Adult Background Check Registration

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Please help us comply with New York State Department of Health regulations regarding adult background checks for camp attendees by providing the following information.  This information will be sent directly to Greg Vajda (Troop 11 Scoutmaster) and will NOT be stored on the website.

Name of Adult Attending Camp
Full Address
Date of Birth
Social Security Number
Driver's License Number
Telephone Number
  

 

 

 

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