BSoBR Application
Bourbon Society of Baton Rouge (BSoBR) membership is valid for one year from the date of your dues payment. Membership dues are $50 annually. Please see full details at www.BourbonBR.com/join.
First Name *
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Last Name *
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Date of Birth *
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Phone Number *
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Email Address *
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Address *
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City *
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State *
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Zipcode *
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Emergency Contact Name *
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Emergency Contact Phone Number *
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Emergency Contact Relationship *
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Do you want to be added to our closed/members-only Facebook group? *
Do you allow BSoBR to use your name and/or image for promotional purposes? *
Have you read and agree to follow the BSoBR Guidelines of Membership? *
How would you like to pay your BSoBR Dues? *
By signing below (typing your full name), you affirm that you am at least 21 years of age and have filled out this form truthfully and to the best of your ability. You, also in consideration of my participation in any and all Bourbon Society of Baton Rouge events, do hereby release BSoBR, its officers and other members, and host venues from any and all liability from injuries, loss, or damage of property which may occur during or following any and all BSoBR events. *
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