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Itchen South District Scouts

Supporting Scouting in East Southampton

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.

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

Number
Type
Primary?
* Telephone 1:
* Telephone 1:
Type:
Primary?:
 
Telephone 2:
Telephone 2:
Type:
Primary?:
 
Telephone 3:
Telephone 3:
Type:
Primary?:
 
 
 
Number
Type
Primary?
* Email 1:
Email 1:
Type:
Primary?:
 
* Email 2:
Email 2:
Type:
Primary?:
 
* Email 3:
Email 3:
Type:
Primary?:
 
 
 
Type
Username
Social Media 1:
Social Media 2:
Social Media 3:
 
 
School/College:
 
 
Other Information:

Itchen South District Scouts
Cricket Camp, River Hamble Country Park, Pylands Lane, Bursledon, Southampton, SO31 1BH
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