Pig Trail Chapter

Chapter Membership Enrollment

Fill out the form below to join your local chapter. We'll transfer your details onto the official enrollment form and have a printed copy ready for your signature at the membership desk — just bring your chapter dues.

Fields marked with * are required.

Email Address*

2026

Membership Enrollment Form

Preview the blank enrollment form — Optional

📄 Open PDF

Section 1 — Personal Information

First Name*

Middle Name

Last Name*

Street Address*

City*

State*

Zip Code*

Home Phone

Cell Phone

I consent to receive text messages from the chapter regarding membership and events. Message and data rates may apply. Reply STOP to opt out at any time.

Section 2 — H.O.G. National Membership

A valid H.O.G. National Membership is required for chapter membership.

H.O.G. National Membership Number*

Membership Expiration Date

Leave blank if you hold a Life Membership.

Section 3 — Emergency Contact

Recommended but not required. Providing this helps the chapter contact someone on your behalf if needed.

Name

Phone

Relationship

Section 4 — Membership Type

Select Membership Type*

New MemberRenewal

Section 5 — Charter & Release

I have read the H.O.G.® Chapter Charter and hereby agree to abide by it as a member of this Dealer sponsored Chapter. I recognize that while this Chapter is chartered with H.O.G.®, it remains a separate, independent entity solely responsible for its actions. *📄 2026 Charter

I understand that as a Chapter member, I am responsible for my own safety and welfare in all chapter activities. I hereby release, discharge and hold harmless Harley-Davidson Motor Company, the sponsoring dealer, and all chapter officers from any claim arising out of my participation in chapter activities. I have read and agree to abide by the H.O.G. Chapter By-Laws and the H.O.G. Chapter Charter. I certify that all information on this form is accurate and complete.

I have read and agree to the release above. *

After submitting, you will be shown a printable confirmation to bring to the dealership.