Individual Membership Form

$35.00 annually – for benefit information click here

Please fill out the form completely. You will be invoiced for your membership once it has been approved.

    First Name:

    Last Name:

    Address:

    City:

    State:

    Zip:

    Age:

    Phone:

    Email:

    Do You Belong to a Member School?: YesNo
    If so, Member School Name:

    Please mark all that you perform:
    Dragon/Wu LongSouthern Lion/Nan ShiNorthern Lion/Bei ShiHigh Poles/JongsKeileun/QilinDrummingOther (please comment below:)
    If other:

    Brief Personal Bio and Other Comments:

    How did you hear about USDLDF?: