Arrowhead District Blackhawk Area Council Introduces A Day Of Training Saturday, May 10, 2014 Registration Form Date

e of Registration: Name of Participant: Mailing Address: City: State, Zip: Email: Phone: Pack/Troop/Crew # District:

Scouting Position: Cell: Council: (Please Print All Information)

If you have special needs, please let us know and we will accommodate you to the best of our ability. __________________________________________________________________________________________________ Registration Fee Amount: Includes lunch and program materials. Fee is nonrefundable. However it is transferrable to another Scout or Scouter. Staff Registration: $ ____________________________ Participant Registration: $ 15.00 (Before April 12, 2014, Deadline) Participant Registration: $ 20.00 (After April 12, 2014, Deadline)

Make Checks Payable To: Blackhawk Area Council

Mail Checks and Registration Forms To: Blackhawk Area Council 2820 McFarland Road Rockford IL 61107

Classes will be limited to the first 15 people. Please select one session from each period as you first choice, and so on. Registration starts at 8:00 am, and a lunch break from 12:00 pm to 1:00 pm, sessions end for the day at 4:00 pm. Please us the 3 digit coordinating code from the training schedule for each session you would like. Please note that some courses cover more than one session, plan accordingly.
Session Time Table: st 1 session: 9:00 am to 9:50 am nd 2 session: 10:00 am to 10:50 am rd 3 session: 11:00 am to 11:50 am th 4 session: 1:10 pm to 2:00 pm th 5 session: 2:10 pm to 3:00 pm th 6 session: 3:10 pm to 4:00 pm 1 choice
st

2 choice

nd

3 choice

rd

Leave No Trace, Please help staff straighten up your areas.

If you have any questions about A Day Of Training, or wish to be an instructor, please send an email to:

Arrowhead District, Pack 83 Arrowhead District, Pack 76, Trainer Arrowhead District Trainer Arrowhead District Executive

Vicki Flynn Heather Friedrich Nichole Wiest Matt Ohms

lancastercsdaycamp@yahoo.com friedrichheather74@gmail.com ahscouting@tds.net Matt.Ohms@scouting.org

(608) 642-1078 (608) 988-2094 (608) 778-9124 (920) 723-5999