Membership Forms

Date*

Name*

First Last

Address*

Street Address City State ZIP Code

Phone*

Email Address*

Emergency Contact Name*

Emergency Contact Phone*

E-Signature*

Any person becoming a member of the association shall comply with all of its rules, by-laws, decisions and bound by the same. Only members in good standing shall be eligible to participate in the activities of OBRA and shall be eligible to receive any awards or benefits sanctioned by the rules of the OBRA. The OBRA does not discriminate against sex, race, creed or religion. As a member of the OBRA, I hereby agree to hold harmless and assume the risk of any injury to myself, property and every minor person who accompanies me to an OBRA sponsored or co-sponsored event. Furthermore, I will hold harmless each equine activity sponsor from any claim of injury or damage that could be sustained by me, my property and every minor person who accompanies me to an OBRA sponsored or co-approved event. PLEASE SIGN AND DATE BELOW (If under 18 years of age, application must be signed by a parent or guardian.)

First Last

Date*

HORSE NOMINATION FEES

YEARLY MEMBERSHIP FEE

Price: $50.00 Quantity:

CLASS*

(You may select more than one.)

OPEN
4D
$3500 NOVICE
$1000 NOVICE

OPEN

Price: $25.00 Quantity:

Horse's Registered Name:

Horse's Barn Name:*

Horse's Date of Birth:*

Horse Registration Paper Upload

Drop files here or

Previous Owner's Name

First Last

Previous Owner's Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Previous Owner's Phone

If you are nominating to a Novice Class, you must declare your novice horse’s LTE’s:

Coat Size*

Horse Blanket Size*

4D

Price: $25.00 Quantity:

$3500 NOVICE

Price: $25.00 Quantity:

LTE's $3500 Novice:

Horse's Registered Name:

Horse's Barn Name:*

Horse's Date of Birth:*

Horse Registration Paper Upload

Drop files here or

Previous Owner's Name

First Last

Previous Owner's Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Previous Owner's Phone

Coat Size*

Horse Blanket Size*

$1000 NOVICE

Price: $25.00 Quantity:

LTE's $1000 Novice:

Horse's Registered Name:

Horse's Barn Name:*

Horse's Date of Birth:*

Horse Registration Paper Upload

Drop files here or

Previous Owner's Name

First Last

Previous Owner's Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Previous Owner's Phone

Coat Size*

Horse Blanket Size*

TOTAL FEES

Total

$0.00

Rookie Nomination?

Yes

LTE's Rookie (no fee)

(To be eligible for Rookie, rider must be a 1st year OBRA member with less than $1,000.00 lifetime earnings (LTE’s) as of the date of nomination.)

NEW RULES*

• The Class you nominate into is where you will run all year. A 1000 novice Horse must run in the class according to Lifetime earnings. See Rule Book. Can't run in 1000 class if there is a lower class that you're eligible for.

• Send a picture of registration papers within 30 days of nomination for classes: Open, 3500 & 1000 Classes Only.

I have read the New Rules

CONSENT*

I swear that the above named dollar amount won for lifetime earnings at the time of nomination is correct. I grant OREGON BARREL RACING ASSOCIATION permission to verify these winnings if deemed necessary. If proven to be intentionally falsified, the above horse shall be dropped from the year end standings.

SIGNED:*

DATE*

PAYMENT OPTIONS

If mailing check, MAIL TO: Tanya Ledbetter Horsell Road, Bend, Or 97701 (make checks payable to: Oregon Barrel Racing Association)

Credit Card

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Oregon Barrel Racing Association has online forms and pdfs for Members, Race Producers, and for Sponsors.

Oregon Barrel Racing Association Membership Application for 2019-2020

HORSE NOMINATION FEES

OPEN

4D

$3500 NOVICE

$1000 NOVICE

TOTAL FEES