Scout Master's Application Form

Printer Friendly Scout Master's Application Form

Dear Registrar:

Please find the enclosed check or money order worth $6.00 USD/every 20 Scouts,
and send me the Official SWLR Callsigns and Certificate <.PDF ONLY> files for
my troop members and myself, as soon as possible, to my email address indicated
below. I understand that you will send each member's file attached to seperate
emails due to the large size of the file. I also understand that it is my own
responsibility to obtain permission from parents or guardians before submitting
this application to you. Thank you!

My Full Name is:________________________________________________________________

I am the Scout Master for TROOP#:_______________________________________________

We are located in (City/Town/Village etc.):_____________________________________

Which is in the (State/Province/Territory) of:__________________________________

And in the Country of:__________________________________________________________

Our Time-Zone Letter is:_________ and we are (N) or (S) of the Equator?:________

My Email Address: ______________________________________________________________

Our Website URL is: ____________________________________________________________

Include my email address in the Online Directory: YES________NO________


Here are the names of my Scouts:
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1- Scout's Name: _________________________________________________________

2- Scout's Name: _________________________________________________________

3- Scout's Name: _________________________________________________________

4- Scout's Name: _________________________________________________________

5- Scout's Name: _________________________________________________________

6- Scout's Name: _________________________________________________________

7- Scout's Name: _________________________________________________________

8- Scout's Name: _________________________________________________________

9- Scout's Name: _________________________________________________________

10- Scout's Name: _________________________________________________________

11- Scout's Name: _________________________________________________________

12- Scout's Name: _________________________________________________________

13- Scout's Name: _________________________________________________________

14- Scout's Name: _________________________________________________________

15- Scout's Name: _________________________________________________________

16- Scout's Name: _________________________________________________________

17- Scout's Name: _________________________________________________________

18- Scout's Name: _________________________________________________________

19- Scout's Name: _________________________________________________________

20- Scout's Name: _________________________________________________________

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I HAVE READ the SWL-Registry.com "SUMMARY" and header of this form!


Signed:______________________________________________________________
 

Please double check your information for neatness and accuracy!

Please make checks payable to me: Clifford R. Williams


Mail to:  87 Everett St., Rochester, NY 14615-2057  USA