Time
Location:
Date Town/City of Contact Name Contact Phone Contact E-mail
Church/Council/Home
Event
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
S
ILVER ROSE
J
URISDICTION S
CHEDULE
FORM
LIFE
FAITH IN ACTION
Canada –United States – Mexico
Jurisdiction: _____________________________
List participating units by the date of their participation in the program. Please provide the name, number, and e-mail address of a designated contact.
Time
Location:
Date Town/City of Contact Name Contact Phone Contact E-mail
Church/Council/Home
Event
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
10720 6/18
At least two weeks prior to start of jurisdiction’s program,
email the completed form to fraternalmission@kofc.org
FAITH IN ACTION
LIFE