CARIBOU TRAIL JUNIOR RODEO ASSOCIATION

2017 MEMBERSHIP APPLICATION

Mail Application to CTJRA P.O. Box 1919 Omak, WA 98841

Name: ______
Address:______

City:______State/Zip Code:______

Birthdate:______Age as of 1/1/17______
Phone:______Email:______
Parent/Guardian Names:______

Parent/Guardian Email:______

Age Division: Circle Age Group and Gender

Little People (5 yrs and younger) /
Pee Wee (6 years to 8 years) / Boy / Girl
Juniors (9 years to 11 years) / Boy / Girl
Intermediate (12 years to 14 years) / Boy / Girl
Senior (15 years to 18 years) / Boy / Girl
Please list a T-shirt size / Adult______/ Youth______

PROOF OF AGE must accompany new membership application.Returning members proof of age are kept on file.
DUES: $75.00 for the first five family members (add $10.00 for each additional member living in the same household).

CTJRA RULEBOOK WILL BE USED

YEAR-END AWARD REQUREMENTS:

1)SPONSOR FEE: Each member must raise a minimum of $50/member or $150/family by June 11TH (2017 Points Only Rodeo) to be eligible for year-end awards.

2)RAFFLE TICKETS: Each member must sell 10 raffle tickets to be eligible for year-end awards. Each member who sells more than 15 raffle tickets does not need to raise the Sponsor Fee listed above. Proceeds are due on June 11, 2017 (2017 Points Only Rodeo).

3)VOLUNTEER HOURS: Each member must volunteer at one of CTJRA’s fundraisers in order to be eligible for year-end awards.

FOR POINTS TO COUNT FOR ANY RODEO, THIS APPLICATION NEEDS TO BE RECEIVED PRIOR

TO THE GRAND ENTRY ON THE FIRST DAY OF THAT RODEO

I, the undersigned, fully understand the official rules, and being the parent/guardian of the above named participants(s), do hereby give my permission for him/her to enter and compete in all the rodeo events sanctioned by the Caribou Trail Junior Rodeo Association for said child’s appropriate age group for the calendar year 2017. I hereby release and hold harmless the Caribou Trail Junior Rodeo Association, individual rodeo committees and members, and stock contractors from any and all claims whatsoever that may arise from personal injury, property damage, or medical expenses resulting from my minor child participating in or en route to or from a Caribou Trail Junior Rodeo sanctioned rodeo or event.
Signature of parent/guardian______
Subscribed and Sworn before me this______day of______,2017
Notary public in and for the state of______

Residing at______
My commission expires______

Signature______