Tidewater Council BSA

[TIDEWATER COUNCIL]

Interested in Joining Scouting?

Fill out the below interest form and we will contact you!

Youth's First Name Youth's Last Name

Scouting Age Sibling's First Name Last Name

Address City State Zip Code

Home Phone Number Work Number Cell Number

Contact E-mail

Current Grade A value is required. Current School Attending A value is required. Youth's Date of Birth

Parent of Guardian's First Name Parent of Guardian's Last Name

Does the Parent or Guardian have past Scouting Experience?

Yes

If yes, please explain:

Would you like to be contacted by:

Phone

e-mail

Tidewater Council, Boy Scouts of America
Serving the youth of Southeastern Virginia and Northeastern North Carolina
1032 Heatherwood Drive, Virginia Beach, VA 23455
Office: 757-497-2688 | Fax: 757-473-3305 | More contact info