Troop 212 Candidates
If interested in joining Boy Scout Troop 212 in Moraga, California, complete and submit this form. Candidate names are accepted in order and handled in accordance with the troop recruitment policy (http://www.bsa-troop212.org/join-troop-212). If you have multiple candidates in your family, submit a separate form for each.
Candidate's First Name
Enter the candidate's first name.
Your answer
Candidate's Last Name
Enter the candidate's last name.
Your answer
Mother's Name
Enter the first and last name of the candidate's Mother.
Your answer
Mother's Email Address
Enter the email address for the candidate's Mother.
Your answer
Father's Name
Enter the first and last name of the candidate's Father.
Your answer
Father's Email Address
Enter the email address for the candidate's Father.
Your answer
Parent Phone Number
Enter the phone number (xxx-xxx-xxxx) for the primary adult contact for this candidate.
Your answer
Street Address
Enter candidate's home street address.
Your answer
City
Select candidate's home city.
Other City
If not listed in the previous field, type the candidate's home city.
Your answer
State
Select candidate's home state.
Other State
If not listed in the previous field, type the candidate's U.S. Postal Service two-letter home state.
Your answer
ZIP Code
Enter candidate's 5-digit home ZIP code.
Your answer
Date of Birth
Select the candidate's Date Of Birth.
MM
/
DD
/
YYYY
Candidate's Current School
Private or Other School
If you selected "private" or "other" for school, please type the name of the school in this field.
Your answer
Expected year of high school graduation
Candidate's Current Grade in School
Select candidate's current grade in school
Relationship with Troop 212
Select all items applicable to the candidate.
Troop 212 Sibling(s) or other immediate family member(s)
Type the name of at least one sibling, father, grandfather, or other ancestors who are currently or were previously active in Troop 212 in support of your response to the "Relationship with Troop 212" question. Include first and last name. Separate each person with a comma.
Your answer
Cub Scout Pack Number
If candidate is currently a Cub Scout, enter the Pack number in this field.
Your answer
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