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Scout Patch Information Form

Scout Patch Information Form

Scout Patch Information Form

Scout Patch Program – Information & Instructions

Thank you for your interest in the Lake Humane Society Scout Patch Program!

This program is designed to educate and inspire young leaders in our community while promoting kindness, compassion, and responsible pet ownership. We’re excited to offer your troop a fun, educational experience that aligns with our mission of helping animals in need.

Program Overview:
The Scout Patch Program is for Girl Scouts, Boy Scouts, and other youth groups who are looking to earn a patch while learning about animals, pet care, shelter operations, and humane education.

  • Participants will engage in:
  • A guided tour of the shelter
  • An age-appropriate educational presentation
  • Hands-on activities and discussions
  • A Q&A session with shelter staff or volunteers
  • Patches are awarded upon completion of the program!

Who Can Participate:

  • Groups of 8 to 20 scouts (If your group is larger, please let us know so we can discuss splitting the session into smaller groups.)
  • Scouts must be at least 6 years old to participate in the full program.

Scheduling & Duration:

Session Duration: Typically lasts 60–90 minutes depending on age group and participation level.

Available Days & Times:

  • Weekdays (Monday–Thursday, In-Shelter): 9:30 AM – 2:00 PM
  • Weekday Evening (Off-Site Only): 5:00 PM – 6:00 PM
  • Thursday Evening (In-Shelter Only): 6:00 PM
  • Saturdays (In-Shelter Only): 10:00 AM, 11:00 AM, 12:00 PM, 1:00 PM

Please choose the preferred time slot based on your troop’s availability.

Preferred Program Time and Dates:

Please select your preferred time for the Scout Patch Program. If you would like to visit the shelter in person, we currently offer Thursday evenings at 6:00 PM only. Due to weekend availability of staff and volunteers, we are not able to accommodate Sunday troop activities at this time.

Program Fees:

  • $5 per participant (includes program and patch)
  • Payment is due at the time of your visit.

How to Register:
Complete the Scout Patch Program Request Form below.

Indicate your preferred dates, group size, and age range.

Include any special accommodations or questions in the notes section.

We will contact you to confirm the date and time of your visit.

  • What to Bring:
    Closed-toe shoes (required for the shelter tour)
  • Curiosity and a positive attitude!
  • Optional: Donations from our wish list to help animals in our care. (Check out our [wish list here](insert link))
  • Important Notes:
    This is an educational program, not a volunteer opportunity.
  • We strive to create a safe, fear-free environment for both people and animals. Please help us maintain a calm atmosphere by encouraging respectful behavior.
  • Adult supervision is required at all times during the program.
  • Groups larger than 20 scouts: Please contact us for special arrangements.

Program Availability:

  • In-Shelter Visits: Available on Thursdays at 6:00 PM and Saturdays at 10:00 AM, 11:00 AM, 12:00 PM, and 1:00 PM.
  • Off-Site Visits: Available on weekdays (Monday–Thursday) at 5:00 PM or 6:00 PM.

Please indicate your preferred date and time options on the form.

We are excited to welcome your troop or group to Lake Humane Society and share the incredible work we do for animals in our community. We look forward to seeing your scouts earn their patches and gain a deeper understanding of the importance of compassion for animals!

If you have any questions or would like additional information, please don’t hesitate to contact us.

Scout Patch Program Form

Contact Information

Contact Person's Name(Required)
Address(Required)

Program Interest

The Scout Patch Program is designed for Girl Scouts, Boy Scouts, and other youth groups looking to earn a patch while learning about animals, pet care, shelter operations, and humane education. Program Fees: $5 per participant (includes program and patch) Payment is due at the time of your visit

Youth Education Program Age & Group Size

To ensure the best possible experience for both students and animals, we ask that you let us know how many children will be attending the Youth Education Program. If your group is larger than 15–20 children, we recommend splitting into smaller groups and rotating through activities. This allows for more hands-on interaction, better engagement, and a calmer environment for the animals. Please include the total number of children and chaperones when submitting your request so we can plan accordingly. We’re happy to help coordinate a schedule that works best for your group!
Troop Age Range (Select All Age Ranges that Apply)(Required)
Please indicate the age range of the scouts participating in the program. This helps us tailor the presentation and activities to be age-appropriate.

Scheduling Options for Youth Education Programs

Please select one of the following time options based on your group’s needs and the program selected. Please list your preferred day(s) and time slot(s) on the form. We will do our best to accommodate your request. Once submitted, we will follow up to confirm availability and finalize your visit details. Presentations are approximately one hour in length. If your group has specific scheduling needs, please include those in the comments section of the form.

Preferred Program Time

Please select your preferred time for the Scout Patch Program. If you would like to visit the shelter in person, we currently offer Thursday evenings at 6:00 PM only. Due to weekend availability of staff and volunteers, we are not able to accommodate Sunday Troop activities at this time. Thank you for your understanding and support!
Weekday(Monday–Thursday, In-Shelter)(Required)
Weekday Evening (Off-Site Only)(Required)
Thursday Evening (In-Shelter Only)(Required)
Saturday (In-Shelter Only)(Required)
Saturday (Off-Site)(Required)

Preferred Program Dates

Please indicate 3 dates that you are interested in coming
MM slash DD slash YYYY
Dates outside of our scheduled days may be accommodated but on a case by case basis due to staff and volunteer availability.
MM slash DD slash YYYY
Dates outside of our scheduled days may be accommodated but on a case by case basis due to staff and volunteer availability.
MM slash DD slash YYYY
Dates outside of our scheduled days may be accommodated but on a case by case basis due to staff and volunteer availability.

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Lake Humane Society is a 501(c)(3) nonprofit organization. All donations are tax-deductible in full or in part.

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    Wednesday: Closed
    Thursday: 12 PM - 7 PM
    Friday & Saturday: 12 PM - 5 PM
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Closing Early 12/11

Our shelter will be closing at 4:30 pm today. Please visit our animals before then!