Use this form to apply for Membership in the Clark County Republican Central Committee (CCRCC).To become a member, you must:

  • Be a registered Republican voter
  • Reside in Clark County, Nevada

After submitting your application, you will need to attend 2 meetings of the CCRP/CCRCC.  You will then be added as a voting member of the CCRP/CCRCC during the 2nd central committee meeting you attend.

Your Voter Registration Number and Election Precinct Number can be found at Nevada Secretary of State website.
Here is the link to find your County Commission District (map link may not work on a mobile device).

Apply for Membership

Name(Required)
(for name badges/credentials, if different from first name)
MM slash DD slash YYYY
Physical Address(Required)
Mailing Address
(if different)
This field is for validation purposes and should be left unchanged.