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I agree that in becoming a member of the Kansas Professional Rodeo Association, to abide by the rules and regulations of the Association and not hold the Kansas Professional Rodeo Association responsible for any related incidents or accidents involving the KPRA.
_____________________________________________ __________________ Signature Date |
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For Office Use Only: Date received:____________
Card #:__________________
Paid:____________________
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Kansas Professional Rodeo Association 2011 Membership Application Mail to: P.O. Box 727 - Goodwell, OK 73939 Phone and Fax: 580-349-5772 |
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Name___________________________________ Soc. Sec _____________________
Address______________________________________________________________
City_____________________________ State________________ Zip____________
Phone #___________________________E-Mail_____________________________
Date of Birth____________________Jacket Size_____________________________
Events Participating In: BB_____SB_____BR_____TD_____SW_____BAW_____ LBR____ TR Header____ TR Heeler____40/40 Header____40/40 Heeler____ |
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**Memberships will increase $15 June 1st** _____________ Membership dues $125 ($140 after June 1st) ($75 membership plus $50 finals fund– If you get a $100 sponsor, you will be reimbursed $50) _____________ Youth Membership $90 ($105 after June 1st) ($40 membership plus $50 finals fund- If you get a $100 sponsor, you will be reimbursed $50) ***Under 18, must attach a notarized release form*** _____________ Companion Pass $10 (one per contestant) _____________ Non-contesting card $35 (Please designate) Announcer____ Judge____ Stock Contractor____ Bullfighter____ Pickup-man____ Timer____ Secretary____Committee_____ _____________ Mark here if you qualify for rookie (1st time KPRA member) |
