Membership Application

Name *

First

Last

Email *

Telephone *

Address Line 1 *

Address Line 2

City *

State *

Zip *

Date of Birth *

Firm/Employer Name *

Firm/Employer Address Line 1 *

Firm/Employer Address Line 2

Firm/Employer City *

Firm/Employer State *

Firm/Employer Zip *

Experience and Qualifications

Describe your involvement in amusement/leisure industry legal affairs.

Related Memberships

List your current bar, defense or amusement industries’ trade association memberships.

Member Expected Benefits

How do you expect to benefit from your membership in the IALDA?

Member Expected Contributions

What can you contribute to the IALDA?

Time Commitment

What percentage of your professional time do you devote to the legal affairs of the amusement and leisure industries?

School and YOG

Law school and year of graduation

Admitted state(s)

State where you are admitted to the bar and year of admission

States of regular practice

States or federal jurisdictions where you and your law firm regularly practice

Related trial work count

How many trials involving the amusement and leisure industry have you personally tried to a conclusion during the past five years?

Related trial work location

In which jurisdictions did those trials occur?

Related client types

What types of clients in the amusement industry do you regularly defend and/or represent (e.g. waterparks, roller rinks, manufacturers, suppliers, etc.)

Are you now representing or have you ever been retained or represented an injured claimant against a member of the amusement or leisure industry? *

No
Yes

Conflict of interest check client list

If yes, please describe the case and state the name of the defendants.

Please provide a representative list of your clients in the amusement/leisure industry.

List the insurance companies, associations or corporations who know of your involvement in the industry or for whom you have worked within the past five years. Please provide the name of a contact person, their title, and an address for three contacts.

Contact 1

Contact person line 2

Contact 2

Contact person line 3

Contact 3

Membership Information

Active Member
Associate Member

Membership Status Requested

Are you willing to participate in industry events and seminars on behalf of IALDA?

Yes
No

If elected to membership, I agree by the by-laws and code of conduct of the IALDA and to immediately notify the IALDA of any changes in my status that would affect my qualifications as a member of this organization. *

I Agree