Adult (Youth members are those who are less than 21 years old) Apache
Etowah
Sehwatu
Religion (required) Service to the Lodge:
Service to the Troop/Crew/Council/District:
Service to Camp:
Please note - All fields on form must be completed *** All forms must be submitted to Vigil Chairman or Vigil Adviser no later than breakfast of Spring Fellowship ***
Service to Other Organizations:
Nominated by (Please Print)
Phone Number Proposed Vigil Name
Who would be the best brother to serve as Vigil Guide for the nominee if selected. Please provide a bio for this nominee, including church, school, work, and family (names and ages)
Page 1 of 2. Nominee Name Nominee Phone. Nominee Address. Ordeal Date Brotherhood Date. Dues Paid for Year? Yes No. Troop Number or Crew Number. District: Apache Etowah Hornets Nest Pueblo/Special Initiatives. Select One: Youth Adult (Youth members are those who are less than 21 years old). Chapter ...
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