National Professional Rodeo Association
2008
Membership Application
(
Name: ________________________________________________________________
Address:
______________________________________________________________
City:
SS
#: ____________________________ Phone #:
____________________________
E-Mail
Address:
Birthday:
Membership is $75
Make checks payable to
NPRA
Mail to:
Office: (701) 663-4973 Fax: (701) 663-5008 npra@btinet.net
Statement
and Release:
For good and valuable consideration, the receipt of which I
acknowledge, I do for myself, my heirs executors and administrators release and
forever discharge the NPRA and all of its officers, agents, employees,
committees, and sponsors from all claims, demands, actions or causes of action
which may arise on account of my death or on account of any injury which I may
suffer while participating in any NPRA Rodeo or other NPRA Event. In making this statement and release, I
further acknowledge that I am aware that Rodeo is a dangerous sport and that
serious injuries occur frequently. I
further acknowledge that I have read this statement and that I understand its
contents. I also understand that and
agree that Sponsors may subsequently use for publicity or promotional purposes
or TV rights my name and/or pictures of me participating in this Association
without obligation or liability from me.
I have read the Association information provided, do promise to abide by
all Association Rules and Regulations, and certify by my signature below.
Signature: ________________________________ Date:
________________
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Complete below if
applicant is a minor under the Law of the State of Residence
I declare
that I am one of the parents and/or legal guardians of the above named minor; that
I have carefully read the foregoing Statement and Release, that I know the representations
made are true; and that I agree to be bound by the terms of the statement and
release both personally and as representative of the interests of the minor.
Signature: __________________ Date:
______ Signature: _________________ Date: _______
Subscribed
and Sworn before me this _____ Day of _________,
20____
Notary Public _________________________ Date Commission Expires ____________