Individual Boy Scout Record Form
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1
2INDIVIDUAL BOY SCOUT RECORD
PERSONAL DATA
TROOP
Name: ______________________________________________________________
Date of Birth ____/____/______
BSA ID# _______________________________
NO.________
Address: ____________________________________________________________
PATROL
City: _______________________________ State: ________ Zip: ______________
Phone (____)_____ -_______
email: ____________________________________
___________________
School: ______________________ Church/Synagogue: _____________________
___________________
Parent 1 Name: ______________________________________________________
___________________
Address: ____________________________________________________________
City: _______________________________ State: ________ Zip: ______________
Phone (____)_____ -_______
email: ____________________________________
Parent 2 Name: ______________________________________________________
Address: ____________________________________________________________
City: _______________________________ State: ________ Zip: ______________
Phone (____)_____ -_______
email: ____________________________________
MEMBERSHIP
Cub Scout-from____/____/____ to ____/____/____
Became Venturer
____/____/____
Webelos Scout-from____/____/____ to ____/____/____
Became Explorer
____/____/____
Order of the Arrow
Pack No.______ City_________________ State____
Received Arrow of Light Yes/No
Election
____/____/____
Became Boy Scout
____/____/____
Ordeal
____/____/____
Transferred in
____/____/____
Brotherhood
____/____/____
Transferred from
Troop No._______
Vigil Honor
____/____/____
ATTENDANCE
(campouts, hikes, service projects, District/Council activities, etc.)
Date
Event
Date
Event
Date
Event
Date
Event
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