2018 Homenetmen Scouts Registration
This form is required for ALL new and returning scouts for the 2018-19 year
Email address *
First Name: *
Your answer
Last Name: *
Your answer
Registration Bracket *
Phone Number: *
Ex. xxx-xxx-xxxx
Your answer
Street Address: *
Your answer
Street Address: (Line 2)
Your answer
City: *
Your answer
State: *
Your answer
Zip Code *
Input 5 digit zip code
Your answer
Birthdate: *
MM
/
DD
/
YYYY
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