GSNNJ Extended Trip Training Registration Form
Extended Trip Trainings are now facilitated upon request. Fill out the form carefully for registration.
Name
*
First Name
Last Name
Birthdate:
*
-
Month
-
Day
Year
Date
Please list 3 dates over the next 3 weeks, separated by commas, that would work for you to take a 1 hour training at a time to be mutually determined over Zoom (please note: training should happen as soon as possible before your extended trip):
Troop Number
*
Service Unit Name and Number
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
E-mail
*
example@example.com
Mobile Number
*
Format: (000) 000-0000.
Alternate Phone Number
Format: (000) 000-0000.
WHEN do you intend to travel? Please type in all dates, including the year(s) of your intended trip(s).
*
To WHERE are you intending to travel? Please type in the names of the cities and countries you intend to visit.
*
Submit
Should be Empty: