Member Work Records

Member Information

Name:_________________________	Address:__________________________


Ordeal/Brotherhood/Vigil Honor	Youth/Adult

Service Hours:	Date	FSR Hours	LT Hours	Initials
	______	____________	__________	_______
	______	____________	__________	_______
	______	____________	__________	_______
	______	____________	__________	_______
	______	____________	__________	_______
	______	____________	__________	_______

Scheduled Work Days:

January 15, 2000 (Loud Thunder)
February 12, 2000 (Fellheimer)
March 18, 2000 (Loud Thunder)
April 8, 2000 (Fellheimer)
September 16, 2000 (Loud Thunder)
October 14, 2000 (Fellheimer)
November 11, 2000 (Loud Thunder)