SSRA Membership Application
Please Print and fill out the application completely and mail to the address
below
Name
________________________________________________________________________
Address
______________________________________________________________________
City/State/Zip _________________________________________________________________
County _______________ Telephone (______)_____________________
Email address
_________________________________________________________________
Membership Classification
& Dues
Mark an “X” next to the membership type:
_____General - $25.00
(Has 1 Vote)
_____Associate-$20.00
(No Voting Rights)
_____Commercial-$50.00
Payment
made by: _____ Cash _____Check (Make checks payable to: SSRA)
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.
Signed this ______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.
Signed this ______day of
,20________.
Signature