Louisiana Chess Association Membership Form
Membership in the LCA is required to participate in LCA sanctioned events.

Name: _______________________________________________________________________

USCF ID Number: ________________________Expiration Date: ________________________

Email:  ______________________________________________________________________

[  ] I want to join the LCA mailing list to receive Louisiana chess news, tournaments, and events via email
[  ] I do not wish to join your mailing list

Please check one:

[  ] Adult ($10)
[  ] Scholastic ($5)

Please make checks payable to:
Louisiana Chess Association, PO Box 15317, Baton Rouge, LA 70895