Want To Become A Member/Renew? 
Please fill out the form below and you can either pay dues using online paypal or send in a check to the address below.
Texas Citizens on Patrol Association

...In Partnership For Safer Communities.
First Name
Home Address:
Last Name
Address
City
State
Zip Code
Home Phone #
Cell #
Agency/Organization Name
Agency/Organization Address: (If Any)
Address
City
State
Zip Code
Agency/Organization Phone #
Email Address
Texas Citizens on Patrol Association
Membership Application/Renewal Form
* TCOPA must have an application from each individual, even if this will be a couple's membership. You will be able to pay jointly through Paypal
Date of Birth:
Day
Month
Year
List any medical conditions:
List any Allergies you might have:
List any medications you take on a regular basis:
Emergency Contacts:
1.  Full Name
Relationship
Phone #
2.  Full Name
Relationship
Phone #
Membership in the Texas Citizens on Patrol Association is a privilege that may be denied or revoked at any time.
I desire to participate in the Texas Citizens on Patrol Association. I understand that I may be involved in a variety of activities to gain an appreciation of the job of law enforcement officers. While none of the activities require a high level of
physical exertion, I understand that some of them may cause a higher-than-normal lever of excitement and/or stress.
Further, I agree to assume all risks of participating in the Texas Citizens on Patrol Association, and do hereby remise, release, and forever discharge the Texas Citizen on Patrol Association, it’s directors and agents from any and all manner of actions, debts, claims, and demands, that I may have by reason of any manner arising out of the said activities organized by the Texas Citizens on Patrol Association.
Membership Agreement:
Please check one: 
Membership/Renewal Fees:  

$25.00 Individual      $40.00  Couple
Individual Membership
Couple Membership
Or You Can Mail a Check or Money Order to:
TCOPA Membership
P.O. Box 1141
Roanoke, Tx 76262
Please check
Agree
Disagree
New Member
Renewal