| Church Name | Blacksburg Christian Fellowship |
| Church Street Address | 2300 North Main Street |
| City | Blacksburg |
| State/Province | VA |
| Zip/Postal Code | 24063 |
| Notes regarding the church address provided | |
| Chairman FIRST Name | Andrew |
| Chairman LAST Name | Koser |
| Chairman Street Address | 3460 EAGLEBROOK RD |
| City | Christiansburg |
| State/Province | VA |
| Zip/Postal Code | 24073 |
| Notes regarding the chairman info provided | |
| We'll be running these programs | Stockade, Battalion, Tree Climbers |
| Total # boys anticipated to participate | 45 |
| We Agree to the responsibilities included in the Working Agreement | 1 |
| Region | Northern California |
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