Name

First Name

Scott

Last Name

Haima

Display Name

shaima

Adult Leader Role

Brigade Chairman, Chief Ranger

Personal Info

City and State

Hamburg, NY

Brigade Info

Unit Number

3698

Church Name

Revive Wesleyan

City and State

Hamburg, NY 14075

Church Name

Revive Wesleyan

Church Email

Church Phone

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 Email

Chairman Phone

Chairman Street Address

5934 Rice Road

City

Boston

State/Province

NY

Zip/Postal Code

14025

Notes regarding the chairman info provided

We'll be running these programs

Stockade, Battalion, Tree Climbers

Total # boys anticipated to participate

30

We Agree to the responsibilities included in the Working Agreement

1

Region