bSUMMIT

Participant Type*

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Full Name*

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Preferred Name (optional)

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Scout Registration Number*

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Scout Group*

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Date of Birth*

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Gender*

Male

Female

Other

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Other gender:

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Email*

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Address*

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Please list any medical issues, allergies or dietary requirements*

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Scout

In my home Unit, I am currently a...*

Unit Leader

Patrol Leader

Assistant Patrol Leader

Scout

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Scout's Email Address

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Parent/Guardian Contact Name*

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Parent/Guardian Contact Phone Number*

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By registering, you:

acknowledge that you have read the information provided and agree to the Withdrawal & Refund Policy,
confirm that you will bring a printout of your Scout's Operoo profile or a completed Personal Information Record on Launch Night, and
give permission to Boroondara District to use photographs or videos of your Scout for promotional use.

Youth Mentor

To register as a Youth Mentor, you must have received email confirmation of your place on the team from the Youth Mentor Co-ordinators.

Have you been officially accepted onto the Youth Mentor Team?*

Yes

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Youth Mentor's Email Address

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Parent/Emergency Contact Name*

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Parent/Emergency Contact Number*

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By registering, you:

acknowledge that you have read the information provided and agree to the Withdrawal & Refund Policy,
confirm that you will bring a printout of your Scout's Operoo profile or a completed Personal Information Record on Launch Night, and
give permission to Boroondara District to use photographs or videos of your Scout for promotional use.

Leader Mentor

Phone Number*

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Are you available for the entire duration of Launch Night and the Course?*

Yes

Other

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Other availability:

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What stage are you at in your Adult Leader training?*

Haven't yet done Scouting Essentials, but hold Certificate of Adult Membership

Have completed Scouting Essentials

Have completed Scouting Adventure (previously known as Basic Outdoor Skills) and hold Certificate of Proficiency

Have completed Scouting Leadership and hold Wood Beads

Other

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Support Team

In Scouts, I am a...*

Phone Number*

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Are you available for the entire duration of the Course?*

Yes

Other

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Other availability:

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Payment

The cost of bSUMMIT is $90 per Scout, and $60 per Youth Mentor. Once you click submit, you will be prompted to pay with credit card.

If you would prefer to pay by bank transfer, please click submit and then email us. Note that your bSUMMIT registration is not confirmed until payment has been received.

Total payment:

0.00 AUD

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Click to submit registration:

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bSUMMIT October 2024 Registration

Scout

Youth Mentor

Leader Mentor

Support Team

Payment