Notification of Religious Emblem Earned Our council is always pleased to know that members are fulfilling their promise “to do my duty to God and my country.” We would like to recognize our members who have earned their religious emblem by including them in our council’s newsletter. Please complete the form below and send it to your local council. Youth member’s name ____________________________ Age ___________________________________________ Address ________________________________________ City ___________________Zip Code ________________ Daytime Phone __________________________________ Program Level:  ___Tiger ___Cub ___Webelos ___Boy Scout ___Venturer Unit #__________________________________________ District_________________________________________ Name of Emblem________________________________________ Date Completed ________________________________  Date Recognition Presented________________________ Location Recognition Was Presented______________________________________ Address________________________________________ City ____________________State______ Zip _________ Religious Organization Contact _____________________ Phone _________________________________________
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