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GameDay Credential Form

Complete this form and click the SUBMIT button at the bottom of the page.
Mandatory fields are designated by the RED asterisk.

Last four of your Social Security Number
Type the State that issued the Government ID
Fill this field only if the "Government Issued ID Type" is a Passport
Enter the ID # of the Government Issued ID
I agree to hold harmless and indemnify the State of Louisiana, University of Louisiana at Lafayette, and any of its agents or employees, and any peace officer within this state, from and against any and all liability, claims, actions, fines or losses of any kind or nature, including costs and attorney's fees, in any way arising out of, connected with or related to the approval or disapproval of my access to UL events through the processes of this application.
I have read the foregoing application and reviewed the answers and selections which I certify to be true and correct as submitted. In addition, I have also read, understand, and agree to comply with the administrative regulations related to my capacity and access to UL event privileges.