Author: Angela Williams

2024 CCLT
POPCORN
CAMP CREDIT
APPLICATION

District: Lincolnway Pokagon Summit Wabash Valley Unit: ______
Please Circle One As of Next Year
Scout Name: _____________________ Rank in Scouting: ____________
Address: ______________________ City: _____________ State ____ Zip______
Phone: _______________________ Email: ________________________________
Scouts BSA and AoL Scouts: $2500 Cub Scouts: $1600
2023 Sales Total: ______________
Scout Signature: ______________________________ Date _________________
Parent Signature: ______________________________ Date _________________
Phone: _________________________ Email: ______________________________
Unit Adventure Guide Signature:_____________________ Date________________
Phone: _________________________ Email: ______________________________
Unit Leader Signature: ___________________________ Date ________________
Phone: _________________________ Email: ______________________________
AWAC APPROVAL: ______________________________ Date _________________
(Signature)
Return this completed form to:
SSA Staff Guide: Troy Bowerss at troy.bowers@scouting.org by
08 DECEMBER 2025
mail or drop off to: AWAC, 8315 W Jefferson Blvd, Fort Wayne, In 46804-8306