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First Name
Last Name
Scout Profile Picture
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Date of Birth
Date Format: MM slash DD slash YYYY
Gender
Male
Female
BSA Status
Unregistered
Registered
BSA Member ID
Scout Rank
Den Number
Patrol
Troop Leadership Position
None
Patrol Leader
Assistant Patrol Leader
Senior Patrol Leader
Assistant Senior Patrol Leader
Quartermaster
Troop Scribe
Troop Guide
Instructor
Crew Leadership Position
None
President
Vice President
Secretary
Treasurer
Quartermaster
Ship Leadership Position
None
Boatswain
Boatswain’s Mate
Yeoman
Purser
Storekeeper
Crew Leader
Specialist
Send Communications?
No
Yes
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Scout Email
Scout Phone
