Scout Patch Request Form | Consumers Energy

Personal Information (The patch program is only for Michigan residents)

First Name

Last Name

Address

City

State

Zip Code

Email Address

Pack/Troop Information (Enter the number patches needed for Scout level)

Pack/Troop Number

Daisies

Brownies

Juniors

Cadettes

Seniors/Ambassadors

Tigers

Wolves

Bears

Webelos

How likely are you to recommend this program to other Scouts?

How relatable do you feel this information is to your Scout's lives?