White Fire Nomination Form

Cost: $115.00 per person, Registration deadline is May 1, 1998

Participants should be 1st Class and 14 years of age by the start of the course and will be accepted on a first come - first serve basis

For more information contact:

Sims Lawson (Scoutmaster) at 205-764-1932 (work) OR

Sandra Wiederecht (Asst. Scoutmaster) at 205-882-0668 (home)

Name Troop

Address City Zip

Phone - home work

Scout's Name

Address City Zip

Phone - home Parents work

Highest Troop Position T-Shirt Size

Enclosed is a check for $ which is a $50.00 deposit for each nominee. We understand that the balance is due to the Scout Service Center no later than May 1, 1998. We understand that while all fees will be refunded if a Scout is not confirmed. However, if a Scout is confirmed the fees will become transferable but not refundable.