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NAME:
ADDRESS:
D.O.B. MALE/FEMALE
UNIT:
DISTRICT: REGION:
UNIT ENDORSEMENT
UNIT CHAIR NAME & SIGNATURE
UNIT LEADER NAME & SIGNATURE
*Please note only invested Venturers who have not completed a Unit Management Course may apply.
COURSE DETAILS:
Start Date Friday 21st May 7:00pm
Finish Date Saturday 22nd May 6:00pm
Cost $30
Meals and Accommodation supplied
Requirements Uniform to be worn
Record Book
Notepad & pen
Sleeping gear
Casual clothes
This application should be sent to: Mrs. Karen Kennedy, 67 Moruya Drive, Grovedale, Vic 3216 along with completed TR1, Personal Health Form and payment. Cheques to be made payable to Geelong Region Venturers
APPLICATIONS CLOSE FRIDAY 14TH MAY UNLESS COURSE FILLED EARLIER
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