Arkansas Barrel Racing Association Membership Application

2009/2010

Name: ______Type of Membership:

Address: ______Individual ($30.00) ______

Family ($47.00) ______

______Newsletter Only ($15.00) ______

(newsletter is included with regular membership)

Phone: (home) ______(work) ______

E-mail address: ______

Check here if you would like to receive your newsletter by e-mail ONLY ______

If Family membership, please list all family Divisions:

members & birthdates below:

52” Pony Barrels/Poles: ______(0-10)

______Buckaroo Barrels/Poles: ______(0-13)

Junior Barrels/Poles: ______(14-18)

______Senior Barrels/Poles: ______(19& up)

Junior Rodeo: ______

______Senior Rodeo: ______

Senior Jackpot: ______

______Junior Jackpot: ______

Novice Horse*: ______

______Novice Rider*: ______

Lead Line Barrels ______

* - Approval required for competition in these divisions

As a member of A.B.R.A., I agree to the following requirements:

1. Securing a donation in the amount of $25.00 for each division to which points are reported. If no points are reported, one (1) $25.00 donation per member must be sent to the division of choice. Failure to do so will cause the member or members to not receive awards for the current and the following year. The member or members will also not be considered a “Member in Good Standing”. Donations must be paid directly to each individual division chairmen.

2.  A participation fee (usually selling $50.00 worth of raffle tickets) in the association’s annual primary money-making project. The primary money-making project will be designated by the Board of Directors. Failure to do so will result in the member forfeiting his/her awards for the current year and the following year. Member will also not be considered a “Member in Good Standing”.

Check here if you would like to pay this amount now with your membership fee______

FAILURE TO MEET ANY OF THESE RESPONSIBILITIES WILL RESULT

IN POINTS BEING FORFEITED.

Annual membership dues will become due and payable on the first day of September and will become delinquent if not post marked by the third day of October.

Mail to: Christy Kurck

Signature: ______200 Happy Trails Ln

Rose Bud, AR 72137