New URA Contact Info 816-738-1743 ~ RodeoURA@gmail.com
United Rodeo Association, Inc. Membership Application
3681 NW County RD 16002, Adrian, MO 64720 Date: _____________
Contestant dues $125. - Personnel dues $75. (Secretary, Judge, Contract Act, Announcer, Pick-up men, Clown, Bullfighter, Hazer, Photographer, etc.)
Timer dues $40. ⬜ Contestant ⬜ Non-contestant ⬜ Timer only
Check one: ⬜ New ⬜Renewal
Name_______________________________________________ URA# ___________
Address_______________________________________________________________
City___________________________ __State___________ Zip_________
Phone/Text___________________________ Date of Birth_______________________
Check all that apply:⬜ Bareback ⬜ Saddle Bronc ⬜ Ranch Bronc ⬜ Bull Riding ⬜ Breakaway ⬜ Steer Wrestling
⬜ Calf Roping ⬜ Over Forty Calf Roping ⬜ Barrel Racing ⬜ DTR Header ⬜ DTR Heeler ⬜ Secretary ⬜ Timer ⬜ Judge ⬜ Pickup Man ⬜ Announcer ⬜ Bull Fighter ⬜ Clown ⬜ Hazer ⬜ Other
Jacket Size____________________
Membership becomes effective as of the postmark on the envelope. If in Over 40 & Open Calf Roping or Breakaway and Open Calf roping designate which for All Around points: _____________________________
Applicants under 18 -The following MUST be completed, notarized, & returned to the URA office! Parent/Guardian Consent: I certify that the age & date of birth of the below named child is correct, & I hereby consent to participation of my/our child in the United Rodeo Association, Inc. I agree that in no event will I hold the URA Inc., its agents, or employees liable for injury or property damage during participation at a URA sanctioned rodeo/event or while enroute to or from a URA sanctioned rodeo.
Applicant's Name ________________________________ Birthdate_____________ Age_____
Parent/Guardian Signature____________________ _____________________________
(Must be notarized)
The foregoing instrument was acknowledged before me this ________________day of _________________________, 20____________
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__
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.
Signed: _______________________________________________________________
Email: _____________________________________________________________________