7th PROVINCIAL SCOUTMASTERS’ CHALLENGE

San Joaquin Central School, Palo II District, Palo, Leyte

Theme: “Sustaining Growth”
01 - 03 December 2023

ROSTER OF PARTICIPANTS

SCHOOL/ DISTRICT: ___________________________

ADDRESS: ___________________________
COMPLETE NAME SCHOOL CONTACT DATE MEMBERSHIP SCOUTING
POSITION AGE GENDER
(please write in PRINT) NO. REGISTERED CERT. NO. POSITION
Adult Leader:
Asst. AL
Member
Member
Member
Member
Member
Member
Member
Member
COMPLETE NAME SCHOOL CONTACT DATE MEMBERSHIP SCOUTING
POSITION AGE GENDER
(please write in PRINT) NO. REGISTERED CERT. NO. POSITION
Adult Leader
Asst. AL
Member
Member
Member
Member
Member
Member
Member
Member
COMPLETE NAME SCHOOL CONTACT DATE MEMBERSHIP SCOUTING
POSITION AGE GENDER
(please write in PRINT) NO. REGISTERED CERT. NO. POSITION
Adult Leader
Asst. AL
Member
Member
Member
Member
Member
Member
Member
Member
COMPLETE NAME SCHOOL CONTACT DATE MEMBERSHIP SCOUTING
POSITION AGE GENDER
(please write in PRINT) NO. REGISTERED CERT. NO. POSITION
Adult Leader
Asst. AL
Member
Member
Member
Member
Member
Member
Member
Member

Prepared and Submitted by: Processed by:

____ ____________ _ ________________________________

Scouting Coordinator Name and Signature

Registration Fee:_____ X _______= Php _____ OR No.:______________ Date: __________

Legend : Scouting Position

*District Scout Commissioner- DSC *District/School Coordinator *Council Scouter- CS
*Inst’l Scouting Representative- ISR *Unit Leader-UL *Asst. Unit Leader- AUL