NOTE: Service fees for online credit card processing are included
in fees shown below.
Membership Type:
*
Professional with Insurance $57.00
Student with Insurance $42.00
Student without Insurance $15.00
Professional - no insurance $27.00
Associate (agency/library) $32.00
Retired $5.00
Honorary/Life - FREE
3 yr. membership with insurance $155.00
For Membership Type "Professional - no insurance $27.00", please note that teachers are not eligible for this type of membership.
First Name:
*
Middle Initial:
Last Name:
*
Email
:
*
Member Status:
*
New Member
Renewal
Street Address:
*
City:
*
State:
*
Zip:
*
Home Phone:
Work Phone:
Employment:
(Choose Employment)
Elementary School
Middle School
High School
College/University
State (Non-teacher)
Agency (e.g., hospital/YMCA)
Student
Division Interest:
(Choose Division Interest)
Health
Physical Education
Recreation
Dance
General
Resources:
(Choose Resources)
Membership
Convention
Jump Rope For Heart
Advocacy/Legislative Fitness Day
Hoops for Heart
Other
If you selected "Other", please indicate the resource:
* Required Fields
Louisiana Association for Health, Physical Education, Recreation and Dance • Ph: (225) 578-2924 • Email:
info@lahperd.org
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