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1st Delaware MedVent/Rover Interest Form
Please fill out this form to the best of your knowledge and one of our youth members will be in contact shortly!
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Email
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Record my email address with my response
Name
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Your answer
Age
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Your answer
How did you hear about the 1st Delaware Medvents?
Your answer
Phone Number
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Your answer
Email Address
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Your answer
How would you like to be contacted?
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Text message
Email
Phone call
Do you have any first aid certifications?
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Yes
No
If yes, what level first aid do you have?
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Your answer
Are you currently a member of Scouting?
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Yes
No
If yes, which group are you a part of?
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Your answer
Meetings take place on Wednesdays from 7pm - 9pm. Will you be able to attend at this time?
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Yes
No
Other:
Why do you want to join the 1st Delaware Medical Venturers/Rovers?
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Your answer
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