Cub Scout Leader Training - April 13, 2013
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Last Name
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First Name
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Address 1
Address 2
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City
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State
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Zip
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Email Address
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Phone
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Unit Number
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Unit Type
Troop
Team
Crew
Pack
Post
District
Council
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District
Coyote Creek
Loma Prieta
Outreach
Pioneer
Polaris
Quicksilver
San Benito
Santa Lucia
Out of Council
Currently Register Position
CA Assistant Cubmaster
SA Assistant Scoutmaster
VA Assistant Varsity Coach
WA Assistant Webelos Leader
DA Asst. Den Leader
82 Asst. Dist. Commissioner
CR Chartered Organization Rep.
92 College Scouter Reserve
CC Committee Chairman
MC Committee Member
95 Council Scout Alumnus
87 Council Scout Supplier
CM Cubmaster
DL Den Leader
81 District Commissioner
79 District Committee Member
75 District Member-at-Large
MT Mate
42 Merit Badge Counselor
PT Pack Trainer
83 Roundtable Commissioner
84 Roundtable Staff
91 Scouter Reserve
SM Scoutmaster
PC ScoutParents Unit Coordinator
SK Skipper
TL Tiger Cub Den Leader
92U Unit College Scouter Reserve
80 Unit Commissioner
VC Varsity Scout Coach
NL Venturing Crew Advisor
NA Venturing Crew Assoc. Advisor
92V Venturing Scouter Reserve
WL Webelos Leader
NR Not Current Registered
How many years in this position?
BSA Member Id Number
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Gender
Male
Female
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I want training as a:
Cubmaster/Asst. Cubmaster
Tiger Den Leader
Den Leader/Asst. Den Leader
Webelos /Asst Webelos Den Leader
Committee Chair/Member
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Indicates Response Required