Candidate Information and Registration
To register for one of the OA Ordeal Weekends, complete the form below.
We need to know how many to plan for, so please register.  You may pay at the event or send your payment to the Lodge.
You may also download a mail-in registration form instead of registering online.
 
First Name *
Last Name *
E-mail Address: *
Address *
City *
State *
Zip Code *
Date of Birth *
Phone # *
Rank *
Unit Type *
Unit #
District *
Position held in Unit
I will *
Medical or Physical Limitations: *
You must put something in the box.
If you have no limitations, answer none

Questions / Comments
* Required

 
 
 

 

 
 

 
   
 © Copyright 2008-2009
 Pocumtuc Lodge
 Western Massachusetts Council, BSA