Louisiana Chess Association Membership Form

Membership in the LCA is required to participate in LCA sanctioned events.

Name: _______________________________________________________________________________

USCF ID Number: ________________________Expiration Date: ________________________

Address: _____________________________________________________________________________

Phone: _______________________________________________________________________________

Email:  ________________________________________________________________________________

Child's Name__________________________________________Date Of Birth_____/_____/_____ 

Email:___________________________USCF ID__________________________EXP_______________

Child's Name__________________________________________Date Of Birth_____/_____/_____ 

Email:___________________________USCF ID__________________________EXP_______________

Child's Name__________________________________________Date Of Birth_____/_____/_____ 

Email:___________________________USCF ID__________________________EXP_______________

[  ] I want to join the LCA mailing list to receive Louisiana chess news, tournaments, and events via email

Please check one:

[  ] Adult ($15)     [  ] Scholastic ($5)     [  ] Family ($25) [  ] Donation____________________  TOTAL $__________________

Please send membership dues and donations to:

Louisiana Chess Association, 459 Audubon Blvd. New Orleans, LA  70125

Venmo Payments and Donations:  @Louisiana_Chess_Association

Chess Enthusiasts in Louisiana devote countless hours, as well as thousands of dollars of their own funds,

to keep chess going in Louisiana.  Please consider joining the LCA and/or Donating