top of page
create a fun and elegant and glowing with gold accents mardi gras web page background.jpg

Krewe of Hygieia Membership Application

Which Field of Healthcare are you involved?
Multi-line address
Birthday
Month
Day
Year
Type of Member
Krewe Role
Do you plan to purchase additional throws?
Yes
No

Code of Conduct

I agree to abide by all rules and codes of conduct established by the Mardi Gras Association of Alexandria and the State of Louisiana. I understand that failure to comply may result in suspension or removal without refund.

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.
Date
Month
Day
Year

Emergency Contact

When your membership application is received and accepted, membership dues are set at $250.00.

bottom of page