**Click Here if you need information on service and points before filling out this form!**
Before filling out this form be sure you have all the information handy you will need including your service record.
Your Name (required)
Your Email (required)
Street Address (required):
Select District you Serve from the drop down list
AlachuaBaden PowellBlack CreekGreat MuskogeeMarionOsceolaRiver BendShawneeSuwannee RiverTimucuaLearning For LifeScout Reach DivisionOut of CouncilIf out of Council List Council:
Out of Council District:
Select Unit type (Primary Position)
Enter Unit Number:
Date Joined Gilwell(required, format YYYY-MM-DD)
Service Record (required, see explanation for points, Put each instance of service on separate line)
Enter the letters you see below in the box to the right.
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