Sign-Up for Club Barona Membership

To activate your free Club Barona membership, simply complete this form and return it to any Club Barona Booth today, or submit now online.

Please register only if you are not currently a Club Barona member.

* First Name
* Last Name
* Address
* City
* State
* Zip
Telephone
* E-mail
* State Issuing Driver's License		Alabama Alaska Arizona Arkansas California Colorado Connecticut D.C. Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
* Driver's License
* Driver's License Expiration Date
County Issuing Passport
Passport Number
Passport Expiration Number
* Date of Birth		(mm-dd-yyyy)
Sex		Male Female
What is your favorite sport?		Auto Racing Baseball Basketball Football Golf Hockey Horse Racing Rodeo Soccer
Do you enjoy any of the following? (ctrl to select multiple)		Concerts Spa
Do you visit any of the following San Diego Casinos? (ctrl to select multiple)		Golden Acorn Harrah's Rincon Pala Pauma Pechanga Sycuan Valley View Viejas
* Do you visit Las Vegas area casinos?		Yes     No
* Do you visit Palm Springs area casinos?		Yes     No
How often do you visit casinos?		0-2 times a month 3-5 times a month 6-10 times a month 11 or more times a month
* Enter code shown:

Registration form must be filled out completely to process your membership.

New Club Barona membership accounts will be added within 24 hours. To activate your new Club Barona membership you must be at least 18 years old, and present valid identification at any Club Barona Booth at Barona Valley Ranch Resort & Casino. You will not be eligible for any current promotions until your Club Barona Card is activated.

* Denotes required field.