​Please use this form to provide the Area Council with your current contact information.  This information will go to the Area Council leadership ONLY and will not be posted on the website or shared with anyone else without your permission.


Name of Leader

Primary Group affiliation

Second Group (if any)


Street address

City

State

Zip code


Home telephone

Cell phone

Email address



​Please indicate whether you would like to be listed in the new online Leader Directory, and if so, what information you would like to include.  (The Leader Directory will be accessible ONLY to Area Leaders, using the Leader password, and is intended to make it easier for Leaders to contact one another.)





​              If you have indicated that you would like your name included in the online Directory,
please choose any of the following:

Please list my





Contact Information
Update Form for Leaders
Please include my name in the onlline directory.
Please do not include my name at this time.
Home telephone number
Cell phone number
Email address