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City of Coventry Scout County

Looking after Scouting in Coventry - Phone: 0845 643 1048

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:

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


 

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