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.

1. The U.R.A., its sponsors, rodeo committees, rodeo production entities, Officers and Directors, employees, and agents of such entities, assume no responsibility or liability for injury or damage to the person, property, or stock of any owner, contestant, or assistant, or other claims arising from participation in U.R.A. sanctioned rodeos, including claims that are known and unknown, foreseen and unforeseen, future and contingent.

Please print off membership application and mail to:

Muff McGee, URA Secretary

1629 140th Road, Yates Center, KS 66783

Signed: _________________________________________________________