CENTRAL STATES RODEO ASSOCIATION
2008 Membership Application
NAME: CARD #:
ADDRESS:
CITY: STATE: ______ ZIPCODE:
HOME PHONE: CELL PHONE:
DATE OF BIRTH: SSN#
JACKET SIZE ___________________
EVENTS TO BE WORKED IN RODEO:
___ Bareback ___ Team Roping ___ Barrelman
___ Saddle Bronc ___ Girls Barrel Racing ___ Pickup Man
___ Bull Riding ___ Announcer ___ Contract Act
___ Steer Wrestling ___ Secretary ___ Stock Contractor
___ Tie-Down Roping ___ Judge ___ Timer
___ Bullfighter
___ Associate Membership: $30.00* per year (Subscription to CSRA bulletin and attend year end awards banquet.)
___ Renewal Membership: $90.00*
___ New Membership: $95.00* per year (All rights and privileges including competition, CSRA bulletin included in fee)
___ Timer: $30.00*
___ Youth Membership: $30.00* per year (All rights and privileges including competition, CSRA bulletin included in fee)
Must be 18 or under and have current card (copy to be submitted with application)
in any other youth rodeo association.
* An additional $10 will be added to all cards purchased at a rodeo.
ROOKIE: YES____NO____ To qualify for Rookie, you must be a first time CSRA card holder
and never won over $500.00 in any other Rodeo Association while holding a card in that Association.
I hereby agree, by my signature below, to comply with all rules and by-laws of the Central States Rodeo Association (CSRA).
I also realize that there are risks involved with the sport of rodeo and agree not to hold Central States Rodeo Association,
any stock contractor or rodeo committee responsible for any injuries or loss of personal property.
Signature: ____________________________________________ Date: ______________
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For members 18 years of age or under: This application must be signed by both parents or legal guardians and notarized.
Signature of Parents or Guardians: ________________________________________________________________
Relationship to Applicant: ____________________________________________ Date: ____________
Notary Public: _______________________________________________ Date: ____________
My commission expires: _____________________________ Seal:
SEND DUES TO: MAKE CHECKS PAYABLE TO:
CSRA Central States Rodeo Association