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Liverpool North District Scouts

Supporting Scouting in Merseyside

How will you benefit from joining Scouting?

Scout Active Support allows you to contribute to the enjoyment of young people, without the need to make a regular commitment.


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:

* 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?:
 
 
 
School/College:
 
 
Other Information:

Liverpool North District Scouts
Spaces 301, Tea Factory, 82 Wood Street, Liverpool, Merseyside, L1 4DQ
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