80th Province Council New Member Registration

80th Province Council New Member Registration

THIS FORM IS FOR FALL 2025 AND SPRING 2026 INITIATES ONLY.
Early Registration (January 12-February 15)

Regular Registration (February 16-March 15)

Late Registration (March 16-March 27)

Information entered will be used on your registration badge and email communications. Please make sure all info is accurate!
Legal Name of Registered Brother*

First NameLast Name
E-mail*
Email must be accurate. We will use this email for direct communication to you.
Phone Number*
Please enter a valid phone number.
Choose Your Chapter*
Enter Chapter Position*
Ex: Chapter Polemarch
Should be Empty: