Religious Award Submission Form

To request an Scout Emblem / Award, please complete the below information form. All completed applications that have been signed by the student, parent/guardian, cub/troop master and pastor should be emailed to dccs-emblems@austindiocese.org. If you are requesting a certificate/patch for the Religious Activity/Catholic Faith Award, please complete the application form. All fees can be paid here. Applications will not be considered complete until fees and signed application have been received.

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Mailing Address REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Student Age REQUIRED Please fill out this field. Please enter an integer (number).

Student Grade REQUIRED Please fill out this field.

Name of Parish: REQUIRED Please fill out this field.

Pack / Troop Number REQUIRED Please fill out this field. Please enter valid data.

Charter Organization REQUIRED Please fill out this field. Please enter valid data.

Religious Emblem / Award Completed REQUIRED Please fill out this field.

If "Other" Religious Activity selected, please note activity completed Please enter valid data.

Email: REQUIRED Please fill out this field. Please enter an email address.

Phone Number: REQUIRED Please fill out this field. Please enter a phone number.