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Scout Information Registration Form
Please fill out the form per scout. If you have sibling scouts, each scout fill out separately. This information will be remained confidential. Once you are successfully register yourself, you will be able to see your info. being added to
https://docs.google.com/spreadsheet/ccc?key=0AiFhMwFfKjIfdDhYZk5fMVRDQWg1R2hHbjE3V3d4MHc#gid=0
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* Indicates required question
Status
Please check Active
Active
BSA ID
Leave blank if you don't know
Your answer
Last Name
*
Your answer
First Name
*
Your answer
Date of Birth
*
MM/DD/YYYY
Your answer
Current Rank
Leave blank if you don't know
Your answer
Home Phone Number
*
Please enter the email address that you actively read
Your answer
Email Address
*
Please enter email with which you actively use
Your answer
Patrol
If blank if you don't know
Arrow
Shark
Phoenix
Parent's Last Name
*
Either Father's or Mother's Last Name
Your answer
Parent's First Name
*
Either Father's or Mother's First
Your answer
Parent's Phone Number
*
Your answer
Parent's Email Address
*
Your answer
Scout's Current Attending School
*
Your answer
Scout's Home Address
*
Your answer
2nd Parent's Last Name
Your answer
2nd Parent's First Name
Your answer
2nd Parent's Phone Number
Your answer
2nd Parent's Email Address
Your answer
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