PO Box 826, Dickinson, ND 58602
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PO Box 826, Dickinson, ND 58602
Application for SWBR Membership
(please print and mail with your signature)
Name:__________________________________________________________________________________________
Address:________________________________________________________________________________________
Phone:_________________________________________________________________________________________
E-Mail (only if you'd like electronic updates)__________________________________________________________
Membership dues are $25 per open rider. Youth memberships are $15. Memberships are for one eight week series only.
Horse's Name: _____________________________________(if purchasing memberships on more than one horse)
Horse #2_______________________________________
Horse #3_______________________________________
For family memberships, please include names of all members. Please see the rules for clarification on family memberships.
Family List
| Name | Horse | Cost |
Total: $_________________
By signing this form, I acknowledge that barrel racing can be dangerous and I release anyone affiliated with SWBR, the arena and staff from any liability should myself or my horse become injured or killed. I also realize that SWBR and affiliates are not responsible for any lost or stolen property, and/or accidents that may occur on the arena grounds.
Signed_________________________________________________________________
Parent or guardian if under 18_______________________________________________________
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