SEMAC 2018 - APPLICATION & HEALTH FORM
Email address *
THIS INFORMATION WILL BE HELD ON COMPUTER AND IN CONFIDENCE BY SOUTHEND ESTUARY EXPLORER SCOUTS.
Members of the Scout Association over 18 years of age may complete the form for themselves, otherwise it must be completed by the parent or carer.
Name *
Your answer
Gender *
Unit/Network *
Address *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Age *
Your answer
Parent's Email Address
Your answer
Home Telephone Number
Your answer
Mobile Telephone Number
Your answer
Wetsuit Sizing : Height *
Your answer
Wetsuit Sizing : Shoe Size *
Your answer
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