Name ___________________________________________
Address _________________________________________
City, State, Zip ____________________________________
I have completed the requirements below and I respectfully make application for the award of:
Troop 93 Distinguished Outdoorsman _____ With Honors _____
| Merit Badge | Date Earned | Counselor |
| Backpacking | ||
| Camping | ||
| Canoeing | ||
| Cycling or Hiking (circle) | ||
| Wilderness Survival |
| Location | Date Earned | Trek Leaders |
______________________________________
Signature of unit leader
Date ___________________________________
We hereby certify that this applicant appeared before a board of review on:
Date ________________________________
_______________________________________
For the board of review