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Scout Registration Form

Please print this form and send to:

Roaring Brook Nature Center
  70 Gracey RoadCanton, CT  06019

Troop Leader's Name:

Address:

 

Phone (Home):

Phone (Work):

  Troop Type:  (please circle)

Daisy Girl Scouts      Brownies     Junior Girl Scouts

Tiger Cubs     Bear Scouts      Webelos

Boy Scouts

 Program Desired:

Date Scheduled:

 Troop Number:

Number of Scouts:

Do not forget your $10 deposit!

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