Membership Application
 

MRCA 20____ Membership Application

All Contesting Members Must Be Missouri Residents

Enclosed is $85.00 for contestant membership or $55.00 for a personnel card to the Missouri Rodeo Cowboy Association, Inc.  Also available is a $25 “Associate Membership” for keeping in touch with the MRCA.  Memberships become delinquent after December 31^st.

All membership cards must be purchased by June 15 to be eligible for the current year finals.

 Return this form to:  MRCA Secretary ~ Rural Route 2, Box 254, Adrian, MO  64720-9471

Check all that apply:    Contestant £       Personnel £         New £      Renewal £ Gold Card Member £

Please Print:                                                                                                            Card Number_______________

Name                                                                                                                                                                                      

Address                                                                                                                     County                                                 

City                                                                           State                                         Zip                                                       

Phone                                                                        Email                                                                                                    

Birth Date                                                                                    Circle Jacket Size   XS    S    M    L    XL    XXL    XXXL

Circle event:     BB         SB         BR        CR         O40CR         SW         GBR        TR header        TR heeler        BKWY

Circle Personnel Category:  Announcer    Secretary    Timer    Judge    P/U Man    Bullfighter    Other                                

Associate Membership:  £ (Does not allow any benefits for awards or hire at any MRCA event.)

Payment        £ Cash             £ Check               £ Money Order        Total Paid:                                                                

A $5.00 service charge will be added to all payments made by Credit Card.  Include all charges in your total paid balance.

£ Visa  £ Mastercard £ Discover   Card No:                                                                 Expiration Date:                          

Name as on the Card:                                                                 Cardholder Signature:                                                               

MO Drivers License No.                                                                   MUST Be Provided in Order to Issue a Contestant Card

Signature                                                                                                                                                                 

I certify the above information to be correct, as a member of the MRCA, I agree to abide by all rules, by-laws and regulations at all MRCA sanctioned and co-sanctioned events.  I will not hold the MRCA or any of its affiliates liable for property damage or injury.

The undersigned (including the undersigned’s parent or legal guardian if the undersigned is under the age of 18) hereby assumes the risks inherent in all rodeo or other equine-related activities, including without limitation, all physical or other injury to the undersigned and all accident, injury or damage to any horse owned, leased, ridden, handled or otherwise under the care and responsibility of the undersigned (the “Activities”).  The undersigned hereby agrees to release, hold harmless and indemnify the MISSOURI RODEO COWBOY ASSOCIATION, INC. (“MRCA”) and all employees, directors, officers, agents and affiliates of the MRCA (collectively, the “Indemnity(ies)”) to the full extent authorized or permitted by applicable law, which indemnification shall include but not be limited to any and all expenses (including attorneys’ fees), judgments, fines and amounts paid in settlement incurred by Indemnities in connection with any proceeding arising as a result of or relating to or in connection with the Activities to which any Indemnity is, was or at any time becomes a party, or is threatened to be made a party.  The extent of the indemnification provided hereunder shall be expanded whenever necessary to provide Indemnities with indemnification to the fullest extent permitted by applicable law in the event such law may change or develop in the future, but in no event shall the extent of indemnification be less than the fullest extent permissible under applicable law as in existence at the time the Agreement is executed.

Parent/Guardian Consent:

I certify that the age and date of birth of the below named person is correct, and I hereby consent to their participation in the Missouri Rodeo Cowboy Association, Inc.  I agree that in no event will I hold the MRCA, it’s agents or employees liable for injury or property damage while participating at a rodeo or while en route to or from a MRCA sanctioned event.

APPLICANT                                                                            BIRTHDATE                                           AGE                       

ADDRESS                                                                                           DATE                                                                         

CITY/STATE/ZIP                                                                  PARENT/GUARDIAN SIGNATURE                                                 

The Foregoing instrument was acknowledged before me this day                                         by                               parent, guardian, and/or above applicant, and I certify that the above information is true to the best of my knowledge.