LCA
Membership
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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