Transfer To Witauchsoman Lodge #44

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Email questions to: membership@witauchsoman.org

Please fill out the below form completely and CLICK SUBMIT button.

IMPORTANT - ensure your BSA ID Number is correct

After submitting this form

Next, you must have an OA Member Portal account and enter the invite/activation code BEFORE paying OA Lodge Dues online.
The Lodge Membership Committee will send you an OA Member Portal invite/activation code. Before you receive the code:
PLEASE CREATE an OA Member Portal account NOW via:
https://portal.oa-bsa.org

MTC Member *

Are you currently registered in Minsi Trails Council and have current BSA Youth Protection Training?

YOU MUST BE A MEMBER OF MINSI TRAILS TO BE IN WITAUCHSOMAN LODGE #44

BSA ID
*

BSA Membership ID Number from your BSA Membership Card

ENSURE THIS IS CORRECT

First Name *

Middle Name

Enter MIDDLE INITIAL only

Last Name
*

Suffix

Gender
*

Date Of Birth
*

YYYY

Home Street 1
*

Home Street 2

Use this field if you have an apartment as an example

Home City
*

Home State
*

Home Zip Code
*

Home Country
*

Mobile Phone Number

Home Phone Number

Parent Phone Number

Home Email Address
*

Scout's Primary Email Address

Parent Email Address

Health Dietary Restrictions

List Food Allergies

If none - LEAVE BLANK

Election Date
*

YYYY

Ordeal Date
*

YYYY

Brotherhood Date

YYYY

Are you a Vigil Honor Member? *

Chapter
*

Unit Type / Number / BT or GT *

Example:

Troop 1 BT

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