2026 Membership Application

PO Box 223
Raceland LA 70394
LafourcheRopingClub@gmail.com
LafourcheRopingClub.com

2026 Membership Application

Lafourche Roping Club
Name*

First NameLast Name
Mailing Address*

Street Address

Street Address Line 2

CityState

Zip Code
Birthdate*

MonthDayYear
Date
Age
Must by 18 or Over
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Today

MonthDayYear
Date
Emergency Contact*
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Membership Types
Single Membership ($10.00)
A single adult (18 years or older) without additional family members.

Family Membership ($20.00)
Includes spouse and minor children (under the age of 18 as of Janurary 1, 2026). List each family member, date of birth, and Email. Email is optional.
Family Member List
I, (print name) First Name* Last Name* , AND MY FAMILY MEMBERS LISTED ABOVE, AGREE NOT TO HOLD THE LAFOURCHE ROPING CLUB, BOARD OF DIRECTORS, CHAIRPERSONS, OR ANYONE INVOLVED IN THE PRODUCTION OF AN EVENT SANCTIONED BY THE LAFOURCHE ROPING CLUB, INC LIABLE FOR ANY THEFT OR INJURY SUSTAINED AT, TO OR FROM ANY EVENT. I FURTHER AGREE TO BE BOUND BY THE BY-LAWS/RULES OF THE LAFOURCHE ROPING CLUB, AND TO CONDUCT MYSELF IN ACCORDANCE WITH THE OFFICIAL BY-LAWS/RULES. I UNDERSTAND THE LAFOURCHE ROPING CLUB BOARD OF DIRECTORS SOLELY GOVERNS THE INTERPRETATION OF THE BY-LAWS/RULEBOOK.

PUBLICATION RELEASE: Pictures and articles of Lafourche Roping Club and its event may appear in local newspapers, or on program-affiliated websites, or on program-affiliated websites and/or social media sites. These pictures and articles may or may not personally identify person(s). By my signature below, I grant the use of the pictures for myself and/or family members and understand the Lafourche Roping Club and its affiliated sponsors may continue to use the pictures and/or videos in subsequent years.

Applicant Signature: Signature* Date: Date*
Signature of parent/legal guardian verifies permission for the youth/minor identified to join the Lafourche Roping Club.
Membership Fee
Membership dues must be paid in person at the next General Membership Meeting. Acceptable payments are cash and check.
**Membership fees are non-refundable and non-transferable.**
The primary member must be 18 years or older. Please correct the primary member prior to submitting your application.
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2026 Membership Application

Membership Types