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Liverpool North District Scouts

Supporting Scouting in Merseyside

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?
 
Recieve Mail from Scout Assoc Subsidiary?

 
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:


 

Liverpool North District Scouts
Tawd Vale Scout Camp, Lowry Hill Lane, Lathom, Lancashire, L40 5UL
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