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Please note that ALL FIELDS ARE REQUIRED!
Name: Troop/Crew: Total people coming with you: (yourself PLUS family members) Address: City: State: WV OH Zip:
Phone: Email:
Honor Level: Select One Ordeal Member Brotherhood Member Vigil Member N/A
Will Pay at Door:
To Send In Payment Please Print and Mail This Form
Registration.pdf
If postmarked after Dec. 13th payment must be $20 per person. This price also applies for payments at the door.
Why Register?
Lodge Leadership