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5th Year Medallion
Tribe: ____________________________________________________
Brave or Princesses: Circle
Dad's Name: ______________________________________________
Dad's Y-Guides Name: ______________________________________
Child's Name: _____________________________________________
Child's Y-Guides Name: _____________________________________
Phone: ___________________________________________________
Email: ___________________________________________________
Spring Longhouse: _________________________________________
Please email this form to Karen Credle at karen.credle@ymcacharlotte.org
If you have any questions email or call at 704-716-6282
If this information is not received by February 28th, we cannot
guarantee that your medallion will be at Spring Longhouse
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