UNIT:__________________________________________________ |
Advisor:_____________________ | Phone #:__________________ |
Attending Advisors: |
1:_____________________ | Phone #:__________________ |
2:_____________________ | Phone #:__________________ |
Emergency Contact:_____________________ | 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._____________________ | __________________ | ___ | __________ | _________ |