Four Winds Ceremony Request Form

If you have reached your Eagle rank and would like a Four Winds ceremony, an indian ceremony that explains the values of an Eagle, please fill out this form and submit it.

Eagle Scout name (required) Troop number

Message (please choose one)

I need a ceremony. I have a firm date and need you to confirm the details and availability.I need a ceremony. Please help me determine a date.I have contacted you before. This is a follow up.

Contact Name (required) Contact Email (required)

Contact Phone:

Second Contact Name (required) Second Contact Email (required)

Second Contact Phone:

Ceremony info

Date of Ceremony: Weekday of Ceremony
Time of Meeting:
Location of Ceremony:
Time Ceremony Starts:
Time Team Can Arrive:

Any further information the team should know:

Please enter this code