UNIT:__________________________________________________ |
Advisor:_______________________________ | Phone #:__________________ |
Attending Advisors: |
1._______________________________ | Phone #:__________________ |
2._______________________________ | Phone #:__________________ |
Emergency Contact: |
Name:_____________________ | Phone #:__________________ |
Youth Members: |
Name | Phone # | M/F | Health Card # | Travel Code |
1._________________________________ | __________________ | ___ | _________________ | _________ |
2._________________________________ | __________________ | ___ | _________________ | _________ |
3._________________________________ | __________________ | ___ | _________________ | _________ |
4._________________________________ | __________________ | ___ | _________________ | _________ |
5._________________________________ | __________________ | ___ | _________________ | _________ |
6._________________________________ | __________________ | ___ | _________________ | _________ |
7._________________________________ | __________________ | ___ | _________________ | _________ |
8._________________________________ | __________________ | ___ | _________________ | _________ |
9._________________________________ | __________________ | ___ | _________________ | _________ |
10._________________________________ | __________________ | ___ | _________________ | _________ |
11._________________________________ | __________________ | ___ | _________________ | _________ |
12._________________________________ | __________________ | ___ | _________________ | _________ |
13._________________________________ | __________________ | ___ | _________________ | _________ |
14._________________________________ | __________________ | ___ | _________________ | _________ |
15._________________________________ | __________________ | ___ | _________________ | _________ |
16._________________________________ | __________________ | ___ | _________________ | _________ |
17._________________________________ | __________________ | ___ | _________________ | _________ |
18._________________________________ | __________________ | ___ | _________________ | _________ |
19._________________________________ | __________________ | ___ | _________________ | _________ |
20._________________________________ | __________________ | ___ | _________________ | _________ |