2022 Legislators Rodeo Registration "*" indicates required fields Would you like to participate in the 2022 CCA Louisiana Legislators Rodeo?* Yes No Name* RepresentativeSenatorMr.Mrs.Ms. Prefix First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Cell Phone Number*Best Email Address* I will arrive in Grand Isle on* MM slash DD slash YYYY I will leave Grand Isle on* MM slash DD slash YYYY How many guests are coming with you?*Guest slots will be limited to three (3) people. Guest Name 1Please insert the names of your guests in the fields below. Guest Name 2 Guest Name 3 Will You Fish on Saturday?* Yes No My guest(s) will fish with me on Saturday* Yes No Where would you like to fish?* Inshore Offshore Do you need lodging accommodations?* Yes No Registration PaymentPlease note that due to compliance with the Louisiana Ethics laws, all participants in the 2022 CCA Louisiana Legislators Rodeo are required to pay $125 per participant (including guests) in order to attend.Registration Fee* Price: $125.00 Quantity: I will be paying with* Check by mail Check or credit card at the event Credit Card NOW Total Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20222023202420252026202720282029203020312032203320342035203620372038203920402041 Security Code Cardholder Name CAPTCHA
