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Wihinipa Hinsa Lodge 113


We are in the process of updating our new event registration database.  Please update your personal and contact information on this form so that we can correct our database.  This information will be kept private and is used by Wihinipa Hinsa Lodge 113 for mailings, notification, and registration only.


Arrowmen, Scout Leaders, and Parents
Please provide the information below so that we can include you on our mailings:

First Name
Last Name
Address
City
State/Province
Zip Code
Home Phone (include area code)
Work Phone (include area code)
E-mail
Do not send me lodge news by email
Primary BSA Registration       Number:
Leadership  Position Non-OA member
District/Chapter

If you are an Wihinipa Hinsa Lodge 113 member, please fill out the information below to help us keep our membership records current:

Date of Birth (m/d/y)
OA Honor
Ordeal Date
Brotherhood Date
Vigil Honor Date
Vigil Indian Name
Vigil Name Translation

Enter any comments or questions in the space provided below:


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This page was last updated 03/17/08