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Your Name (required)

Your Email (required)

Your Phone Number

How may we contact you?

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Information about your child/children

Indicate your child’s grade(age):

Kindergarten (5-6)Grades 1-3 (6-9)Grades 4-6 (9-12)Grades 7-8 (12-14)Grades 9-12 (14-18)

Gender(s):

Girl(s)Boy(s)

Are you interested working behind the scene or directly with kids?

Behind the SceneDirectly with Kids

Special Skilss:

First AidCPRPrior Boy/Girl Scouts Leader

Other Skills:

Subject

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