Mid-America Council
Join Scouting Request for Information
Please fill out the form below, and a Scouting representative from the Mid-America Council will contact you. If you have any questions, please contact the Durham Scout Center at 402.431.9BSA (9272).
*Parent's First Name:
*Parent's Last Name:
*Youth's First Name:
*Youth's Last Name:
*Youth's Date of Birth (mm/dd/yyyy):
*Street Address:
*City:
*State:
*Zip Code:
Phone Number:
Email:
*School:
Prefer to be contacted via:
Questions or Special Instructions: