Register (Wait List)

Demand for places in the group is high. You can add register here to be added to the waitlist.  If you would like to be a leader, please register your interest here too.  All leaders do so on a voluntary basis.

Enter YOUR details below:

Parent's First Name:        

Parent's Sur Name:           

Parent's Email Address:   

 

Address line 1          

Address line 2          

Address line 3          

Address line 4          

Home telephone Number   

Mobile Number            083 085 086 087 089

 

tick area(s)

Beavers (6-8)      Cubs (8-11)       Scouts (11-15)         Ventures (15-18)       Leader (21+)       not sure

If more than one child fill in the form again:

  child's name:  

  child's date of birth 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Jan Feb Mar Apr May June July Aug Sept Oct Nov Dec 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005

  child sex  Male Female (note: we take girls into Ventures only)

tick if applicant has a brother or sister already in 10th Dublin Kilternan

    additional information / notes / queries / important information:

PLEASE NOTE THAT WE START NEW MEMBERS IN OCTOBER - NOT SEPTEMBER          

        please note that registering is not a commitment to a place in the group.

Also please note that your email address will NOT be published or displayed without your prior permission.