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Info Survey
Apply to be on Staff for the
Fall 2008 Powder Horn Course
at Bear Creek Scout Reservation
September 19-21, 2008 and October 3-5, 2008

Staff Development Dates are to be Determined

Staff Fee - $100.00
First Name: Last Name:
Address:
City: State: Zip:
Home Phone (xxx) xxx-xxxx
Work Phone (xxx) xxx-xxxx
Fax (xxx) xxx-xxxx
email:
Date of Birth: Month Day Year
Scouting Position(s):
Council:
District:
Crew Troop Number
Past Powder Horn Participation:
Attended Powder Horn
Prior Powder Horn Staff
Powder Horn Date Month Day Year
Powder Horn Council:
T-Shirt Size




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September 7, 2008