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Greater Alabama:Vulcan:Troop 96
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Troop 96, Vulcan, Greater Alabama
Unit Registration Form

Title Shelby District Merit Badge Day 2010

Location 5476 Caldwell Mill Road, Birmingham, AL 35242
Start Date Start Time Stop Date Stop Time
1/23/2010 07:30 AM 1/23/2010 4:30 PM
Sessions Fees For
(# badges a single scout can attend) (cost to attend event) (Who is invited)
2 $10 Label
Council District Type Unit
Greater Alabama Shelby Troop
Click the column header to sort by that column
Last First Age Phone ScoutEmail Cost Session Activity Location Prerequisites Fee Activity Fee
Name Name Paid Paid
Blackburn Ben 15 205-821- vgbmd@bellsouth.net 0 2 Family Life* 246
5602
Blackburn Ben 15 205-821- vgbmd@bellsouth.net 0 1 Communications* 209
5602
Bunn Davis 11 205-823- sbunn@cgfonline.org 0 2 Radio 214
5701
Bunn Davis 10 205-823- sbunn@cgfonline.org 0 1 Architecture 202
5701
Coker Nicholas 12 205-408- garycoker@yahoo.com 0 2 Radio 214
0744
Coker Nicholas 12 205-408- garycoker@yahoo.com 0 1 Cinematography 208
0744
Corbett Turlington 11 205-980- tullyc@istphones.com 0 ALL Citizenship in the 236 Proof of completion of
8141 DAY Nation* requirements 2 & 3 .
Darwin Daniel 11 205-901- mdarwin@samford.edu 0 1 Indian Lore 206
2279
Darwin Stephen 15 205-901- mdarwin@samford.edu 0 ALL Citizenship in the 236 Proof of completion of
2279 DAY Nation* requirements 2 & 3 .
Darwin Daniel 11 205-901- mdarwin@samford.edu 0 2 Radio 214
2279
Davis Aaron 12 205-957- adavis_jscc@hotmail.com 0 1 Indian Lore 206
1192
Davis Aaron 12 205-957- adavis_jscc@hotmail.com 5 2 Stamp Collecting 241 Bring 1/2" or 1" 3-Ring
1192 Binder to class
Head Evans 13 205-969- sharonhead@att.net 0 1 Family Life* 246
9410
Hodges Reid 10 205-558- Stephen.Hodges@bxs.com 0 1 Indian Lore 206
7726
King Connor 12 205-969- dking@bmss.com 0 ALL First Aid* 237 2b & bring to class First Aid
0008 DAY Kit
Kozlek Jack 11 205-995- kevinkozlek@bellsouth.net 0 ALL Citizenship in the 236 Proof of completion of
8967 DAY Nation* requirements 2 & 3 .
Mann Robert 12 205-981- rob_michele@att.net 0 ALL Citizenship in the 236 Proof of completion of
6351 DAY Nation* requirements 2 & 3 .
McGuire Garon 14 205-942- jfmjgolf@bellsouth.net 0 2 Radio 214
6244
McGuire Garon 13 205-942- jfmjgolf@bellsouth.net 0 1 Communications* 209
6244
Norden Nathan 14 205-995- jnorden@briarwood.org 0 1 Entrepreneurship 204
9539
Norden Nathan 14 205-995- jnorden@briarwood.org 0 2 Salesmanship 242
9539
Pelham Connor 12 205-874- drp5150@charter.net 0 2 Indian Lore 206
6050
Pelham Connor 11 205-874- drp5150@charter.net 0 1 Cinematography 208
6050
Phillips Luke 13 205-746- mark8391@msn.com 0 ALL Citizenship in the 236 Proof of completion of
2634 DAY Nation* requirements 2 & 3 .
Powell Tyler 14 205-408- apowell@ebsco.com 0 1 Radio 214
 7759
Powell Tyler 14 205-408- apowell@ebsco.com 0 2 Salesmanship 242
7759
Proctor Jake 14 205-910- ljsgmom@bellsouth.net 0 1 Entrepreneurship 204
3503
Proctor Jake 14 205-910- ljsgmom@bellsouth.net 0 2 Salesmanship 242
3503
Rocha Jared 11 205-995- wareagle459@yahoo.com 0 2 Radio 214
2996
Rocha Jared 11 205-995- wareagle459@yahoo.com 0 1 Architecture 202
2996
Sherrod Samuel 12 205-995- das@brbcllc.com 0 ALL Citizenship in the 236 Proof of completion of
4202 DAY Nation* requirements 2 & 3 .
Smith Ben 16 205-969- epsmith1@samford.edu 0 ALL Citizenship in the 236 Proof of completion of
1221 DAY Nation* requirements 2 & 3 .
Snook Baxley 14 205-981- randalbrenda@bellsouth.net 0 1 Communications* 209
9931
Stevens Davis 11 205-991- lcstevens@bellsouth.net 0 ALL Citizenship in the 236 Proof of completion of
6043 DAY Nation* requirements 2 & 3 .
Stokes Andrew 15 205-987- rwstokes@rwscpa.com 0 ALL Citizenship in the 236 Proof of completion of
7188 DAY Nation* requirements 2 & 3 .

Participants Registered: 24
Owe Paid
Event Fees $0
Activity Fees $0
Totals: $245 $0

Total Still Owed: $245

Unit Leaders
attending event
Email Leaders
Leader Role email Home Phone Mobile Phone
Etherington, Roger Ass't Scoutmaster etheringtonr@bellsouth.net 205-823-0268 205-516-8130

Registration is by Troop. Please have ONE Adult leader assigned as your Unit Coordinator for registering your Scouts. Registration form and
all fees must be postmarked by January 11th, 2010. Otherwise, we may have to drop your online registration and will allow other Scouts to
register in your place.

Each Unit is REQUIRED to have at least 1 Adult leader on site during this event. If no adults are present during Check In, then those Scouts
may not be allowed to attend class.

Many classes have pre-requisites which must be done if you wish to complete the badge during class. Some classes also have age and/or rank
requirements. Unless indicated otherwise, all other requirements for the Merit Badge should be covered in class. For ALL classes, Scouts are
required to READ and BRING the Merit Badge pamphlet. Also, Scouts are required to BRING a SIGNED Blue Card from the Scoutmaster.

We strongly recommend reading the MB Book and to bring all Pre-requisites.

Registration fee is $10/Scout and includes lunch and event patch. Fees are non-refundable but can be transferred to another scout. MB
Counselors require student e-mail or phone for coordination (A single Unit contact is acceptable).
Please print two copies of the registration form. Send one copy with complete payment to:

Randy Thomas

5204 Stonehaven Drive

Birmingham, AL 35244

ATTN: Shelby MBD 2010

PAYMENT METHOD: CHECK#________ Payable to GAC, Acct 1-6801-249-20

VISA____ MC____ Account__________________________ Expiry Date ___/_____

Printed Name of Cardholder__________________________________

Signature_________________________________________________

Retain the other registration copy for your records. Please make sure adequate postage is affixed. For information, call Randy Thomas at 205-213-0050 or thomasr@bellsouth.net.

Photograph/Video Release We authorize Shelby District, Greater Alabama Council or any entity or person designated by Shelby
District the right to the use or reproduction of any and all photographs, video, or other media taken of the persons named above
during the classes or related activities. All photographs, videos, or other media are the property of Shelby District or the entity or
person designated by Shelby District, and may be used for any purpose without additional consent.