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You are making a great choice. You and your son are about to have the time of you life while we build a leader of tomorrow. Please complete the following information. All of this information will be kept confidential and only used for Troop 42.

Youth Name: DOB:
Was/is
He a Cub:		 What Pack:
What School: What Grade:
Brothers:
(include age)		 Sisters:
(include age)
Dad's Name: Mom's Name:
Address: Address:
City, St. Zip: City, St. Zip:
Home Phone: Home Phone:
Email: Email:
Occupation: Occupation:
Employer: Employer:
Hobbies: Hobbies:
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