MEMBERSHIP APPLICATION FORM

 

Date                                                                                    Card No.                                        

NAME                                                                                                                                        

ADDRESS                                                                                                                                 

CITY                                                               STATE                               ZIP                            

HOME PHONE                                                            OFFICE PHONE                                       

AGE                BIRTHDATE                                                       SS #                                         

eMAIL ADDRESS:                                                                                                                     

TYPE OF MEMBERSHIP   o  Contestant $95.00       o  Non-Contestant $35.00

EVENTS                                                                                                                            

Please fill out Membership Application and Release Form, have it notarized and return it with a check for membership fees to:

 

TSPRA  é  2542 Witter Road é  Lockhart, Texas  78644

For more info:  512-398-5209  é  lorijopate@hotmail.com

 

TSPRA Membership Release

I,                                                          , do hereby release the Texas Senior Pro Rodeo Association (TSPRA), the officers and directors, the producers and other persons, corporation, and organizations, in any manner assisting in the sponsorship and production of a TSPRA rodeo from any and all liabilities for injuries occurring to myself while participating in any such rodeo.  I execute the consent and release agreement with full knowledge of the risk inherent in participating in such rodeos and admit the risks are voluntarily assumed by myself.  I also swear that the information furnished on this application is true and correct.
 

Member Signature                                                                                                      

Sworn to and subscribed before me this          day of                                                 , 200     .

 

Signed                                                                        

 

Notary Public in and for                                                County, Texas.