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 (
). If you have multiple candidates in your family, submit a separate form for each.
Candidate's First Name
Enter the candidate's first name.
Candidate's Last Name
Enter the candidate's last name.
Enter the first and last name of the candidate's Mother.
Mother's Email Address
Enter the email address for the candidate's Mother.
Enter the first and last name of the candidate's Father.
Father's Email Address
Enter the email address for the candidate's Father.
Parent Phone Number
Enter the phone number (xxx-xxx-xxxx) for the primary adult contact for this candidate.
Enter candidate's home street address.
Select candidate's home city.
If not listed in the previous field, type the candidate's home city.
Select candidate's home state.
If not listed in the previous field, type the candidate's U.S. Postal Service two-letter home state.
Enter candidate's 5-digit home ZIP code.
Date of Birth
Select the candidate's Date Of Birth.
Candidate's Current School
Camino Pablo Elementary
Donald Rheem Elementary
Los Perales Elementary
Joaquin Moraga Intermediate
The Saklan School
Del Rey Elementary
Sleepy Hollow Elementary
Wagner Ranch Elementary
Burton Valley Elementary
Happy Valley Elementary
Private or Other School
If you selected "private" or "other" for school, please type the name of the school in this field.
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.
1) Sibling of current Troop 212 Scout(s)
2) Sibling of former Troop 212 Scout(s)
3) Son, grandson, or other immediate family member of former Troop 212 Scouts
4) Member family of Moraga Valley Presbyterian Church (MVPC is Troop 212's Sponsoring Organization)
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.
Cub Scout Pack Number
If candidate is currently a Cub Scout, enter the Pack number in this field.
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