Interested Scout Form - Troops 57 and 4057

Student Name *

First

Last

Gender *

Male
Female
Other

Current grade in school *

(6th grade, 7th grade, etc.)

Any Cub Scout, Girl Scout, or BSA Scout experience? *

Yes, Cub Scout
Yes, Girl Scout
Yes, BSA Scout
No

Pack or Troop Number

This only applies if you were a Cub Scout.

Do you have a sibling in Troop 57/4057? *

Yes
No

Parent #1 Name *

First

Last

Parent #1 Email *

Email

Confirm Email

Parent #1 Phone Number *

Parent #2 Name

First

Last

Parent #2 Email

Email

Confirm Email

Parent #2 Phone Number

Can at least one parent volunteer? *

Yes
No

Troops 57 and 4057 are scout led and parent volunteered troops. In order to run these troops smoothly, we want at least one adult from each family to volunteer for any position/activity of their choice. A separate volunteer form will be sent out later. Most volunteering work can be done after office hours and/or during weekends since scout meetings/activities are in the evening/weekends

Have the students or parent(s) attended Open House and/or any other Troop 57/4057 activities?

Yes
No

For Scouts: Is English the language you feel most comfortable speaking? *

Yes
No

If answer to the above question is no, what is the scout's preferred language?

For Adults: Is English the language you feel most comfortable speaking? *

Yes
No

If answer to the above question is no, what is your preferred language?

Comments/Questions/Concerns?