NYLT Participant Registration

Email address *

First Name *

Your answer

Last Name *

Your answer

Do you have a preferred nick name?

Your answer

How old will you be at start of course (25 June 2019) *

Your answer

Will you have graduated the 8th grade by 25 June? *

Yes

Gender *

Male

Female

Other:

I am primarily registered with *

Unit Number *

Your answer

What rank are you?

First Class

Star

Life

Eagle

Venturer / Sea Scout

My unit is located at (City or Military Base) *

Your answer

What Country? *

Your answer

Parent full Name *

Your answer

Parent Email Address *

Your answer

Participant Email Address

Your answer

Phone number including Country Code (..ie +81 989719014) *

Your answer

Unit Leader (Scoutmaster, Advisor or Skipper) Full Name *

Your answer

Unit Leader Email Address *

Your answer

Will you have completed ILST, ILSC or ILSS by the start of NYLT (25 June)? *

Yes

Not yet, but I will have before the start of the course.

What type of ID do you have? *

U.S. Military ID and passport

Passport (or Japanese National) only

If passport only what is the country of issue?

Your answer

Acceptance Understanding *

I understand completing this application does not guarantee I have been accepted to attend this course. Final approval will come from the course director after verification of my BSA Membership, rank and favorable recommendation from my Unit Leader.

I Understand

Payment *

I Understand that full payment to the council is required to guarantee a slot at this course. If I am not accepted after making payment, I am eligible for full reimbursement of fees.

I understand

Uniform Disclosure: *

I understand I will be required to have a complete Official BSA Uniform in order to attend this course. A full uniform consists of Official BSA Shirt, pants and belt. The shirt must have the Far East Council patch, current rank and position.

I Understand.

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This form was created inside of Far East Council, BSA.