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Venturing or Sea Scouting Youth Electronic Application
Youth's name?
*
First Name
Middle Name
Last Name
Youth's address?
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Youth's date of birth?
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-
Month
-
Day
Year
Date
Youth's Gender
*
Male
Female
Youth's ethnic background?
*
Black / African America
White / Caucasian
Latino / Hispanic
Asian
Native American
Pacific Islander
Alaska Native
What county is your son or daughter's middle or high school located?
*
Brevard County
Flagler County
Lake County
Orange County
Osceola County
Seminole County
Volusia or Flagler Counties
In Brevard County, what is the name of your son or daughter's middle or high school?
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Astronaut High
Bayside High
Central Middle
Cocoa Beach Jr/Sr High
Cocoa Beach Jr/Sr High
Cocoa High
Cocoa High
DeLaura Middle
Eau Gallie High
Edgewood Jr/Sr High
Edgewood Jr/Sr High
Heritage High
Hoover Middle
Jackson Middle
Jefferson Middle
Johnson Middle
Kennedy Middle
Madison Middle
McNair Magnet Middle
Melbourne High
Merritt Island High
NOT LISTED
Palm Bay Magnet High
Rockledge High
Satellite High
Southwest Middle
Space Coast Jr/Sr
Space Coast Jr/Sr
Stone Magnet Middle
Titusville High
Viera High
West Shore Jr/Sr High
Not Listed
In Lake County, what is the name of your son or daughter's middle or high school?
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Carver Middle
Cecil E. Gray Middle
Clermont Middle
East Ridge High
East Ridge Middle
Eustis High
Eustis Middle
Lake Minneola High
Lake Pointe Academy
Lake Virtual
Lake Virtual
Leesburg High
Mt. Dora High
Mt. Dora Middle
Oak Park Middle
South Lake High
Tavares High
Tavares Middle
Umatilla High
Umatilla Middle
Windy Hill Middle
Not Listed
In Orange County, what is the name of your son or daughter's middle or high school?
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Apopka High School
APOPKA MIDDLE
AVALON MIDDLE
Boone High School
BRIDGEWATER MIDDLE
CARVER MIDDLE
CENTRAL FLORIDA LEADERSHIP ACAD CHARTER
CHAIN OF LAKES MIDDLE
COLLEGE PARK MIDDLE
Colonial High School
CONWAY MIDDLE
CORNER LAKE MIDDLE
Cypress Creek High School
DISCOVERY MIDDLE
Dr. Phillips High School
East River High School
Edgewater High School
Evans High School
Freedom High School
FREEDOM MIDDLE
GLENRIDGE MIDDLE
GOTHA MIDDLE
HORIZON WEST MIDDLE
HOWARD MIDDLE
HUNTERS CREEK MIDDLE
INNOVATION MIDDLE
INNOVATIONS MIDDLE CHARTER
Jones High School
Lake Nona High School
LAKE NONA MIDDLE
LAKEVIEW MIDDLE
LEGACY MIDDLE
LIBERTY MIDDLE
LOCKHART MIDDLE
MAITLAND MIDDLE
MEADOW WOODS MIDDLE
MEADOWBROOK MIDDLE
MEMORIAL MIDDLE
Oak Ridge High School
Ocoee High School
OCOEE MIDDLE
ODYSSEY MIDDLE
Olympia High School
PIEDMONT LAKES MIDDLE
ROBERTO CLEMENTE MIDDLE
ROBINSWOOD MIDDLE
SOUTH CREEK MIDDLE
SOUTHWEST MIDDLE
SUNRIDGE MIDDLE
Timber Creek High School
TIMBER SPRINGS MIDDLE
UNION PARK MIDDLE
University High School
WALKER MIDDLE
Wekiva High School
West Orange High School
WESTRIDGE MIDDLE
Windermere High School
Winter Park High School
WOLF LAKE MIDDLE
NOT LISTED
In Osceola County, what is the name of your son or daughter's middle school?
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Celebration High School
Denn John Middle School
Discovery Intermediate School
Gateway High School
Harmony High School
Harmony Middle School
Horizon Middle School
Kissimmee Middle School
Liberty High School
Narcoossee Middle School
NeoCity Academy
Neptune Middle School
Osceola High School
Parkway Middle School
Poinciana High School
Professional and Technical High School
St. Cloud High School
St. Cloud Middle School
Tohopekaliga High School
Not Listed
In Seminole County, what is the name of your son or daughter's middle school?
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Crooms Academy Of Information Technology
Greenwood Lakes Middle School
Hagerty High School
Indian Trails Middle School
Jackson Heights Middle School
Lake Brantley High School
Lake Howell High School
Lake Mary High School
Lawton Chiles Middle School
Lyman High School
Markham Woods Middle School
Millennium Middle School
Milwee Middle School
Oviedo High School
Rock Lake Middle School
Sanford Middle School
Seminole High School
Seminole High School (9th Grade Center)
South Seminole Academy of Leadership, Law and Advanced Studies
Teague Middle School
Tuskawilla Middle School
Winter Springs High School
Not Listed
In Volusia or Flagler Counties, what is the name of your son or daughter's middle school?
*
Atlantic High
Buddy Taylor Middle
Campbell Middle
Creekside Middle
David Hinson Middle
Deland High
Deland Middle
Deltona High
Deltona Middle
Flagler High
Galaxy Middle
Heritage Middle
Holy Hill Middle
Indian Trails Middle
Mainland High
Matanzas High
New Smyrna Beach Middle
New Smyrna High
Ormond Beach Middle
River Springs Middle
Seabreeze High
Silver Sand Middle
Southwestern Middle
Spruce Creek High
Taylor High
Taylor Middle
University High
Not Listed
What grade in school is your son or daughter in?
*
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Guardian Name?
*
First Name
Middle Name
Last Name
Is the guardian's address the same as the youth's address?
*
Yes
No
If guardian address is not the same as the youth's address, please fill out guardian address?
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Guardian gender?
*
Male
Female
Guardian's phone number?
*
-
Area Code
Phone Number
Guardian's email?
*
example@example.com
Guardian date of birth?
*
-
Month
-
Day
Year
Date
Please select your relationship to the youth?
*
Parent
Legal Guardian
Grandparent
Other
Guardian occupation?
Guardian employer?
Previous Scouting experience? If so what was your experience?
Would you or your spouse like to help?
Yes
Maybe
What is today's date?
*
-
Month
-
Day
Year
Date
I have read the information for Parents (located below) and approve this application. I affirm I have or will review How to Protect Your Children From Child Abuse: A Parent's Guide (located below). (If on a computer please use your mouse to sign, if on phone / tablet please use your finger to sign)
*
Please Review Information for Parents:
How to Protect Your Children From Child Abuse: A Parent's Guide:
Registration Fee for 12 months
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