2018-19 66th Confluence BPSA Otter Registration
Otter Raft Leader: Lenore Borisova
Assistant Raft Leader: Kevin Croke
Parent Volunteers: Heather and Christian Fox
66th Confluence Scout Group, St. Louis, Missouri
Baden-Powell Service Association, US (BPSA-US.org)
Contact us at (314) 669-5766 or 66thconfluence@gmail.com
Group info and calendar available at 66thconfluence.org

Please complete this form for EACH Otter (child aged 5–7) you are registering.

Email address *
Otter's Name (First & Last) *
Your answer
Street Address *
Your answer
City, State, Zip *
Your answer
Gender *
Date of Birth *
MM
/
DD
/
YYYY
Phone Number *
Your answer
Parents/Guardians: Are you interested in section leadership or volunteering? (For section leadership, you will also need to fill out our Rover Registration Form for yourself. This is not necessary for Group Auxiliary positions.) *
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