Pack Number:
Unit Contact for School Night
First Name:
Last Name:
Address:
City:
State:
IN
Zip Code:
Home Phone:
Format: (317) 925-1900
Work Phone: Format: (317) 925-1900
Cell Phone: Format: (317) 925-1900
E-mail:
School Night Information
Preferred Date:
Backup Date:
Time:
Select One . . .
5:30 PM
6:00 PM
6:30 PM
7:00 PM
7:30 PM
Location (place name):
Room Number or Name:
Principal Information
Prefix:
Select One . . .
Miss
Ms.
Mrs.
Mr.
Dr.
Sister
First Name:
Last Name:
Publicity Materials:
Number of Flyers Needed:
(flyers will have the date, time, location,
and contact information below printed on them)
Number of 1st - 5th Grade Classrooms:
The flyers should indicate that _____ should attend the school
night:
Contact Name on Flyer:
Contact Phone Number:
Format: (317) 925-1900
Second Contact Name on Flyer:
Second Contact Phone Number:
Format: (317) 925-1900
Number of blank posters needed:
Yard signs needed:
Will the pack pick up the materials at Program Kickoff on August
9:
If no, does the pack need to pick up the materials before the
Program Kickoff on August 9:
If yes, what date do you need the materials by:
Audio-Visual Equipment
We expect a large group. We will need to project the
videos on to a screen.
The Pack will provide the following A/V equipment:
Select One . . .
TV / VCR
TV / DVD
Projector, VCR, & Screen
Projector, DVD, & Screen
Projector & VCR, Need
Screen
Projector & DVD, Need
Screen
None, please bring equipment.
If the pack is providing a projector, please be sure to provide a seperate set of speakers to ensure that the audio in the video can be heard by all attendees.
We have arranged for an area for boys to be taken for
games, etc., and understand that we need to have at least 30 minutes
worth of
activities. We will have personnel to help with the games for the boys
and understand that the School Night Team will NOT be able to:
Trading Post:
We would like a trading post of handbooks:
Number of Books Needed:
Tiger Books:
Wolf Books:
Bear Books:
Webelos Books:
Leader Handbooks:
Program Helps:
Boy Talk Information
Did the pack schedule a boy talk with the principal when
the school night was scheduled? If not, your district executive will
schedule the boy talk for you.
Type of Boy Talk:
Select One . . .
None Scheduled
Classroom Talk
Lunchroom Talk
Recess Talk
Assembly Talk
Flyers Only
No Talk or Flyers Allowed
Preferred Date:
Start Time:
End Time:
Back up Date: