THE ACADEMY OF SAINT BASIL
Route 9D, Garrison, New York 10525
Telephone 845 424 3500
EASTERN ORTHODOX COMMITTEE ON SCOUTING
APPLTCATION FOR
SAINT BASIL ACADEMY CAMPING
Unit number: _________
Church: ____________________________________________
Unit leader: ________________________________________
Address: __________________________________________
__________________________________________
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Telephone number:___________________________________
Date requesting for camping:___________________________
Alternate date: ______________________________________
Number of youth campers: ______ Adult campers: ______
Name, address, & phone number of all adult leaders attending,
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________________________________________________________
________________________________________________________
________________________________________________________
________________________________________________________
________________________________________________________
________________________________________________________
________________________________________________________
_______________________________
____________
Signature of Unit Leader
Date
Please note: You must also obtain a BSA Council Camping Tour Permit
prior to your arrival at Camp St. Basils.
