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Schëfflenger Scouten
Member Register Form
Member registration
Registration for new members / Umeldung fir nei Memberen
Step
1
of
2
50%
Member contact / Cordonnées du membre
Name of Member / nom du membre
(Required)
First name / Prénom
Last name / Nom famille
Date of birth / date de naissance
(Required)
Day
Month
Year
School year / année Scolaire
(Required)
Cycle / Classe
Address
(Required)
Number, street / Numéro, rue
City / Ville
Postal Code / Code postal
The member uses:
(Required)
a personal mail
mail of legal guardan
E-mail of member / E-mail du membre
Medical Information / information médicale (ex. Allerg(y)ie, chronic illness, maladie chronique,…)
Contact details parents (legal guardians) / Coordonnées des parents (responsable légal)
Parent 1 (Guardian / Responsable)
Name / Nom
(Required)
First
Last
Phone Number / Numéro téléphone
(Required)
Country
Phone Number
E-mail
(Required)
Communication WhatsApp
(Required)
Yes / Oui
No / Non
Parent 2 (Guardian / Responsable)
Name / Nom
(Required)
First
Last
Phone Number / Numéro téléphone
(Required)
Country
Phone Number
E-mail
Communication WhatsApp
(Required)
Yes / Oui
No / Non
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