Puddletown Scout Group's Youth Membership Form
For Beavers Cubs and Scouts
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YOUNG PERSON'S DETAILS
Enter the details of the young person who wishes to join Puddletown Scout Group

Child's First Name *
Child's Last Name *
Child's Gender *
Child's Date of Birth *
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Child's Allergies (Food, Insect etc)
Child's Health Issues (that we need to be aware of)
Do we have your permission to use photographs in  publicly  materials? *
CARER'S INFORMATION
Contact and Emergency Contact details
Contact 1 - First Name *
Contact 1 - Last Name *
Contact 1 - Address (please include postcode) *
Contact 1 - email address *
Contact 1 - Preferred Phone No *
Contact 1 - Alternative Phone No
Contact 2 - First Name
Contact 2 - Last Name
Contact 2 - Address (if different to Contact 1)
Contact 2 - email address
Contact 2 - Preferred Phone No
Contact 2 - Alternative Phone No
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