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Online Club Roster Form

Church/Club Information

Church Address(Required)
Head Counselor Name(Required)
Head Counselor Address(Required)

Counselors Information

Counselor Name Counselor level Counselor Address Counselor Phone Counselor Email Counselor Certified? Counselor Certification Date Head Counselor Certified? Head Counselor Certification Date Junior Counselor Certified? Junior Counselor Certification Date Camporee Certified? Camporee Certification Date Actions
                         

Signatures

Our church approves the men listed as Cadet counselors in our church's Cadet club.
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