TOWN SIGN UP
Ramapo Valley District 2017 Klondike Derby: THE ABOMINABLE KLONDIKE!!!
Event Date: January 19, 2019

Klondike Governor: Dean Dell Antonia
Cell 917 402 0107
ddellantonia@yahoo.com

Klondike Lieutenant Governor: Bill Langner
langner151@optimum.net

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Unit Type *
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Organization Home Town *
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Town Requested: First Choice *
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Town Requested: Second Choice *
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Person filling out this form *
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Phone # *
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Troop Position *
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Town Mayor *
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Brief description of the town activity: (i.e., build fire to burn though string in X seconds, points deducted for each match used etc.): *
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What equipment does each sled need to bring to this town: (e.g., tinder, 3 pieces of fuel wood, etc.) *
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Is this town for Boy Scouts or WEBELOS or both? *
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Any special needs for location (i.e., 100’ x 100’ flat grassy area, asphalt surface, trees nearby, etc.) and/or location for town? (First come, first served on locations): *
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How will town be scored (remember max score is 10) *
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