| A | B | C | D | E | F | |
|---|---|---|---|---|---|---|
1 | New Scout Visitors | Pack #__________ Pack Meeting Location: ________________________________________ | ||||
2 | Leader Name: ________________________________________ Phone: _________________ | |||||
3 | Leader Contact E-Mail: _________________________________________________________ | |||||
4 | Potential Scout Name/Parents | Birthdate | E-mail(s) (Parent Contact) | Address [incl. City and Zip] | Phone No. | |
5 | 1 | |||||
6 | 2 | |||||
7 | 3 | |||||
8 | 4 | |||||
9 | 5 | |||||
10 | 6 | |||||
11 | Potential Scout Name/Parents | Birthdate | E-mail(s) (Parent Contact) | Address [incl. City and Zip] | Phone No. | |
12 | 7 | |||||
13 | 8 | |||||
14 | 9 | |||||
15 | 10 | |||||
16 | 11 | |||||
17 | 12 | |||||
18 | 13 |