MeerkaL Lxplorer ScouL unlL

Lxplorer ScouL Leader - ChrlsLopher lngham - 07816317838

AsslsLanL Lxplorer ScouL Leader - uanlel Wood
unlL AsslsLanL - Susan Popklnson
www.meerkaLesu.blogspoL.com
meerkaLesu[me.com


FAMILY INFORMATION FORM
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Chlld's name:
Cender:
uaLe of 8lrLh:
8ellglon:
Pome Address:

Pome hone:
arenL names:
arenL Moblle hones:




AlLernaLlve conLacL name and relaLlon:
AlLernaLlve Address:

AlLernaLlve ConLacL number:
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Medlcal CondlLlons (lnclude allergles, speclal requlremenLs eLc):

uleLary 8equlremenLs:

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Can ?our Chlld Swlm?
ermlsslon Lo use phoLographs for scouLlng publlclLy purposes:
revlous ScouL Croup (lf appllcable):