[Lodge230] FW: Send this over the lodge news email

[Randy Stevens]

  _____  

From: Taylor Clark [mailto:ptclarkmales at yahoo.com] 
Sent: Friday, December 14, 2007 11:53 AM
To: v444 at charter.net
Subject: Send this over the lodge news email
 
 
 
My Brothers,
As this year draws to a close, it is my duty to remind us of our task ahead.
The next LEC will be on February 10, 2008, and even before that we have the
winter banquet at Crown college. To register for this event, use the
Universal Registrtion Form attached in this email Also check out the
website, www.pellissippilodge.org <http://www.pellissippilodge.org/>  to
read the 1st Edition of the New Silver Fox Newsletter. Enjoy it, it is the
first of many for the upcoming year. I hope you have a Merry Christmas and
Happy Holidays.
Yours in WWW,
Taylor Clark
Pellissippi Lodge 230
Lodge Chief
  Pellissippi Lodge 
2008 Universal Event Registration
 
With this form, you can easily register for as many or as few of the great
events that your Lodge will conduct throughout the year. Just select the
events that you wish to attend, fill out the rest of the form, and send it
in by Jan. 26, 2008. Registration for all 5 events reflects a $20 savings.
Pay the price in parenthesis if registration is for less than all 5 events
 
___$16 ($20) - Winter Banquet, February 2, Crown College
___$21  ($25) - Spring Fellowship, March 28-30, Camp Buck Toms
___$11  ($15) - Spring Ordeal Staff, May 30-June 1, Camp Buck Toms 
___$11  ($15) - Fall Ordeal Staff, August 8-10, Camp Buck Toms 
___$28  ($32) - Fall Fellowship + lodge dues, September 5-7, Camp Buck Toms
$__________ Total Paid (Make checks payable to BSA) NO REFUNDS
 
Name: _______________________________________________ Date of Birth: __ __ /
__ __ / __ __ __ __   
Chapter: ____________________________ Honor Level (circle one): Ordeal /
Brotherhood / Vigil 
I am (circle one): Male / Female
Number of guests attending Winter Banquet: _____      Total paid (include in
above total): $__________
During Spring Ordeal, I am going to serve as: Elangomat / Ceremonies /
Service Staff / Kitchen Staff
During Fall Ordeal, I am going to serve as: Elangomat / Ceremonies / Service
Staff / Kitchen Staff
Email Address: _____________________________________________ [] Check to
receive Lodge News
Guardian Name: _______________________________________ Phone #:(__ __ __) __
__ __-__ __ __ __
Home Address: ________________________________________ Phone #:(__ __ __)__
__ __-__ __ __ __
City: _____________________________ State: __ __ Zip: __ __ __ __ __ BSA Id
#: __ __ __ __ __ __ __
If person above is not available in case of emergency please contact:
Contact Name: ____________________________________ Phone #:
_____________________________
Health Insurance: _________________________________ Policy #:
______________________________
Health concerns/Allergies:
________________________________________________________________
I give permission for full participation in BSA programs, subject to
limitation noted herein. In case of emergency, I understand every effort
will be made to contact me (if participant is an adult, my spouse or next of
kin). In the event I cannot be reached, I hereby give my permission to the
licensed health-care practitioner selected by the adult leader in charge to
secure proper treatment, including hospitalization, anesthesia, surgery, or
injection of medication for my child (or for me, if participant is an
adult).
 
Date: __ __ / __ __ / __ __ Guardian /Adult Signature:
__________________________________________
**Please attach a BSA class 1 health form**
 
Mail this form with payment to:  Great Smoky Mountain Council, BSA
PO Box 51885 Knoxville, TN 37950
 
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