Application

Legal Name *

First

Last

Need for payment/ Membership purpose

Preferred/Chosen name

First

Last

Persona Name

Use your persona name in public materials/ social media *

Email *

Phone *

DOB *

Must be over 18 to apply and 21+ for full membership

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Use only by TCPP to contact about activity and to send any purchase items to

Membership *

Must be 21+ for full membership

Membership Payment *

Invoice will be sent over once application is approved for payment collection. Please contact us if there more questions over payment for membership

If PayPal was chosen, would you like to sign up for yearly auto renewal *

If selected yes when approval email is sent link to the auto renewal will be sent. Can cancel auto renewal at anytime

Member Referral Name