Scout Registration Form
Note : Your identity is hidden from the rest of the system, you will only be recognised by your Scout ID, only the system administrator will be able to see your contact details. When you register a talent request or talent alert, the end users will only see your Scout ID and no further details.
Required fields are indicated with an asterisk (*)
First Name * :  
Middle Name :
Surname* :  
City * :  
State * :  
Country * :  
Address * :  
Postal Code * :  
Telephone * :  
Mobile * :  
Fax* :  
Contact Email * :    
Chat Id* :    
*How long you have been a scout : years  
Club that you represent* :  
Category you cater for* :
If others Pls specify:  
 Reference :
Chief Scout Name* :  
Contact Number* :
Email * :    
How often do you require talent(s)* : per year.  
Talent Trial Dates
You want to add Trial Date :
Date :
   
Address :  
Description of the trial :  
 Talent Alert

Would you like to be alerted when   certain talents are registered*

:

Describe the type of talent you would like to be alerted on registration*

:
Region* :
Please describe the type of talents you are usually interested in :
 
Picture * :  
Only JPG, JPEG and GIF format allowed.
 
                                          
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