Werribee Plains District Personal Development Course

REGISTRATION APPLICATION
SCOUTS AUSTRALIA VICTORIAN BRANCH

EVENT APPLIED FOR

Event ID:
Date:
Event Fee:
Event Location:
Application Closing Date:

EVENT NOTES

DO NOT REGISTER UNLESS YOU CONTACT COURSE LEADER. Please contact District Leader louise.isted@scoutsvictoria.com.au.
There will be a fee, this is TBC ____ THIS IS A TWO DAY EVENT

Course has not been finalised as yet. Priority is given to Werribee Plains Cubs.

[ STEP 1 ] - Fill in the Details

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Surname:
Date of Birth:	/ / (DD / MM / YYYY)
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