South Carolina Royal Rangers District Pow-Wow Service Patrol Application

This application must be completed by April 11, 2025

Each year we have a group of young men who have served on our Service Patrol providing irreplaceable support and service for our Pow Wow event. Although these young men work extremely hard and long hours, most of them come back year after year wanting to serve again. Applicants for Service Patrol are selected using the following criteria and the qualifications listed further below:

Qualifications for Service Patrol are as follows:

Service Patrol members must be able to:

MEDICAL FORMS: ALL persons attending Pow-Wow must have a current SCRR medical form.  The form is available here – Medical Form – Rangers.  Please take note this form MUST BE NOTARIZED WITH SEAL!  Bring this form with you to Pow-Wow.

This form is your Pow Wow registration. There is no charge for Service Patrol members.

Service Patrol Members:

• Will receive two Staff t-shirts.
• Will eat with their outpost.
• Get to sleep in an air-conditioned cabin.
• Will receive special recognition for serving at Pow-Wow

Please provide the information below.  If you have any questions or comments, please email the Pow-Wow Coordinator, Herb Gray

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Name *

First

Last

Address *

Address Line 1

Address Line 2

City

AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Phone *

Date of Birth *

Age on May 15, 2026 *

OP Number *

Church Name *

Church Phone *

RR Advancement – Select the highest earned in each row: *

• GMA with Honors
• GMA with Merit
• GMA
• E3
• E2
• E1
• AR Gold Award
• AR Silver Award
• AR Bronze Award

T-shirt Size *

• Small
• Medium
• Large
• XL
• 2XL
• 3XL
• 4XL

Do you hold any of the following certifications? *

• First Aid
• CPR/AED
• Lifeguard
• Range Officer
• Other
• None

Explain Other: *

Outpost Coordinator's Name *

First

Last

Outpost Coordinator's Phone *

Outpost Coordinator's Email *

Submit