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Council Notification of Religious Recognition Earned
Please complete the form below and send it to: [name, title, council
address].
Recipient’s name _______________________________
Age _________________________________________
Address _____________________________________
City ___________________ Zip Code ______________
Daytime Phone ________________________________
Program Level:
|
Daisy |
Brownie |
Junior |
Cadette |
Senior |
Adult |
Troop/Group # _______________________________
Service Unit _________________________________
District _____________________________________
Name of Recognition ___________________________
Date Completed _______________________________
Date Recognition Received ______________________
Location Recognition Was Received _______________
Religious Institution Contact _____________________
Phone ______________________________________
2A-12
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