2026 Joint Conference Registration Form - New Orleans, LA

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Additional Registrations: (Please Note: Each conference registration is $250.00 per person)		YesNo
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Golf Tournament: Wednesday, October 14, 2026 9am–1pm  TPC Louisiana Golf Course $150.00 Per Golfer
Total Number of Golfers:		0123456None
Names of Golfers:
Thursday, October 15, 2026, Joint Breakfast — Number of Conference Attendees: (Complimentary with conference registration)
Thursday, October 15, 2026, Joint Luncheon— Number of Conference Attendees: (Complimentary with conference registration)
Thursday, October 15, 2026, Welcome Reception: (Complimentary with conference registration)		YesNo
Total Number of Attendees Including Guests:
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Friday, October 16, 2026, Joint Breakfast — Number of Conference Attendees: (Complimentary with conference registration)
I, the undersigned, as a condition of my participation in the events described above, hereby release and waive Mideast LAMPAC, its Board members, Officers, Agents, Contractors, and Sponsors, from any damages, liability, or costs incurred by me or my family arising out of the 2026 Joint Conference Events being hosted in New Orleans, LA., and attendance at the Welcome Reception hosted in New Orleans, LA., including but not limited to, the consumption of alcoholic beverages, or the acts of other individuals participating in the 2026 Joint Conference Golf Tournament; and further agree to hold harmless said co-sponsors for any damages, injuries, or liabilities to which I have contributed, arising out of said activities. By submitting this form, this is considered your authorization.