2. If you would like to perform your culminating Scout project through Westfield Washington Township Parks please complete the inquiry form. Once you have completed the form click the submit button. The parks department will contact you within 10 days of your inquiry form.
   
   If you need assistance please contact Westfield Washington Township Parks & Recreation Department at 317-574-9490 or Email.
4. NAME AND ADDRESS
6. First Name*
7. Last Name*
9. Group Name
11. Address
13. City
14. State
15. Zip Code
17. Phone Number*
18. Is it OK to call this number?

    1. Yes

    1. No
20. Email Address
24. DEMOGRAPHIC INFORMATION
    You may optionally provide the following information. It is used only to help us get a better idea of the demographic make-up of our volunteers.
26. Date of Birth
    Date of Birth
27. Scout Group
    -- Select One --Boy ScoutGirl Scout
28. Enter Troup #
30. AVAILABILITY
    AVAILABILITY Start Date

    —

    AVAILABILITY End Date
    Please indicate the time frame of your proposed project.
34. GUARDIAN INFORMATION
    Please list the parent(s) or guardian(s) who will oversee you through this project.
36. PARENT/GUARDIAN 1
37. PARENT/GUARDIAN 2
39. First Name
40. First Name
42. Last Name
43. Last Name
45. Home Phone
46. Home Phone
48. Cell Phone
49. Cell Phone
51. Relationship
    -- Select One --ParentGuardian
52. Relationship
    -- Select One --ParentGuardian
Leave This Blank:


54. 1. Receive an email copy of this form.
55. Email address

    This field is not part of the form submission.

56. Submit Submit and Print

* indicates a required field