Membership Form

This form is designed to be used by Bushscout Coordinators in order to send members personal details to the National Bushscout Team to add the member on to compass.

1. Your Details ( Local Bushscout Coordinator) *This question is required.

First Name *This question is required.

Last Name *This question is required.

Email Address *This question is required. This question requires a valid email address.

2. New Member Personal Details *This question is required.

First name *This question is required.

Last Name *This question is required.

Date of Birth *This question is required. This question requires a valid date format of DD/MM/YYYY.

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Current Scouting County *This question is required.

Membership Number This question requires a valid number format.

Email Address *This question is required. This question requires a valid email address.

Contact Number *This question is required. This question requires a valid number format.

Address *This question is required.

Post Code *This question is required.