North Waterloo Area

On-Line Application for Training

You are NOT registered until you receive confirmation

(*) denontes a required field.
Course (*)
Name (*)
 Gender (*)
 Scouts Canada Membership Number (MMS number)
Address (*)
 City (*)
 Postal Code (*)
Home phone (*)
 Business phone
 E-mail id (*)
Health card number
 Age (if under 18 years)
Your group's name
 Your current section
 Section requested
Present role in Scouting
Special medical / physical / dietary requirements or food allergies

Optional Information

(Designed to assist trainers in meeting your needs)

Occupation

Other training in Scouting

Previous experience with youth

Comments

PLEASE NOTE FOR MODULAR CLASSES:

Payment is due the evening of each modual. Prepayment for moduals will not be accepted. Receipts will be provided to participants for each modual. PARTICIPANTS MUST PRE-REGISTER. Confirmation of pre-registration will be e-mailed to you upon acceptance.

PLEASE NOTE FOR RESIDENTIAL COURSES:

Payment must be received two weeks prior to course date. You will not be officially registered until full payment is received by the Course Coordinator. Once the on-line registration is received, a reply e-mail will provide information on where payment can be forwarded to.

How do you want confirmation the Training Commissioner has received this form? (*)

When you click "Submit", an e-mail containing the information on this form will be sent to the Training Commissioner.

You are NOT registered until you receive confirmation