ROUGHRIDER RODEO ASSOCIATION MEMBERSHIP APPLICATION
11600 135TH AVE. SE, SAWYER, ND 58781-9106

Name:_____________________________________________________________________________
Street or Box Number_________________________________________________________________
Town_____________________________State___________________________Zip Code___________
Phone Number___________________________Birthdate_________Year of Birth__________________

MEMBERSHIP CATEGORIES

Family: Includes parents and any children 18 years of age and under as of January 1st. of the competing year- $70.00.
Single: Any contestant over 18 years of age as of January 1st of competing year - $50.00.
Junior: 18 years of age and under as January 1st of competing year (for competition in JUNIOR EVENTS ONLY) -
$30.00.
Permit: Allows contestants to compete at one rodeo, but points earned will not count toward year end standings and
championships - $15.00.

LIABILITY RELEASE
Intending to compete in rodeos by or in other ways connected with the Roughrider Rodeo Association of ND, I hereby represent that I am fully aware that participation in rodeo events can be hazardous, that I am familiar with rodeo stock, facilities, equipment and operations, that I am capable of determining for myself whether rodeo stock is suitable and whether rodeo facilities, equipment and operations are safe and proper and that I will not pay my entry fee to participate in any rodeo without first satisfying myself that the stock is suitable and safe and that the facilities, equipment and operations are also safe. I am also aware that if I should pay my entry fee and later decide that for any of the above reasons, that I do not wish to compete that I will ask for and am entitled to full refund of my entry fee monies.

In consideration of the rodeo association permitting me to enter rodeos with which it is connected as sponsor or otherwise, I hereby agree to hold the association, its agents, sponsors, officers and employees harmless in the event I sustain injury to me or my personal property resulting from participation in any such rodeo and by this instrument I hereby release and discharge Roughrider Rodeo Association of ND and its agents, sponsors, employees and officers from any claim for injury to me or my personal property, past, present, or future, resulting from my participation in any such rodeo event.

This will certify I have carefully read that foregoing and I fully understand that I am agreeing, in advance, to give up any claim I might otherwise have against the said rodeo association arising out of injuries and damages sustained as a result of my participation in a rodeo event, or being in attendance thereat.

Date______________Contestant Signature_________________________________________________
Witness____________________________________________________________________________

JUNIOR CONTESTANTS ONLY:
I declare that I am one of the parents of the above named minor, that I have carefully read the foregoing statement and release and 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 interest of the minor.
  
                 Parents Signature__________________________________________________________

Subcribed and sworn before me this______________day of ________________20__________________.

__________________________________(Notary Public)