Petworth & Pulborough Scout District

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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.

 

Application 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. You do not need to include any referees at this stage.
 

Your Details
Contact Recipient:
* Title:

* Forename(s):
Known As:
* Surname:
Previous Surname:
 
 
* Gender:
* Date of Birth:
Honours:


 
 
Select
Or Other
* Nationality:
* Ethnicity:
* Faith/Religion:
 
 
* Address:
* Town:
County:
* Postcode:
 
 
Number
Type
Primary?
* Telephone 1:
* Telephone 1:
Type:
Primary?:
Yes Disabled No
 
Telephone 2:
Telephone 2:
Type:
Primary?:
Yes Disabled No
 
Telephone 3:
Telephone 3:
Type:
Primary?:
Yes Disabled No
 
 
 
Address
Type
Primary?
* Email 1:
* Email 1:
Type:
Primary?:
Yes Disabled No
 
* Email 2:
Email 2:
Type:
Primary?:
Yes Disabled No
 
* Email 3:
Email 3:
Type:
Primary?:
Yes Disabled No
 
 
 
Scout Member No:
(If Known)
Date Joined Scouting:
(As an Adult)
Role Applied For:
(If Known)
Preferred Section:
Membership Type:
Occupation:
Occupation Description:
Gift Aid?:
Yes Disabled No
Qualification/Skills:
Hobbies/Interest:


References

Referee 1 Name:
Relationship:
Address:
Postcode:
Email:
Telephone:

Referee 2 Name:
Relationship:
Address:
Postcode:
Email:
Telephone:

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West Sussex County Scouts, Lodge Hill, London Road, Watersfield, Pulborough, West Sussex, RH20 1LZ

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