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City of Coventry Scout County

Looking after Scouting in Coventry - Phone: 0845 643 1048

Young Person's Details

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

* Gender:
* Date of Birth:
Section:
Membership No:
(If Known)

* Address:
* Town:
County:
* Postcode:

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

Primary?
Telephone 1:
Telephone 2:
Telephone 3:

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

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

School/College:

Other Information:


 

 
City of Coventry Scout County
c/o Rough Close Campsite, Tanners Lane, Berkswell, Coventry, CV7 7DD
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