Sea Scout Ship 76
Harwich, Massachusetts

Pre-application

Are you Interested in learning more about
joining Sea Scout Ship '76'?

Please complete this pre-application below to let us know of your interest. Our Skipper or another member will send information on our unit to help you decide if this adventure is for you or we may invite you to an upcoming Ship meeting.




Name:
Address:
City: State: Zip:


Male/Female:
Age:
Daytime Phone:
Cell Phone:
Night-time Phone:
Email:


Interest Level? ...I want to join now: ...Strong: ...Somewhat:

Please enter a short reason for why you are interested in Sea Scouting with Harwich Ship 76 and any other questions you have.


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