Request for Feather of Challenge

NOTE: ALL requests must be submitted at least 1 MONTH prior to the Eagle Scout Ceremony.
ALL Feather of Challenge Eagle Scouts MUST be an active member of the lodge.

Scoutmaster's Name:

e-Mail Address:

Troop Venture Crew

Unit Number:


Date Requested for Feather of Challenge (mm/dd/yy):

Eagle Scout's Name:
Date Inducted in OA(mm/dd/yy):
# of Lodge Service Days attended this yr.:
# of Lodge Events attended this yr.: Membership in Lodge(O/B/V):
Dues Paid: