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American Computer Barrel Racing Association
2008-2009 MEMBERSHIP APPLICATION
2008-2009 POINT YEAR BEGINS AUGUST 30, 2008
CHANGES HAVE BEEN MADE TO THIS APPLICATION SO PLEASE READ CAREFULLY!!!
MEMBERSHIP BEGINS THE DAY THE COMPLETED APPLICATION IS RECEIVED BY THE ACBRA OFFICE.
IF YOU ARE JOINING AT AN ARENA, PLEASE PAY SEPERATELY!
CATEGORY ENTERING (CIRCLE ONE)--BASED ON HORSES LIFETIME BARREL RACING EARNINGS:
UNDER $1000 $0-$999
UNDER $3500 $0-$3499
UNDER $7500 $0-$7499
OPEN $7500 +
JUNIOR 14 and Under
HORSE’S REGISTERED NAME: _________________________________ENTRY NAME: ______________________
HORSE’S LIFETIME BARREL RACING EARNINGS: _ ______________________________________
RIDER’S NAME: ______________________________________________________________________
RIDER’S LIFETIME BARREL RACING EARNINGS: __________________________________________
EARNINGS MEANS THE TOTAL MONEY WON BY THE HORSE OR RIDER AT ANY TIME OR ANY PLACE, INCLUDING RODEOS, FUTURITY/DERBY, OPEN JACKPOTS, ETC. IF SPECIFIC EARNINGS ARE UNKNOWN, A BEST ESTIMATE SHOULD BE MADE. YOU MUST ENTER AN AMOUNT EARNED FOR THE HORSE. A HORSE MAY BE A MEMBER IN ANY CATEGORY THAT HIS/HER EARNINGS ALLOW.
COMPLETE APPLICATION MUST INCLUDE:
1. $55 MEMBERSHIP FEE PER HORSE OR JUNIOR RIDER/HORSE COMBO.
2. ASSOCIATE MEMBERSHIP IS $30.00--INCLUDES THE RACER’S EDGE PUBLICATION
3. JUNIOR
APPLICANTS MUST SUBMIT A COPY OF THEIR BIRTH CERTIFICATE. MUST BE 14 YEARS
OF AGE OR UNDER AS OF AUGUST 30, 2008. JUNIORS 9 AND UNDER
MUST WEAR AN APPROVED RIDING HELMET AT ALL ACBRA APPROVED AND
CO-SANCTIONED EVENTS.
IF YOU JOINED AT AN ARENA AND DID NOT ATTACH JUNIOR APPLICANTS BIRTH CERTIFICATE, YOU HAVE 10 DAYS TO MAIL IT TO THE MEMBERSHIP SECRETARY. NO MEMBERSHIPS WILL BE PROCESSED UNTIL ALL INFORMATION IS OBTAINED. YOU SHOULD ALSO PAY FOR YOUR MEMBERSHIP SEPERATELY WITH A CHECK. YOUR CHECK IS YOUR RECEIPT. IF YOU DO NOT PAY SEPERATELY AND YOUR MEMBERSHIP APPLICATION IS NOT COMPLETE IT WILL STILL BE RETURNED AND YOU WILL BE RESPONSIBLE FOR PROVING PAYMENT WHEN COMPLETED APPLICATION IS RETURNED TO MEMBERSHIP SECRETARY.
OWNER’S NAME: ___________________________________________SSN#________________________
ADDRESS: _________________________________________________CITY: _______________________
STATE: ________ ZIP:__________PHONE: _________________________________________________
EMAIL ADDRESS: _____________________________________________________________________
I, the undersigned, agree to abide by all the American Computer Barrel Racing Associations rules, and in no way will hold the above association or any of its members, arena operators, owners, or other members responsible for any accidents or injuries that may occur on any of the grounds as a spectator or competitor. I agree that should medical treatment be required for any participant for whom I am responsible, that I and/or my medical insurance shall pay for all such incurred expenses. I agree that I shall be responsible for my negligent acts and the negligent acts of my family members and/or legal wards and animals, and I do carry liability insurance protection for such occurrences. The Association reserves the right to accept or reject any memberships or entries.
SIGNATURE: ______________________________________________________DATE:__________________
SIGNATURE OF PARENT/GUARDIAN: ___________________________________DATE:__________________
IF MEMBER IS A MINOR
MAIL TO: ACBRA C/O
ALL OUTSTANDING DEBTS, NSF CHECKS PLUS ALL BANK CHARGES MUST BE CLEARED PRIOR TO ACQUIRING ANY POINTS.
IF AT ANY TIME YOUR HORSES MEMBERSHIP CATEGORY IS CHALLENGED, YOU MUST SUBMIT A COPY OF THE HORSE’S REGISTRATION PAPERS (OR A PICTURE OF THE HORSE IF NOT REGISTERED) WITHIN 10 DAYS AFTER THE RECEIPT OF NOTICE TO THE ACBRA. FAILURE TO DO SO WILL RESULT IN FORFEITURE OF POINTS, ATTENDANCES AND POSSIBLE INELIGIBILITY.