EXAMPLE

EXAMPLE

EXAMPLE


Please download entire form and supporting documents, complete and mail to the Department Office at PO Box 606, Montgomery, AL. 36101 with payment of $160/child to be received by July 15th.  Make sure to mark on the check that it is for Jr. Leadership and for whom the payment is for.  Send a copy of all documents to Mrs. Gloria Fochtmann-Haygood at PO Box 630, Montevalo, AL. 35115.  Should you have any questions, please call Mrs. Gloria Fochtmann-Haygood at (205) 531-9227.

LEADERSHIP APPLICATION

(SPONSORED BY THE AMERICAN LEGION AUXILIARY)

LEADERSHIP FOR JUNIOR MEMBERS AGES 8-18 YEARS

Dates To Be Determined Each Year

CAMP BOOTH

GREENPOND, ALABAMA 35074


NAME:_________________________________________________________________DOB:____________________________

ADDRESS:_____________________________________________________________AGE:_____________________________

CITY:_____________________________________________STATE:____________ZIP:________________________________

​PHONE:___________________________________EMERGENCY #:_____________________________________________

GRADE:____________________________________SHIRT SIZE:_________________________________________________

UNIT NAME:_________________________________________UNIT #:___________DISTRICT:____________________

EMAIL:___________________________________________________________________________________________________

YOUR FAVORITE ACTIVITIES:__________________________________________________________________________

___________________________________________________________________________________________________________

___________________________________________________________________________________________________________

___________________________________________________________________________________________________________


I,the undersigned parent/guardian of_________ _____________________________________________________

in the consideration of the instruction and training given to my daughter/ward at Leadership,

hereby discharge The American Legion, the American Legion Auxiliary, the officers, instructors

and employees from any and all claims, demands, or cause of action I may have the reason of

illness, injury, or accident incurred or suffered by said daughter/ward while attending said

Leadership no matter how caused or occasioned.


SIGNATURE:___________________________________________________________________DATE:____________________

                                   (PARENT OR GUARDIAN)


CONTACT #:__________________________________________E-MAIL:___________________________________________

ADDRESS IF DIFFERENT FROM ABOVE:________________________________________________________________

_____________________________________________________________________________________________________________


THIS APPLICATION WITH REGISTRATION FEE OF $160.00 MUST BE MAILED TO:


THE AMERICAN LEGION AUXILIARY

P.O. BOX 606

MONTGOMERY, AL. 36101

MAKE ALL CHECK PAYABLE TO: ALA DEPARTMENT OF ALABAMA


​PLEASE ALSO SEND A COPY TO:

GLORIA FOCHTMANN-HAYGOOD

PO BOX 630

MONTEVALLO, AL. 35115


PLEASE MAIL ALL PAYMENTS AND REGISTRATION FORMS NO LATER THAN THE FIRST OF JULY, EACH YEAR.  PLEASE MARK "JUNIOR LEADERSHIP" IN THE MEMO SECTION OF THE CHECK, ALONG WITH THE CHILDS NAME.  INCLUDE A SMALL PHOTO, INSURANCE INFORMATION AND COPY OF INSURANCE CARD IF APPLICABLE.  IF YOU HAVE ANY QUESTIONS, PLEASE CALL GLORIA AT (205) 531-9227