All New and Renewing Members Must Have a Current Signed Form on File

CANADIAN SENIOR PRO RODEO ASSOCIATION

2015 Membership Application

ALL NEW AND RENEWING MEMBERS MUST HAVE A CURRENT SIGNED FORM ON FILE

All Judges Sectary and Timers must purchase a CSPRA membership for the 2015 season

Name ______Telephone # ______

Cell Phone #

E-Mail Address______

MailingAddress______

______

City Province/State Postal Code/Zip

Age ______Sex ______Birthdate ______

Month Day Year

Do you grant the CSPRA permission to use your contact and mailing information to be composed into a directory for use by the current board of directors? Yes No

DECLARATION OF AGE: Please state which age category you wish your points to be counted toward. ______

If you are entering the Tie Down Roping 60 and Tie Down Roping 68+ declare what event you would like to count for the All Round Standings:

If you are in your Swing year and competing in a non-team event, in which age category are you competing? ______

Memberships in other Associations______

CSPRA Card Number: ______New Member Yes_____ No______

Events participating in: (Circle) Bareback Saddle Bronc Bull Riding Steer Wrestling

Team Roping Ladies Barrel Racing Ribbon Roping Ladies Breakaway Men’s Breakaway

Tie Down Roping

Occupation ______Yrs. in Rodeo ______Jacket Size ______

RELEASE:

I do hereby release, acquit and forever discharge the CANADIAN SENIOR PRO RODEO ASSOCIATION and all rodeos approved by same, including all PRODUCERS and RODEO COMMITTEES from all claims, demands and causes whatsoever, arising from and growing out of any personal injuries or damage sustained by me, or to my property, by virtue of any participation as a contestant or worker, in any certain rodeo, approved by the CANADIAN SENIOR PRO RODEO ASSOCIATION, as well as any and all claims, demands, and causes of action of whatsoever kind or character, which I, or my heirs, executors, or administrators, now have or may hereafter have cause against the CANADIAN SENIOR PRO RODEO ASSOCIATION approved rodeos.

I have read and fully understand the meaning and effect of this release, and do hereby agree.

Contestants Signature ______

PROOF of AGE: A photocopy of either your driver’s License or birth certificate must accompany this application,

REMIT TO:Canadian Senior Pro Rodeo Association

Box 4

Madden, AB T0M 1L0

Phone: 403-875-3242 email:

Contestant Membership Dues: Before March 31 2015 $155.00 plus GST Total $162.75

After March 31 2015 $165.00 plus GST Total $173.25

Judges, Timer, Stock Contractor, Rodeo Sectary Membership Dues: $25.00 plus GST $26.25

Please make cheque payable to CANADIAN SENIOR PRO RODEO ASSOCIATION

NEW THIS YEAR YOU WILL HAVE TO CONTACT THE RODEO CONNECTION IF YOU WOULD LIKE A SUBSCRIPTION TO THE PAPER – IT WILL NOT BE INCLUDED IN YOUR MEMBERSHIP

CONTACT THEM AT 403-646-5564 OR EMAIL AT

For Office Use Only:

Card # Issued: ______Date: ______