Your Name:
Your E-Mail:
Club:
District:
Requirement 1. At least 6 Items in Local Media (Newspaper, Radio, Billboard,
etc.):
(Describe: Include Such
Information
as Date, Time, Location, Newspaper Name, TV or Radio Station, etc.)
Item 1:
Item 2:
Item 3:
Item 4:
Item 5:
Item 6:
Requirement 2: Complete a Minimum of 6 Items from the Following:
At Least 5 Articles, Ads or Listings in the Doin's.
(List Dates)
100% Doin's Club:
(List Year)
Philanthropic Activity: (i.e. benefit dance, fund raiser for needy
persons or organization, scholarship, food pantry collection, adopt-a-family for
a holiday, bell ringing for the Salvation Army, etc.)
(Describe: Include such
information as date,
time, location, Describe activity, etc.)
A Minimum of One Square (8 Dancers) at a District Dance:
(Date of Dance)
A Minimum of One Square (8 Dancers) at Missouri State Festival:
(Date of Dance)
Participate as a Club in a Community Event: (Parade, July 4th
Celebration, Fall Festival, etc.):
(Name, Date, & Location of Event)
100% Booster Club - State Festival:
(Date of Festival)
Half or Full Page Ad in Festival Book:
(Date of Ad)
Have a National Caller Dance:
(Date & Location of Dance, Name of caller.)
Host a Missouri Federation State Board Meeting:
(Date &
Location of Meeting)
Have a Current District Officer from Club Membership:
(Name of Officer)
Have a Current State Officer from Club Membership:
(Name of
Officer)
Conduct a Complete Set of Lessons, Any Level:
(Dates & Location of Lessons. )
Visit at Another District's Dance - One Square (8 Dancers) Minimum:
(Name of
District. Date & Location of Dance)
Additional Information: