written on the check.)

n Check/Money Order n American Express n Discover n MasterCard n VISA

Account No. __________________________________________________________ Expiration Date ______________

Card Holder Signature ______________________________________________________________________________

* the college will use your Student iD number for record keeping, identification and billing.

Course number CRn number Course title Campus Cost

YClS-5227 61103 DR $10.00

YClS-5228 61102 DR $10.00

Optional Section: Not considered in determining admissibility. Federally required

reporting information: Sex: n Male n Female Marital Status: n Married n Single

Check which category describes you best: n African-American (non Hispanic) n American Indian-Native Alaskan n Arabic

n Asian-Pacific Islander n Caucasian (non Hispanic) n Hispanic n Other n Prefer not to respond

Grand total

For merit badge camp/youth activities, a liability waiver form must be signed.

Return Check PolicyStudents are liable for all amounts pertaining to any bank rejected checks, which includes but is not necessarily limited to the following:The amount of the rejected check, a $20 District service fee for NSF (bad check) processing, a $20 deferred fee charge assessed by the external check guarantee company utilized by the District.

All checks written to the college are verified by an external check guarantee agency. All returned checks are subject to theagency’s collection fees. Stop payment of check does not initiate cancellation of classes. You must officially withdraw from your classes.

Registration: To register, please visit the Downriver Campus on Northline Road in Taylor. Registering in person will ensure each scout is assigned theirstudent number, personalized school email address, and to complete their individual safety forms for the first day attending camp. The registration officenumber is 734-374-3229. For questions or more information, feel free to contact Jacqueline Grow by calling 734-946-3500 or send an email to growjacq@msu.edu.Merit Badge Requirements: Scouts can obtain the pre-work information required for their selected merit badge(s) by visiting the Boy Scouts of America website. Scroll down the website page and select the badge being earned to see the merit badge requirements.http://www.scouting.org/meritbadges.aspx or pre-printed packets are also available at the Downriver Campus in the registration office.

CE Registration Form - The Boy Scouts of America Please use one registration form per student. Feel free to duplicate this form as needed.

ID Number* Date of Birth

Last Name (Please Print) First Name

Applicant Signature or Parent’s Signature if a Minor Forms with no signature are incomplete and Will not be processed. Date

Address

City State Zip

Home Phone Alternate Phone Email Address

Check one: Are you a: New Student n

Returning Student n

Do you reside in Wayne County? n Yes n No