ABCDEFGHIJKLMNOPQRSTUVWXYZ
1
Registration Form - Prairie Heartland Race Day in the Mall
2
**New This Year** - This form MUST be filled out and emailed back as an Excel Spreadsheet to the Registrar. Contact the Race Day Coordinator with any questions.
3
4
Group Information
First Westminster Scout Group
5
6
 Conact ScouterLorna Strome
7
Contact Phone Number306-2316286
8
Contact Emailstroholm@sasktel.net
9
10
Youth Information
Please ensure name is spelled correctly & is printed clearly. This is what will appear on the Race Day License.
11
Section
12
Dezere Mycock-SinnettScouts
13
Bella GasparCubs
Payment Information
14
Tanner HiebertCubsNumber of Beavers0x $5/Beaver =$0
15
Number of Cubs2x $5/Cub =$10
16
Number of Scouts1x $5/Scout =$0
17
Total of Scouts Attending
3x $5 =$15
18
19
Forms due March 2, 2018. Payment Due on or before March 25, 2017. Email completed forms to either of the Race Day officials below. Please contact the Race Day Registrar to arrange payment.
20
21
22
23
24
25
Race Day CoordinatorBill O'Dell
64thlakerschair@gmail.com
306-850-1700
26
Race Day RegistrarLisa Shiffman
lisalinshiffman@gmail.com
306-222-6657
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
Scouter Information
46
Your Group MUST provide a Scouter for every 5 youth (or portion thereof) per section. These Scouters will be used to help move the Scouts through the Races, so we will need enough Scouters at each level. Please be aware, a Scouter who volunteers for the Beavers cannot also volunteer for the Scouts, because they race at the same time. For Example, If you have 7 Beavers, 15 Cubs and 2 Scouts, we need six Scouters - three for the morning and three for the afternoon runs.
47
48
Name of ScoutSection
49
Lorna StromeScouts
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100