| UNIT:__________________________________________________ |
| Advisor:_______________________________ | Phone #:__________________ |
| Attending Advisors: |
| 1._______________________________ | Phone #:__________________ |
| 2._______________________________ | Phone #:__________________ |
| Emergency Contact: |
| Name:_____________________ | Phone #:__________________ |
| Youth Members: |
| Name | Phone # | M/F | Health Card # | Travel Code |
| 1._________________________________ | __________________ | ___ | _________________ | _________ |
| 2._________________________________ | __________________ | ___ | _________________ | _________ |
| 3._________________________________ | __________________ | ___ | _________________ | _________ |
| 4._________________________________ | __________________ | ___ | _________________ | _________ |
| 5._________________________________ | __________________ | ___ | _________________ | _________ |
| 6._________________________________ | __________________ | ___ | _________________ | _________ |
| 7._________________________________ | __________________ | ___ | _________________ | _________ |
| 8._________________________________ | __________________ | ___ | _________________ | _________ |
| 9._________________________________ | __________________ | ___ | _________________ | _________ |
| 10._________________________________ | __________________ | ___ | _________________ | _________ |
| 11._________________________________ | __________________ | ___ | _________________ | _________ |
| 12._________________________________ | __________________ | ___ | _________________ | _________ |
| 13._________________________________ | __________________ | ___ | _________________ | _________ |
| 14._________________________________ | __________________ | ___ | _________________ | _________ |
| 15._________________________________ | __________________ | ___ | _________________ | _________ |
| 16._________________________________ | __________________ | ___ | _________________ | _________ |
| 17._________________________________ | __________________ | ___ | _________________ | _________ |
| 18._________________________________ | __________________ | ___ | _________________ | _________ |
| 19._________________________________ | __________________ | ___ | _________________ | _________ |
| 20._________________________________ | __________________ | ___ | _________________ | _________ |