NEW SCOUT REGISTRATION

Thank you for your interest in Homenetmen Ani’s Scouting Program. To register, please complete the form below (one for each child).

Payment confirms registration. Registration closes on September 14th

First day of the program year will begin on October 6th, 2024

Child's Name

First Name

Last Name

Child's Date of Birth

YYYY

Child's Grade

Enter the grade your child will be entering this school year

Child's T-shirt Size

(Please keep in mind that shirts may shrink)

Parent Name

First Name

Last Name

Parent Email

Parent Phone

(###)

###

####

Alternate Email (optional)

Please add a second email address you wish to also receive scouting emails

Alternate Phone (optional)

Please add an alternate contact phone number

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Emergency Contact

First Name

Last Name

Emergency Contact Phone

(###)

###

####

Please list any allergies that we should be aware of. If no, state "None"

Please list any information about your child that scout leaders should know about to ensure your child gets the most value out of our program?

How do you write your child's full name in Armenian letters?

Homenetmen Liability Waiver *

I agree that I have read and accept the Homenetmen Western Region's Liability Waiver. Link to waiver provided below.

Parent Signature

By typing my name, I agree I am the legal parent or guardian of the minor and agree to the terms of the Liability Waiver.

Click Here for Liability Waiver