AMERICAN JUNIOR RODEO ASSOCIATION
2010 MEMBERSHIP APPLICATION
An organization of unmarried junior cowboys and cowgirls, 19 years of age or under, and of the United States,
Canada, or Mexico. Fill in all blanks below and mail to the AJRA, 2792A West Washington St., #176, Stephenville, TX 76401 Phone - (254) 434-1542..Name of Applicant_____________________________________________________ ¨ Male ¨ Female (First) (Last)
Mailing Address_____________________________________________________________________________
(Box or Street) (City) (State & Zip)
Birth Date________________Grade in School_________Social Security Number_______________________
Parent’s Names_________________________________________________
Home Phone Number____________________________________________ YES, list number on website.
Work Phone Number____________________________________________
Cell Phone Number______________________________________________ YES, list number on website.
E-Mail Address_________________________________________________
The yearly dues are based on a Family Plan – 1st child $75.00, 2nd child $60.00, 3rd child $45.00, 4th child $30.00 and more than four would receive free membership (
dues must accompany this application). The membership runs from August to August each year. Membership cards will be mailed upon receipt of this form. If any of the above information is found to be false, your membership is automatically terminated and your dues, points and point standings are forfeited. The burden of proof lies with the member in case of question relative to the above information.Minor’s Release
To: The American Junior Rodeo Association, Inc.
I (we), the undersigned parent (’s) of_______________________________________________________________
do fully agree and consent to the participation of our child in any and all Junior Rodeos approved by The American Junior Rodeo Association and in consideration for permitting our child to participate as a contestant in such rodeos, we herby consent and fully acknowledge the following: "AJRA members and permit holders acknowledge that rodeos are dangerous activities and that participation in a rodeo as a competitor, an independent contractor, or volunteer, exposes the participation to a substantial and serious risk of property damage, personal injury or death. AJRA members and permit holders acknowledge that participation in AJRA sanctioned rodeos will involve such a hazard. Being fully aware that participation in AJRA sanctioned rodeos will expose said member or permit holder to substantial and serious risk of property damage and/or personal injury or death, said member or permit holder releases AJRA, sponsors, and AJRA sanctioned rodeo production entity, their affiliated, related or subsidiary companies, and the officers, directors, employees, and agents of each entity or organization from liability for any and all property damage, personal injuries or other claims arising from participation in AJRA sanctioned rodeos, including claims that are known an unknown, foreseen and unforeseen, future or contingent. AJRA members and permit holders shall not now or at any time in the future, directly or indirectly, commence or prosecute any action, suit, or other proceeding against the before mentioned arising out of or related to the actions, causes of action, claims and demands hereby waived, released or discharged by AJRA member or permit holder. This provision shall be binding upon each AJRA member or permit holder, his/her spouse, legal representatives, heirs, successors, and assigns. I (we) further certify that our child is not and has never been married.
____________________________________________________________________
____________________________________________________________________
SWORN TO AND SUBSCRIBED before me this ______ day of ______________________________, 20_____
Notary Public in and for ___________________________________________________________
County__________________________________________________________________________