Magic Power Scouts Adventure Club

Membership Application

Be sure to get your parents permission before completing this form.  Please print this page, complete the information below and fax or mail the completed form to us at:

Name:_____________________________________________

Address:___________________________________________

City/State/Zip:______________________________________

Email Address:______________________________________

Birthdate:__________________________________________

Boy:_______________  Girl:_________________

Please allow 2-3 weeks for delivery

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