JOTA Radio Merit Badge Registration Form

To register for the Radio Merit Badge class held at JOTA fill out the form below:

Name                                    Troop
	
Address

City                      State          Zip Code         
                 
Phone Number	      E-Mail Address (no e-mail? type www@nomail.com)
    
Class Time    Rank
8:30 AM1:00 PM    SCOUTTENDERFOOT2ND CLASS1ST CLASSSTARLIFEEAGLE

Additional Comments or Questions:

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