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HIGH ADVENTURE AWARD APPLICATION - Puddle Stomper Patch Set Available from the River City Scout Shop 215 Commerce Circle Sacramento CA 95815 916-649-1800 FAX 916-649-1177 PUDDLE STOMPER AWARD SEGMENTS APPLICATION UNIT DISTRICT COUNCIL TOUR PERMIT No. WILDERNESS PERMIT No. Enclose a copy of the approved BSA Tour Permit if required for award. ADULT TREK LEADER NAME H. A. T. SIGNATURE YOUTH TREK LEADER PARTICIPANTS Indicate leadership positions and whether participant is Adult or Youth. 1. NUMBER OF AWARDS NOTE contact the Scout Shop for current pricing and stock status MAIN PATCH SEGMENT TOTAL SEGMENT 2 - OLD SOGGY SEGMENT SEGMENT 3 - TO THE ANKLES SEGMENT SEGMENT 4 - THE SWIMMER SEGMENT SEGMENT 5 - STILL TREADING SEGMENT SEGMENT 6 - SOAKED RAT SEGMENT SEGMENT 7 - WALKING ON WATER SEGMENT GRAND TOTAL ITINERARY DAY 1DATE DAY 5DATE Indicate Trailhead Campsites Daily Mileage Elevation Change Special Activities and Recommendations. Continue on back of sheet if necessary. email this completed form to the HAT Chair at hat. chair gec-hat. org for approval take the approved form to the Scout Shop to purchase your awards visit the HAT web site at http //www. gec-bsa*org/program/training/adulttraining/highadventure/hatawards for more info G*E*C. H. A. T. Approval. ADULT TREK LEADER NAME H. A. T. SIGNATURE YOUTH TREK LEADER PARTICIPANTS Indicate leadership positions and whether participant is Adult or Youth. 1. NUMBER OF AWARDS NOTE contact the Scout Shop for current pricing and stock status MAIN PATCH SEGMENT TOTAL SEGMENT 2 - OLD SOGGY SEGMENT SEGMENT 3 - TO THE ANKLES SEGMENT SEGMENT 4 - THE SWIMMER SEGMENT SEGMENT 5 - STILL TREADING SEGMENT SEGMENT 6 - SOAKED RAT SEGMENT SEGMENT 7 - WALKING ON WATER SEGMENT GRAND TOTAL ITINERARY DAY 1DATE DAY 5DATE Indicate Trailhead Campsites Daily Mileage Elevation Change Special Activities and Recommendations. 1. NUMBER OF AWARDS NOTE contact the Scout Shop for current pricing and stock status MAIN PATCH SEGMENT TOTAL SEGMENT 2 - OLD SOGGY SEGMENT SEGMENT 3 - TO THE ANKLES SEGMENT SEGMENT 4 - THE SWIMMER SEGMENT SEGMENT 5 - STILL TREADING SEGMENT SEGMENT 6 - SOAKED RAT SEGMENT SEGMENT 7 - WALKING ON WATER SEGMENT GRAND TOTAL ITINERARY DAY 1DATE DAY 5DATE Indicate Trailhead Campsites Daily Mileage Elevation Change Special Activities and Recommendations. Continue on back of sheet if necessary. email this completed form to the HAT Chair at hat. chair gec-hat. Continue on back of sheet if necessary. email this completed form to the HAT Chair at hat. chair gec-hat. org for approval take the approved form to the Scout Shop to purchase your awards visit the HAT web site at http //www. org for approval take the approved form to the Scout Shop to purchase your awards visit the HAT web site at http //www. gec-bsa*org/program/training/adulttraining/highadventure/hatawards for more info G*E*C. H. A. T. Approval. ADULT TREK LEADER NAME H. A. T. SIGNATURE YOUTH TREK LEADER PARTICIPANTS Indicate leadership positions and whether participant is Adult or Youth. 1. NUMBER OF AWARDS NOTE contact the Scout Shop for current pricing and stock status MAIN PATCH SEGMENT TOTAL SEGMENT 2 - OLD SOGGY SEGMENT SEGMENT 3 - TO THE ANKLES SEGMENT SEGMENT 4 - THE SWIMMER SEGMENT SEGMENT 5 - STILL TREADING SEGMENT SEGMENT 6 - SOAKED RAT SEGMENT SEGMENT 7 - WALKING ON WATER SEGMENT GRAND TOTAL ITINERARY DAY 1DATE DAY 5DATE Indicate Trailhead Campsites Daily Mileage Elevation Change Special Activities and Recommendations. Continue on back of sheet if necessary. email this completed form to the HAT Chair at hat. chair gec-hat.

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