Renewal of Membership for 2022-2023 – 1st Binbrook Scouting Group

Application for Renewal of a Youth Membership
BP Service Association (BPSA) within 1^st Binbrook Scouting

Applicable to the Scouting year starting November 1, 2022 and ending October 31, 2023.

For RENEWALS only. For new members, please visit our new member page.

In references to Online Scout Manager below, please use this link to login and validate previously recorded information: Online Scout Manager (click here)

Name of Youth

Date of Birth (YYYY-MM-DD)

I would like this member renewed for the 2022-2023 1st Binbrook BPSA Scouting season, in the following program:

Otter Raft (ages 5-7, grades SK-2)

Timber Wolf Pack (ages 8-10, grades 3-5)

Explorer Troop (ages 11-14, grades 6-9)

Senior Explorer Troop (ages 15-17, grades 10-12)

Rover Crew (18+)

I have logged into the Online Scout Manager system, using the link above, and I have reviewed our previously submitted personal contact information, mailing address, phone numbers, and email addresses, and;

There are no changes

I have logged into Online Scout Manager, and made my edits there.

I have made corrections, and initialed them on the original form on file with the group administrator..

I have sent/attached a new replacement Registration and Contact form (page one), taken from this website.

I have reviewed the previously submitted medical information page, and;

There are no changes

I have logged into Online Scout Manager, and made my edits there.

I have made corrections, and initialed them on the original form on file with the group administrator..

I have sent/attached a new replacement Medical Information form (page two), taken from this website.

I hereby grant the 1st Binbrook BPSA permission to use images in all publications, both print and electronic, and display on the Association’s websites. I also give permission for the BP Service Association to give this image to a reputable third party, when requested, for both print and electronic publications. We commit that we will NOT “tag” or identify any member by name, in any form of publication electronic or otherwise, without specific parental permission. We also do not post on Facebook.

Yes

No

I agree to continue to receive emails and messages from 1st Binbrook BPSA and acknowledge that our email address(s) will not be knowingly shared beyond the BP Service Association. Youth will not be contacted by an adult without another Leader or Parent being included.

Yes

No

I agree to the combined (Membership & Program Fee) renewal rate of $165, covering the season ending October 31, 2023. I have already, or will shortly, make payment by:

Interac e-Transfer to info@1stBinbrook.org (our preferred method)

Cheque payable to 1st Binbrook BPSA Scouting Group

Cash, at our earliest mutual opportinuty. (put it in an envelope with youth name on the outside)

I grant permission for my son/daughter/ward to continue to be a member in the BP Service Association and to participate fully in all activities.

Yes

No

This renewal application and these declarations are made freely, without reservation or intent to conceal any other related facts of any type or detail. By typing my full name below and submitting this form electronically, I agree to be bound by the same terms as a written signature on a parallel paper form. Signed on this date: (YYYY-MM-DD)

Signature (full legal name, signing as a Legal Parent/Guardian of the above named Member)

We are 100% volunteer run.
Can you help?

There are a great number of facets to running a good Scouting group, large and small. Some directly connected with the youth, others that are less visible, but just as valuable. If you think you could/would commit to any of the following support ideas, please select as many as might apply:

Other - something else we missed? (the list wasn't meant to be exhaustive!)

THANK YOU!

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