Sea Scout Ship 25

Washington, DC Coast Guard Auxiliary Maritime Youth Program

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Find out more information about joining the Sea Scouts below, or fill out the form to apply today!

Eligibility Requirements

How to Join

Everyone Can Join

Youth Information

Youth Full Legal Name*

First Name*

Middle Name

Last Name*

Suffix

Preferred Nickname

Youth Applicant Mailing Address

Street Address Street Address Line 2 City State / Province / Region Postal / Zip Code

Phone

Youth's Email*

Date of Birth*

day

/

month

/

year

Gender*

Male

Female

School Name

Grade Level (grade entering in August 2021)

Ethnic Background:

Black/African American

Caucasian/White

Hispanic/Latino

Native American

Pacific Islander

Alaska Native

Asian

Other

Parent/Legal Guardian Information

Same Address*

Address is same as above

Address is different from above

Select relationship:

Parent

Legal Guardian

Grandparent

Other (Specify)

Parent/Legal Guardian Full Legal Name*

Parent/Legal Guardian First Name*

Parent/Legal Guardian Middle Name

Parent/Legal Guardian Last Name*

Parent/Legal Guardian Suffix

Parent/Legal Guardian Address (if different from above)

Parent/Legal Guardian Mailing Address

Street Address Street Address Line 2 City State / Province / Region Postal / Zip Code

Parent/Legal Guardian Phone

Parent/Legal Guardian Alternate Phone

Parent/Legal Guardian Email*

Parent/Legal Guardian Date of Birth*

day

/

month

/

year

Parent/Legal Guardian Gender*

Male

Female

Parent/Legal Guardian Occupation*

Parent/Legal Guardian Employer*

Previous Parent/Legal Guardian Scouting experience

Signature*

I have read the attached information for parents and approve the application. I affirm that I have or will review How to Protect Your Children From Child Abuse: A Parent's Guide.

Read How to Protect Your Children From Child Abuse: A Parent's Guide

Today's Date

Word Verification

Sea Scout Ship 25

Washington, DC Coast Guard Auxiliary Maritime Youth Program

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Sea Scouting is a program of the Boy Scouts of America and the Official Youth Program of the U.S. Coast Guard Auxiliary.
Sea Scout Ship 25 is chartered directly to U.S. Coast Guard Auxiliary Division 25 of the Fifth Coast Guard District, Southern Region.
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