Kittatinny Lodge 5
OA Troop/Team Representative

Registration Form for the Order of the Arrow
Troop/Team Representative

Complete this form in it's entirety and click on SUBMIT to register
as your unit OA Team Rep.  Please report all changes to the OA.
.

Today's Date:  

District:   
Troop/Team Number:   Choose Unit Type and fill in your Unit Number

Term of Office:   

(how long before your next election or appointment)
Name:   
Street 1:   
Street 2:   
City:   
State:   
Zip:   
Phone Number:    ex: (nnn) nnn-nnnn
Fax Number:    ex: (nnn) nnn-nnnn
E-mail Address:    ex: uid @ domain . com.
Current OA Honor Held:    Ordeal     Brotherhood     Vigil

Scouting Experience:   
(include your current rank, leadership positions held, high adventure experiences, etc)

O A Experience:   
(OA training, conclaves/NOAC attendance, committees, etc).

Please review the form for accuracy and completeness, then click the SUBMIT button below.

Click to validate data and send form.     Click to clear all fields and start over again.