Reid James Simmons Academy - Lodge Registration
Date: August 11-12 2023
Event Address: Roanoke Scottish Rite 622 Campbell Ave SW, Roanoke, VA 24016
Point of Contact: RW Tom Woolfolk (434) 242-1991 or

This form is intended to be completed by the Lodge Secretary. Please provide the Secretary's email address:
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Email *
Secretary's Name *
Lodge Name *
How many lodge members will you be sponsoring?
(This fee provides box lunches and access to all activities.)
Please pay by mailing a check to the Reid James Simmons Academy Treasurer. Payment instructions will be sent to the email you provided.
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