PBRA Membership Form

COMMITMENT FROM EACH MEMBER BELOW:

I am aware that this is a PROFESSIONAL barrel racers association and I will conduct myself in a professional manner while attending all PBRA events.  Anyone who does not conduct themselves in that manner may be removed from the association immediately which includes adhereing to rules of producers events.

***********************************************************************************

copy/paste and print the below membership form for PBRA or email me at mrstinaspangler@aol.com and I will
email you the membership form..

Membership Form and Liability Release:

First and Last Name:
Street Address:
City, State, Zip code:
Email address:
Cell Phone:
Date of Birth:

I accept all responsibility and liability that comes with horses, riding, handling and competing as well as to my personal property.  I will not hold PBRA or the Producer of event liable for any injury, loss or death that may occur to me, my horse or my things during this event.  I agree to the RULES of PBRA stated above and I have read, understand and I have agreed to them as I sign and date this page:

___________________________   _____________________________________________
Members Signature                       Members name printed                Date

If above name is a MINOR under 18, parent or guardian must read and sign along with the minor below:

_________________________   ____________________________    ___________ 
Signature of Parent/Guardian      Parent/Guardian name print              Date

Mail Membership form with W9 to:
PBRA c/o
Tina Spangler
26645 CR 33
Groveland, FL  34736