Membership Application

Membership Application

Date_______________

NAME__________________________________________________URA#_______________


ADDRESS_______________________________________________CITY________________

STATE_____________________ZIP__________PHONE_______________

DATE OF BIRTH______________________eMail___________________________________

I work the following events:
___Bareback   ___Saddle Bronc  ___Bull Riding   ___Team Roping    ___Calf Roping
___ Steer Wrestling   ___Barrel Racing  ____Over 40 Calf Roping    ___Breakaway Roping ___Announcer   ___Stock Contractor  ___Judge    ___Pickup Man   ___ Secretary___ Clown    ___Other__________________          ____Timer   ____ Bull Fighter

Jacket Size_______ If competing in calf roping & over 40, or breakaway & calf roping indicate which counts for all around ________________

Points will count if the card is purchased prior to competing at a URA rodeo.

Signed ____________________________________________________________________

APPLICANTS UNDER 21 - - - The following MUST be completed, notarized and returned to the URA office:Parent/Guardian Consent:
I certify that the age and date of birth of the below named child is correct, and I hereby consent to the participation of our child in the United Rodeo Association.  I agree that in no event will I hold the URA, it's agents or employees liable for injury or property damage while participation at a rodeo or while enroute to or from a URA sanctioned rodeo.

CONTESTANT___________________________BIRTHDATE_________________
ADDRESS________________________________AGE________________________
CITY_____________________________________ZIP________________________
PHONE___________________________________SS#________________________

Parent/Guardian Signature_________________________________(Must be notarized)

The foregoing instrument was acknowledged before me this ________day of ______ by__________________parent or guardian of the above URA contestant, and I certify that the above information is true to the best of my knowledge.
Notary Public_______________________Date________My commission expires_______

Contestant dues are $85.00 between May 1 and Aug. 31. Non-contestant dues are $40. Dues for those who only time are $20. Eveyone can save $10 and sign up for email newsletters.


Please print off membership application and mail to:
Muff McGee, URA Secretary
1629 140th Road, Yates Center, KS  66783



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