Troop 870 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