Name

First Name	Scott
Last Name	Haima
Display Name	shaima
Adult Leader Role	Brigade Chairman, Chief Ranger

Personal Info

Church Name	Revive Wesleyan
Church Street Address	4999 McKinley Parkway
City	Hamburg
State/Province	NY
Zip/Postal Code	14075
Notes regarding the church address provided
Chairman FIRST Name	Scott
Chairman LAST Name	Haima
Chairman Street Address	4366 Beach Avenue
City	Hamburg
State/Province	NY
Zip/Postal Code	14075
Notes regarding the chairman info provided
We'll be running these programs	Tree Climbers, Stockade, Battalion
Total # boys anticipated to participate	45
We Agree to the responsibilities included in the Working Agreement	We Agree
Region