Chapter Member Roster Update "*" indicates required fields CompanyThis field is for validation purposes and should be left unchanged.Chapter secretaries: Please use this form to update your member roster. Ensure all entries are accurate and up to date. This data will be shared with the Mother Chapter and National Board for records and compliance.Your Email Address* Chapter Name*Chicago (Mother Chapter)National BoardRipleyCincinnatiDetroitIndianapolisHoustonTampaLafayetteKansas CityCharlotteMembers Name* First Last Riding Name (Club Name)*Shirt SIze6XL5XL4XL3XL2XLXLLMSMobile Number*Date of Joining*MonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Current PositionPresidentVice PresidentSGT at ArmsSecretaryTreasurerMemberProspectNational PresidentNational Vice PresidentNational SGT at ArmsNational SecretaryNational TreasurerMember StatusActiveProspectingOn LeaveRetiredSuspendedProbationTerminatedEvery member is required to have 1 full set of colors (cuts) after completing their Prospecting period. The Leather Vest is the primary required piece. The Summer Vest is optional and considered a secondary set. Please list what the member currently has.Please Select your Vest(s) Original Leather Club Set Summer Vest Club Set Last Updated By (Secretary’s Club Name)(National Secretary)(Chicago Chapter Secretary)(Ripley Chapter Secretary)(Cincinnati Chapter Secretary)(Detroit Chapter Secretary)(Indianapolis Chapter Secretary)(Houston Chapter Secretary)(Tampa Chapter Secretary)(Lafayette Chapter Secretary)(Kansas City Chapter Secretary)(Charlotte Chapter Secretary)Emergency Contact SectionEmergency Contact Name* First Last Emergency Contact Number*Emergency Contact RelationshipParent/GuardianSpouse/PartnerChildren/DependentSiblingClose relatives (aunt/uncle, cousin, etc.)Trusted friend or neighborThis field is hidden when viewing the formDate MM slash DD slash YYYY