The closing date for receipt of completed application form is:

You need to send:

Venturer Team

Scouting Ireland

Larch Hill,

Dublin 16,

Telephone:  + 353 1 4755750 (Wed 8-10)

E-mail:  leaderschallenge2004@eircom.net

International  Leader’s  Challenge

  Name:   ----------------------------------------------------

Address:   _______________________

 ____________________________________________

_____________________________________________

Tel No:   ---------------------------------------------------

E mail:  ----------------------------------------------------

  Unit:   ------------------------------------------------------

Section:   --------------------------------------------------

  Partner’s Name:   -----------------------------------------

Partner’s Unit:  -------------------------------------------

  Approval:

TO BE COMPLETED BY u/l, arc, r/c, ETC

  In my opinion the above named is capable of completing the challenge set out herein’.

  Name:    ----------------------------------------------------

Signature: --------------------------------------------------

Date:          ---------------------

  Applicants Signature:

  ---------------------------------------------------