ONLINE MEMBERSHIP APPLICATION Please enable JavaScript in your browser to complete this form. WHICH TYPE OF MEMBERSHIP ARE YOU APPLYING FOR? Resident Members are anyone 18 and older, who meets the membership requirements and resides in the RCGS boundaries. Associate Members are anyone 18 and older who wishes to be associated with the RCGSE and Does Not live within the RCGSE Boundaries. Youth Members are between the ages of 10 to 17 and are sponsored by a legal guardian who is a Resident or Associate member of the organization.Resident MemberRESIDENT MEMBERAssociate MemberASSOCIATE MEMBERYouth MemberYOUTH MEMBERLifetime MemberLIFETIME MEMBER LIFETIME MEMBER (If you are a lifetime member, please select which one you are) As a lifetime member you are not required to fill out an application each year unless your information changes.RCGSE FounderRCGSE FOUNDERRCGSE Past MonarchRCGSE PAST MONARCHCitizen For LifeCITIZEN FOR LIFEEmeritusEMPEROR / EMPRESS / EMPREX EMERITUSMEMBER INFORMATIONFull Legal Name: *Highest Court Title:Birth Date: *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Home Phone:Mailing Address: *Address Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeAlso Known As:Are You A Member of the Board of Directors *–Select One–YESNOCell Phone: *Email Address: *Physical Address (If different than mailing address):Address Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeADDITIONAL INFORMATION May we send you court related emails? Emails Yes *YES – You can send court related emailsEmails NoNO – Do not send court related emails May we text you event reminders? Texts YesYES – You can send me text event remindersTexts NoNO – Do not send text reminders Do you have a Facebook Account FBYesYES – I do have FacebookFacebook IDFBNONO – I do not have Facebook Do you have an Instagram Account? IGYesYES – I do have InstagramInstagram IDIGNONO – I do not have Instagram May we invite you or friend you on Social Media? INFRYesYES – You can invite or friend meIMFRNoNO – You cannot invite or friend me How would you like to receive your newsletter? NLEmailEmailNLPostPost MailNLBothBoth Email & Post MailMEMBERSHIP INFORMATIONIt is a $5 (Five Dollar) fee to Join the RCGSE this year. You can pay your fee with Cash, Credit Card or by Venmo (@rcgse-saltlake). You can give your completed membership application to the reigning Monarchs or any member of the reign as well as the Board of Directors. You can also mail your application to: R.C.G.S.E., Attn: Membership Application, PO Box 521126, Salt Lake City, UT 84152. Would you be willing to sponsor additional memberships? To sponsor simply indicate how many additional $5 fees you will be paying and the number of sponsorships that will coverSPYesYES – I am willing to sponsorSPNoNO – I cannot sponsorHow Many Can You Sponsor?Sponsorship Donation AmountMEMBERSHIP ACKNOWLEDGEMENTI agree to abide by the Resolutions, Bylaws and Procedures of the RCGSE. I also agree that should I exercise my right to resign as a member of the R.C.G.S.E. before the normal expiration date of my membership, I agree that I am not entitled to a refund or abatement of all or part of the membership fees I have already paid or become due upon my signature and submission of this application for membership. In the event of my resignation, I also agree that I am not relieved of any obligation I have incurred and owe to the R.C.G.S.E. as a member or non-member. Member Name *Signature Date *Member Signature * Clear Signature PARENTAL/GUARDIAN CONSENT & AUSSUMPTION OF RESPONSIBILITY (Youth Members Only)I hereby grant permission for the Participant to join and participate in the activities, programs, events, and services of the RCGSE. I acknowledge that I am responsible for the care, supervision, conduct, and well-being of the Participant. I accept full responsibility for any obligations arising from the Participant’s membership and participation, including compliance with the RCGSE Resolutions, Bylaws & Procedures. I understand that participation may involve certain risks. To the fullest extent permitted by law, I assume responsibility for the Participant’s participation and agree to release, indemnify, and hold harmless the RCGSE, its officers, directors, volunteers, and agents from claims, liabilities, damages, costs, or expenses arising from the Participant’s participation, except to the extent caused by the Organization’s gross negligence or willful misconduct. I certify that I have the legal authority to provide this consent and enter into this agreement on behalf of the Participant. Participant / Minors NameLegal Guardian PhoneLegal Guardian EmailDate of SignatureLegal Guardian Signature Clear Signature Legal Guardian NameLegal Guardian AddressAddress Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeSUBMIT APPLICATION