Individual Scout Record - Personal Data - Boy Scouts Of America
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1
2INDIVIDUAL SCOUT RECORD
PERSONAL DATA
Name _______________________________________________________________________
TROOP/TEAM
Address _____________________________________________________________________
City_______________________ State, zip code ____________________________________
NO._______________
Phone________________________ Date of birth __________________________________
Church or synagogue_________________________________________________________
PATROL
School_________________________________________________________________________
__________________________
____________________________________________________________________________________________
__________________________
Parent’s name _______________________________________________________________
__________________________
Business address _____________________________________________________________
City_______________________ State, zip code ____________________________________
Business phone__________________________ Occupation _________________________
MEMBERSHIP
Cub Scout—from________ to_________ Rank _________
Became Varsity Scout or Venturer . . . ______________
Date
Webelos Scout—from_____________ to ______________
ORDER OF THE ARROW
Pack No.__________ City__________ State ____________
Election . . . . . . . . . . . . . . . . . . . . . . . . ______________
Date
Became Boy Scout (registered) . . . . . ______________
Ordeal . . . . . . . . . . . . . . . . . . . . . . . . . ______________
Date
Date
Transfer in . . . . . . . . . . . . . . . . . . . . . . ______________
Brotherhood . . . . . . . . . . . . . . . . . . . .
____________________
Date
Date
Transfer out . . . . . . . . . . . . . . . . . . . . ______________
Vigil Honor . . . . . . . . . . . . . . . . . . . . .
____________________
Date
Date
ATTENDANCE
T = PRESENT AT TROOP MEETING
H = PRESENT ON TROOP HIKE
10¢, 15¢, 25¢, 50¢, $1 = AMOUNT PAID ON DATE SHOWN
= DUES PAID AHEAD OR BACK
S = PRESENT AT SERVICE PROJECT
C = PRESENT AT OVERNIGHT CAMP
3
AND DUES
A = PRESENT AT TROOP, DISTRICT, OR COUNCIL ACTIVITY
C
= (Numeral indicates number of days and nights in camp)
YEAR
YEAR
YEAR
ATTENDANCE
DUES
ATTENDANCE
DUES
ATTENDANCE
DUES
DATE
DATE
DATE
d
d
d
JAN.
JAN.
JAN.
DATE
DATE
DATE
d
d
d
FEB.
FEB.
FEB.
DATE
DATE
DATE
d
d
d
MAR.
MAR.
MAR.
DATE
DATE
DATE
d
d
d
APR.
APR.
APR.
DATE
DATE
DATE
d
d
d
MAY
MAY
MAY
DATE
DATE
DATE
d
d
d
JUNE
JUNE
JUNE
DATE
DATE
DATE
d
d
d
JULY
JULY
JULY
DATE
DATE
DATE
d
d
d
AUG.
AUG.
AUG.
DATE
DATE
DATE
d
d
d
SEPT.
SEPT.
SEPT.
DATE
DATE
DATE
d
d
d
OCT.
OCT.
OCT.
DATE
DATE
DATE
d
d
d
NOV.
NOV.
NOV.
DATE
DATE
DATE
d
d
d
DEC.
DEC.
DEC.
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