LUGVegas Membership Application
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Personal Information
First Name *
Last Name *
Parent or Supervising Adult if under 18
(Applying as a Junior Member)
Email *
Phone Number
Birth Date
Membership is open to anyone 18 or older. Children ages 13 or older may join as junior members provided they are accompanied by a parent or supervising adult who is also a club member at all club activities, meetings, and events. In addition, certain activities and programs are limited by age. Officers will only ever access this information as required for club business.
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Street Address
City
State
ZIP Code
LEGO Interests Survey
Please describe your Area of Interests
Other Comments or Questions
Photo Release
This is not required, but is encouraged to facilitate documentation and promotion of club activities and events.
I give permission to LUGVegas to use my photograph or photographic image in official Club business, including: Club Web Sites, Club newsletters and publications, etc. I hereby waive any right that I may have to inspect or approve the finished product and the advertising copy and/or other matter that may be used in connection therewith or the use to which it may be applied. I further release, discharge and agree to save harmless LUGVegas and all persons acting under LUGVegas's permission or authority from any liability that may occur or be produced in the taking or use of said photograph or photographic image.

If under the age of 18, please indicate status as Minor.
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Business Disclosure
Due to the nature of LEGO's Recognition Program, we ask that all prospective members disclose any LEGO-related business ventures they own.
Are you currently the owner or stakeholder in any business venture related to LEGO products? (i.e. you own a Bricklink store or Retail space that sells LEGO products)
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If you answered "Yes" to the above question, please include a link to your store website. If your store has no website, please list the name of the store. If you answered "No," please enter "N/A."
Confirmation
I have read the Bylaws of LUGVegas and by selecting "Yes" indicate I confirm their acceptance and espousal and seek membership in LUGVegas.
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