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BOY SCOUTS OF AMERICA

SAN DIEGO-IMPERIAL COUNCIL

The following items are available free of charge for your Scouting ceremonies. We cannot guarantee the

availability of all the items, availability is determined on first come basis.

If you are interested in using any of these items please fill out this form and email it to

or mail it in to 1207 Upas Street, San Diego, CA 92103.

You will be notified if your request has been approved in less than 3 business days

Scout’s Name: _________________________________________________________

Unit Type & Number: ___________________________________________________

Person Requesting Materials: ___________________________________________

Position/Relationship: __________________________________________________

Phone # ______________________________________________________________

Email: _________________________________________________________________

Date of Eagle Court of Honor: _________________________________________

Location of Ceremony: ________________________________________________

A deposit is required at checkout for each borrowed item and it will be due upon check out of each item.

Checks should be made out to SDIC BSA. The deposit will NOT be processed unless the item is lost or comes

back damaged. The deposit will be returned to you upon return of the items borrowed. Please return our items

within 1 to 2 business days after your ceremony. Check the items you would like to reserve:

$25 deposit for each

$25 deposit for each set

$50 deposit for each

Eagle Lighted Podium: White

Rank Stands: Black Metal

Flag w/Stand: California

Eagle Lighted Podium: Wood

Rank Stands: Short Wood

Flag w/Stand: USA

Candelabra: Straight

Rank Stands: Tall Wood

Rank Cards

$15 each set

Signature: _________________________________________________

Reservation Date: _________________

I certify that I have inspected the Eagle Podium and agree that it is physically and functionally in good

condition. Any changes to wiring or appearance of podium will cause forfeiture of my deposit.

I certify that I have inspected the

(circle all)

Rank Stands

Rank Cards

Candelabra

Flags

and agree that they are physically and functionally in good condition.

I agree that I will forfeit my security deposit if item(s) are not returned by the 2nd day after the ceremony.

I further agree that I will forfeit my security deposit if item(s) returned are not in the same condition as when

item(s) left the council. I will be billed for the replacement of items lost or damaged. There is no charge for

replacements of light bulbs on the Eagle Podium.

Signature: _______________________________________________________

Date:__________________

FOR OFFICE USE ONLY

Approved By: ____________________________________________________

Date: __________________

Ceremony Equipment Reservation Form - Eagle Court Of Honor - Boy Scouts Of America, San Diego-Imperial Council

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