Fillable SOCCER CHALLENGE PARTICIPATION REPORT FORM (Knights of Columbus Chicago District 18 )

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SOCCER CHALLENGE PARTICIPATION REPORT FORM (Knights of Columbus Chicago District 18 )

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SOCCER CHALLENGE PARTICIPATION
REPORT FORM
PLEASE INDICATE THE NUMBER OF PARTICIPANTS IN YOUR COUNCIL CONTEST:
Immediately following the local council contest, the grand knight should complete and submit the Soccer Challenge Participation Report
Form (4567) to the Supreme Council Department of Fraternal Services. This form provides the Supreme Council office with valuable par-
ticipation statistics as well as feedback about the program in general.
4567 3/11
CONTEST PARTICIPATION REPORT FORM:
AGE GROUPS 10 11 12 13 14 TOTALS
BOYS
GIRLS
TOTALS
MAIL ORIGINAL TO: Supreme Council Department of Fraternal Services
MAIL COPIES TO: State Deputy, District Deputy, Council File
Due By:
December 15
PERSONAL COMMENTS OR OBSERVATIONS CONCERNING THE
SOCCER CHALLENGE PROGRAM:
SIGNED:
Grand Knight
COUNCIL NO.
CITY/TOWN
STATE/PROVINCE
1436 1-12 inside_1436 2/6/12 11:31 AM Page 9
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SOCCER CHALLENGE PARTICIPATION REPORT FORM (Knights of Columbus Chicago District 18 )

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Completed 14 August 2021

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