National Youth Leadership Training SCOUTMASTER CONFERENCE 2009 by jwc45040

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									                                                                                           Boy Scouts of America



                               National Youth Leadership Training
                                         SCOUTMASTER CONFERENCE
                                                       2009

        (Check one)

         □   October 2-4, 2009                               □   October 2-4, 2009
             Geneva Center                                       Kiwanis Scout Camp
             Rochester, Indiana                                  Marine on St. Croix, Minnesota
             Fee: $240                                           Fee: $215


         □   October 9-11, 2009                              □   October 9-11, 2009
             Lancaster Campgrounds                               Heartland Conference Center
             Lancaster, Ohio                                     Parkville, Missouri
             Fee: $215                                           Fee: $260



 Scoutmaster                               Back-up Scoutmaster                     Staff Adviser
Name:
        (Please type or print)

Address:


City:                                               State:                   Zip:


Phone: (            )                                        E-Mail:


Council #/Name:                                              Headquarter City:


 Male                     Female

Council approval:
                                                   (Signature required)

Return to:    Central Region, BSA
              Attn: Jeff C. Stout
              230 West Diehl Road, POB 3085
              Naperville, IL 60566-7085
              Fax: 630-983-7703
NOTE: There is a $50 discount if both the form and fees are received by September 11, 2009.
      An acknowledgment packet will be mailed directly to each participant once registration is confirmed.


For Regional Office Use Only: (Account # 62005-9010)
Application Received: ________________     Sent:   ________________

Amount Received:    ________________       Check #: ________________      Date Received:      ________________

								
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