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Posted on January 20, 2018 by Aaron

Add name to waiting list

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1st Child's name
DOB:
School Class September 2019
Does your child have any medical conditions:	Yes No
Please give details:

2nd Child's name
DOB:
School Class September 2019
Does your child have any medical conditions:	Yes No
Please give details:

1st Child's name
DOB:
School Class September 2019
Does your child have any medical conditions:	Yes No
Please give details:

Parents name:
Address :


E-Mail:
Phone Number:

Other family members in scouts:	Yes No