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) -
LIABILITY RELEASE
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.JUNIOR CONTESTANTS ONLY:
__________________________________(Notary Public)