Boot Scootin' to the Bayou Online Entry Form

You will receive an e-mail confirming that your registration has been received after you complete the form and click on the Secure Checkout button at the bottom of this page.


Fields indicated with an asterisk(*) are required.

Participant Information
First Name
*
Last Name
*
Age
*
Member Code(numeric portion only)
*
E-mail
*
Address
*
City
*
State
*
Country
*
Zip
*
Jr Member Cell Phone
*
Is this your first time attending LEAD?
Please Select
T-Shirt Size
*
Mode of transportation
*
(If flying, flight schedule must be e-mailed
or faxed upon completion of this form.)
Select the option(s) that best describe your background.
Do you raise other livestock in addition to cattle?
Do you raise crops in addition to cattle?
Dietary Restrictions:
Please select yes or no if you will need gluten free meal options.
Please list below additional dietary needs staff should be aware of.
Early registration fee is $250.00 for juniors which includes your lodging and meals starting with dinner
Tuesday through breakfast on Friday. The early registration deadline is June, 1. After June, 1 the registration fee for juniors is $300.00.

No parent(s) or state advisor(s) will be allowed to attend the conference. All chaperones will be American Angus Association employees.
In case of emergency please notify:
Name
Cell Phone
Address
City
State
Country
Zip
If not available please notify:
Name
Cell Phone
Address
City
State
Country
Zip
Please list any medication participant is allergic to
List any existing medical conditions
List any medications participant is taking
List any other existing condition, medical or otherwise, the staff should be aware of
Do you allow Association staff to give your child over-the-counter medication?
Yes No
If yes, please list:
Payment Information


Billing Information

* *

Credit Card Information

Last 3 or 4 digits on back of card.
Clear