School Participation List Form printable pdf download

School Participation List Form

FORM

Title: School Participation List

Document Number:

Approved Date:

ARBS-FORM-002

20 FEB 2017

Department: ARBS Headquarters

Revision:

Effective Date:

Version 1.1

20 FEB 2017

School Name: __________________________________

Page _____ of _____

School Participation List

First Name

Last Name

Contact Number

Amount Paid

Paid for By:

Alternate?

*Alternate Delegates to be listed at the bottom of school list. Please mark Alternate in the “Paid for by” column.

As an authorized high school official, I have examined the above named delegate or alternate and found that he

measures up to the ideals of The American Legion and the Arkansas Boys State Program.

Signed _____________________________________________

PRINCIPAL OR COUNSELOR

As an authorized Legion Representative, I have examined the above named delegate or alternate and found that he

measures up to the ideals of The American Legion.

Signed________________________________________

AUTHORIZED LEGION REPRESENTATIVE

School Participation List Form