Medinah Parade Form

MEDINAH - PARADE OR APPEARANCE FORM

Presented in 4 copies to the Director of Parade Units who will sign copies and send them to
the Potentate, Parade Marshal and Parade Units.

To: Noble Le Roy C. Baumann
Director of Parade Units
801 Scottsdale Drive
Pingree Grove, Illinois 60140
Res.: 773.283.4575 Cell: 773.744.4533
FAX: 888.420.3269
Email: lwood7824@netscape.net

PRINT or TYPE

From Unit or Shrine Club: ______________________________________________________________

Permission is requested to participate in:
Type of Function: Place Date Time

__________________________________________________________________________

The Unit members (have) (have not) indicated their willingness to participate.

This appearance is to be made without cost to Medinah Temple.

Submitted by: __________________________________ Title ___________________________ Date_____________

Appearance (is) (is not) approved
Director of Parade Units _______________________________ Date: ________________________________

Potentate____________________________________________ Date ________________________________

Revised January 2011

White-Director of Parade Units Yellow-Recorders Copy Pink-Parade Marshal Gold-Unit Copy