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Petworth & Pulborough Scout District

Building #SkillsforLife in West Sussex

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:
 
 
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* Date of Birth:
Honours:


 
 
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* Nationality:
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* Address:
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Number
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Primary?
* Telephone 1:
* Telephone 1:
Type:
Primary?:
 
Telephone 2:
Telephone 2:
Type:
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Telephone 3:
Telephone 3:
Type:
Primary?:
 
 
 
Number
Type
Primary?
* Email 1:
Email 1:
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* Email 2:
Email 2:
Type:
Primary?:
 
* Email 3:
Email 3:
Type:
Primary?:
 
 
 
Type
Username
Social Media 1:
Social Media 2:
Social Media 3:
 
 
Scout Member 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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...about Scout Activity Centres
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...regarding Scouting Insurance

Occupation:
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Gift Aid?:
Qualification/Skills:
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Petworth & Pulborough Scout District
West Sussex County Scouts, Lodge Hill, London Road, Watersfield, Pulborough, West Sussex, RH20 1LZ
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