Pasadena-Glendale Scouts Registration

Thank you for your interest in enrolling in AGBU-AYA Pasadena Scouts. We are currently accepting scouts of all ages to join our troops for our 2022-2023 season. Becoming a scout is a unique opportunity to bond with peers and connect with the Armenian heritage all while learning outdoor skills, engaging in service projects and participating in educational workshops and experiences.

Being an AGBU Scout reinforces lifelong values and bonds ensuring a strong foundation for adulthood.

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Parent 1

Parent 2

Address Same as:

Parent 2

Emergency Contact

Child 1

Address Same as:

Child 1

Gender

Please fill out the following applicant information if your child is 13 years or older.

Please fill out the following applicant information if your child is 13 years or older.
DO NOT REPEAT PARENTS OR EMERGENCY CONTACT INFO.

Health Information

Health Information

Restrictions

Restrictions

Child 2

Address Same as:

Child 2

Gender

Please fill out the following applicant information if your child is 13 years or older.

Please fill out the following applicant information if your child is 13 years or older.
DO NOT REPEAT PARENTS OR EMERGENCY CONTACT INFO.

Health Information

Health Information

Restrictions

Restrictions

Child 3

Address Same as:

Child 3

Gender

Please fill out the following applicant information if your child is 13 years or older.

Please fill out the following applicant information if your child is 13 years or older.
DO NOT REPEAT PARENTS OR EMERGENCY CONTACT INFO.

Health Information

Health Information

Restrictions

Restrictions

Child 4

Address Same as:

Child 4

Gender

Please fill out the following applicant information if your child is 13 years or older.

Please fill out the following applicant information if your child is 13 years or older.
PLEASE DO NOT REPEAT PARENTS OR EMERGENCY CONTACT INFO.

Health Information

Restrictions

Child 5

Address Same as:

Child 5

Gender

Please fill out the following applicant information if your child is 13 years or older.

Please fill out the following applicant information if your child is 13 years or older.
PLEASE DO NOT REPEAT PARENTS OR EMERGENCY CONTACT INFO.

Health Information

Health Information

Restrictions

Restrictions

$255.00 Including Late Fee of $30.00

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