First Name is required.
Middle Name is required.
Last Name is required.
Nickname is required.
Date of Birth is required.
Email is required.Must be a valid email address.
Address is required.
City is required.
Zip is required.
District is required.
Unit Type is required.
Unit Number is required.
Scoutnet/BSA ID Number (all OA members must be registered with BSA) is required.
Home Phone is required.
Mobile Phone is required.
Business Phone is required.
Primary phone number is: is required.
Previous lodge information
I am transferring from lodge: is required.
The lodge is part of which council is required.
The lodge is located in what city and state is required.
What unit were you registered is required.
Lodge contact information (e.g., name, phone number, email, address, fax number) is required.
Membership Level and Verification
Ordeal Date is required.
Ordeal Location (e.g., camp) is required.
Ordeal was attended in which lodge and council is required.
Brotherhood Date (if applicable) is required.
Brotherhood Location (if applicable) is required.
Brotherhood was attended in which lodge and council is required.
Vigil Date (if applicable) is required.
Vigil location (if applicable) is required.
Vigil was attended in which lodge and council is required.
Describe verification of OA membership (e.g., membership card is attached, Vigil certificate is attached) is required.
Additional Information
Additional information is required.