APPLICATION
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printing results highlight the entire application only, go to file, choose print, then choose the print selection option,
then click Print, or copy and paste into a word document and Print from the document.

Please
Print Application / Fill Out Completely / Mail To SSRA at the Address Provided Below
Name______________________________________
Address____________________________________
City/State/Zip
County__________Tel#_______________________
Email___________________________________
Put and X next to the membership type:
___General-$25.00
___Associate-$20.00
___Commercial-$50.00
_____Cash_____Check (Make
checks payable to: SSRA)
Mail To: SSRA PO Box 471463, Tulsa, OK 74147-1463
Liability
Waiver
I,______________________________, Do
hereby waive all liability of SSRA, all of its membership associations and affiliates, their officers and members, clubs,
bars, related facilities, and Rodeo facilities, the City, the County, the State and all their entities, where an SSRA activity
is held, for loss or injury caused to my person, property, or other person and their property, for the duration of said activity.
Dated: ____ day of _______,
20___.
Signature
Name and Photo Release
My Name__ Can or __ Cannot be used. My
Photos __ Can or __Cannot be taken and Used by SSRA and/or the news media. I fully understand that if I indicate, “can,”
that these pictures become the sole property of SSRA.
Dated: _____ of
_________, 20____.
Signature