Troop 419 - Tigard, Oregon

Troop 419 Scout / Parent / Information

In order to keep our records current to enable better communication and to make the annual Recharter with the BSA go smoothly, would you please take a few minutes to complete this Questionnaire? Even though you may have submitted some of this data previously, this will allow us to update and verify troop records. If you are not certain of any dates, please insert your best guess with a question mark (?) following the date.

Scout's Information
Scout Name
 Nickname
Home Address
 Home Phone
City
State ZIP
Scout Email
 Boys Life Grade in School
Date Joined Troop
Date of Birth

Parent's Information
In order for the troop to file trip applications with the BSA when you drive scouts, please fill out the automobile information below.
  Year Make Model # of
Seat
Belts		 $ Ins per person $ ins per accident $ ins property
Veh #1
Veh #2

Father's Information
Father
Address
(If different than Scouts)
City
State ZIP
Email
 Birth Date
Phone
 Home Work
Driver License
 State
Troop Leadership
Positions Held
 Dates


Mother's Information
Mother
Address
(If different than Scouts)
City
State ZIP
Email
 Birth Date
Phone
 Home Work
Driver License
 State
Troop Leadership
Positions Held
 Dates


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