CePRAmembership application

CENTRAL PLAINS RODEO ASSOCIATION MEMBERSHIP APPLICATION2614 27th Ave. • Gypsum, KS 67448 − Darla Crowther, Secretary / (785) 254-7385 • Scott Burch, CPRA President / (316) 747-3029

Applicants are required to submit a completed application. An application without a United States Social Security Number will not be processed.As a member of the Central Plains Rodeo Association, you are hereby required to participate as a contestant in a minimum of three (3)

fi rst approved CPRA-sanctioned rodeos per rodeo season to qualify for the CPRA Finals Rodeo.(NEW MEMBERS OR CURRENT MEMBERS WITH CHANGES)NAME ______________________________________________________________________________________________________________ADDRESS __________________________________________________________________________________________________________TELEPHONE _____________________ CELL PHONE ___________________ (Or Alternate) AGE ________ JACKET SIZE ______SOCIAL SECURITY #: _________________________ (Mandatory) EMAIL ADDRESS ___________________________________________Please Check Events In Which You Plan To Compete:BAREBACK RIDING____ SADDLE BRONC RIDING____ BULL RIDING____ STEER WRESTLING____ CALF ROPING____TEAM ROPING____ BARREL RACING____ HAZER____ CONTRACT ACT____ OTHER_____

ANNUAL DUES: CONTESTANT: $90.00 / CONTRACT ACT OR OTHER: $35.00DATE DUES PAID: ____________________ / CARD NUMBER:_______________FIRST QUALIFYING RODEO:________________ (MEMBERSHIP FEES INCLUDE RODEO NEWS PUBLICATION)I do hereby apply for membership in the Central Plains Rodeo Association, and by becoming a member I agree to abide by the rules and regulations set by or adopted by the CPRA and its approved rodeos and regulations.

SIGNATURE OF APPLICANT ____________________________________________________________________________________________PARENT OR GUARDIAN (If Under 18) ____________________________________________________________________________________ASSUMPTION OF RISK AND RELEASE OF LIABILITY. Members acknowledge that rodeo events, including CPRA-sanctioned events, are inherently dangerous ac-tivities. Members further acknowledge that participation in a CPRA-sanctioned event exposes the participant to substantial and serious hazards and risks of property damage, personal injury and/or death. Each member agrees to assume such hazards and risks. Each Member further agrees to discharge, waive, release and covenant not to sue CPRA, all CPRA sponsors, all members (including, without limitation, contestants, Stock Contractors, Rodeo Committees, and Contract Personnel), and each party’s respective offi cers, directors, employees and agents, from all claims, demands and liabilities for any and all property damage, personal injury and/or death arising from such member’s participation in a CPRA-sanctioned event. This discharge, waiver and release includes claims, demands and liabilities that are known or unknown, foreseen or unforeseen, future or contingent, and includes claims, demands, and liabilities arising out of the negligence of the parties so released by such member. The undertakings and covenants of the foregoing provisions shall be binding upon each member, his or her heirs, legal representatives, successors, and assigns.

SIGNATURE OF APPLICANT ____________________________________________________________________________________________

FOR CURRENT MEMBERS ONLY - no changes: NAME:______________________________________Date Dues Paid:_______________ Card Number: ________________First Qualified Rodeo: __________________________