Company/Crew Registration - Genesis Camp

Company / Crew Registration

* Indicates required field

Group Name *

Scouter Contact *

Address *

City / Town *

Province / State *

Postal Code / Zip Code *

Email *

Phone Number *

Company Leader Contact *

Address *

City / Town *

Province / State *

Postal Code / Zip Code *

Email *

Phone Number *

Number of Youth *

Number of Adults *

Our Group is: *

Registered in Scouts Canada Registered in Girl Guides of Canada Registered in Scouts BSA Registered in Girl Scouts USA

Comment *

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