Name

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

Personal Info

Church Name	Revive Wesleyan
Church Email	info@revivewesleyan.com
Church Phone	(716) 649-6335
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	shaima@csbministries.org
Chairman Phone	7168126755
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	Tree Climbers, Stockade, Battalion
Total # boys/girls anticipated to participate	30
We Agree to the responsibilities included in the Working Agreement	We do not agree (yet)
Region	Northern California