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Eastleigh District Scouts

Welcome to our Adventure...

How will I benefit from joining Scouting?

You will benefit hugely from the adventures, fun and friendships. Scouting can help develop your social skills and independence, and give access to some amazing and memorable opportunities.

 

This Form

In order to add your details to our records, please complete the form below, which will be sent to one or more of our leaders.

Your Details

Contact Recipient:
* Title:
* Forename(s):
Known As:
* Surname:
Previous Surname:

* Gender:
* Date of Birth:
Honours:



* Nationality:
Other:
* Ethnicity:
Other:
* Faith/Religion:
Other:

* Address:
* Town:
County:
* Postcode:

Primary?
* Telephone 1:
Telephone 2:
Telephone 3:
Primary?
* Email 1:
Email 2:
Email 3:

Username
Social Media 1:
Social Media 2:
Social Media 3:

Scout Membership No:
(If Known)
* Date Joined Scouting:

* Role Applied For:
Preferred Section:
Membership Type:

References

Referee 1 Name:
Relationship:
Address:
Postcode:
Email:
Telephone:

Referee 2 Name:
Relationship:
Address:
Postcode:
Email:
Telephone:

 
Receive Mail from Scout Assoc?
 
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Tick if you do NOT wish to receive details...
 
...about Scout Activity Centres
 
...of Events/Fundraising
 
...from Scout Shops Ltd
 
...regarding Scouting Insurance

Occupation:
Occupation Description:
Gift Aid?:
Qualification/Skills:
Hobbies/Interest:


 

Eastleigh District Scouts
Eastleigh District Scout, 72 Bracken Crescent, Bishopstoke, Eastleigh, Hampshire, SO50 7JJ
Material on this website has been reproduced by permission of The Scout Association

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