Full name: dob: allergies: emergency contact no.: annual bsa health and medical record part a general information name date of birth age address male female grade completed (youth only) city state unit leader council name/no. zip phone no. unit...
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Amendment to opss 920, april 2004, and opss 1210, november 2003 special provision no. 109s47 november 2004 opss 920, april 2004, construction specification for deck joint assemblies, preformed seals, joint fillers, joint seals and joint sealing...
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Pack 266 class b uniform tshirt order form please indicate the quantity and size of desired tshirts. tshirts are $12 for youth and $14 for adults. if you have a tshirt that fits, theres no need to order a new one each year. youth tshirts adult...
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I realize that participation in the two full threeday sessions of course activities are required. i also understand that some elements of the course are in the backcountry and that it is physically demanding. participation will require obtaining a...
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Personal health and medical record form?class 3 i. identification age sex date of birth name: last name first name initial mo. day year address: boy scouts of america all class 3 activities require a health examination within the past 12 months by...
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Bsa historic trails renewal application use this report to renew a currently approved historic trail. renewal is required every five years. national council outdoor programs/properties department approval is based on compliance with historic trail...
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Bsa health care form information sheetthe purpose of this email is to assist the scout master in ensuring that the bsa health care form isprepared prior to arriving at camp. by making sure that this is accomplished we can make the checkinprocess...
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Bravoschoolofart2690historicdecaturrd.studio206sandiegoca92106(619)2230058 health form student full name (last, first, middle) / / birthdate age healthcare plan id# parent/guardian full name ( ) daytime phone relationship to student ( ) daytime...
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Application for admission 2016 2017 school year print students first and last name current elementary school 8digit cps i.d. number (if you are a cps student, you must fill in your id number. you may obtain this number from your report card,...
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Boy scouts of america golden empire council eagle scout worksheet scout: phone: date: district: unit no: include this worksheet in the eagle packet. the information from this worksheet will enable the scout to fill in the eagle application more...
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Classified language financial package fy 2016 & 2017 fy 2016 o the salary schedule for the classified units will be adjusted upward by 4.46%. o a onetime payment equivalent to the salary increase in the new contract will be paid for the period...
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Marin council, bsa 2017 national jamboree youth participant interest form join us! marin council is proud to offer qualified scouts and venturers the opportunity to participate in the first ever national jamboree at the summit bechtel reserve in...
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Security access request medical staff please remit completed form to: medical staff services 1600 wallace blvd, amarillo tx 79109 fax: (806) 2133 account information print legal name: main office phone number: email address: physician number:...
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(pack, troop, team, crew, ship) boy scouts of america advancement report ship no. address state for council service center use only report received district certificates issued mailed or issued to zip date mailed record posted pack leader city...
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Optional form 67 activity schedule 2014.pdf download here annual bsa health and medical record http://.bsagnyc.org/document/bronxzoocampmedicalform2014/137998 annual bsa health and medical record (optional; may be required by medical facilities...
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