BOY SCOUT APPLICATION - BSA Troop 90 Riverside CA

BOY SCOUT APPLICATIONTROOP NO. EXPIRE DATE TERM MONTHSCheck one■ New Boy Scout■ Former Boy Scout■ Former Webelos Scout■ Arrow of Light■ If applicant has an unexpired membership certificate, registration may be accomplished in this unit by paying $1 for processing the transfer. Check the box and attach certificate. It will bereturned by the council.TRANSFER FROM: COUNCIL NO. UNIT TYPE UNIT NO.Please print one letter in each space—press hard, you are making a copy.First name Middle initial Last name SuffixCountry Mailing address City State Zip codeHome phone Date of birth Grade Ethnic background School Boys’ LifeAA—African American AI—American Indian AS—AsianCA—CaucasianHI—Hispanic/Latino OT—OtherParent/Guardian information Relationship GuardianFirst name Middle name Last name SuffixSocial security numberCountry Address City State Zip codeLOCAL COUNCIL COPYHome phone Date of birth Occupation EmployerBusiness phonePrevious Scouting experienceYouth e-mail addressParent e-mail addressI have read the attached information sheet and approve the application.Signature of Scoutmaster Signature of parent or guardian DateRegistration fee $ . Boys’ Life fee $ .28-209VRetain on file for three years.