Membership Form

There are two ways in which you can print off your membership form. Don't worry if nothing seems to be working and you are getting as excited as a barrel horse going through the start gate go to step #3.

1) Click on this link and then down load it to your comp and then you can print it off and send it in to the office and you are off to the races ! (very easy but only if you have Microsoft Word) PCBRA_Membership_Form.doc

2) You should be able to copy the membership form below, by highlighting the form below, right clicking, clicking on copy and then pasting it into an word document you are able to print from.

3) If you are unable to do this please contact our Secretary/ treasurer, Heather Moat (250-843-6865), she will be able to mail or fax you a copy!

Please Continue to Mail Your Membership
 and Money to the office

PCBRA

C/O Heather Moat

Box   107

Farmington, BC V0C 1N0

Special Note: There has been a change to our memberships and jackpot counting.

You can NOT count ANY jackpots on your cards prior to the date stamped on you Jackpot card. Once your membership is received by the secretary along with all fees, a jackpot card will be sent to you with a date stamped on it. This date is the post marked date from the envelope in which your membership was received or if this date was eligible it will be the date in which the mail was last pick up.   

If you have questions and/or are having difficulty filling in the Membership form please feel free to contact any of the Peace Country Barrel Racing Directors. You can find there names, numbers, and email addresses on the website www.pcbra.com in the “board contact” page.

Membership forms and money will not be accepted by jackpot hosts.

2009/2010 Membership Form

******(please print one form   for each person)******

Name:__________________________________________________________________

Address:________________________________________________________________

Email Address:________________________________________________________________

Telephone:_____________________________   Fax:__________________________________

Please note & leave your fax number if you wish to have the jackpot schedule faxed to you

Associate Membership - $20.00 -----------------------------------$__________                          (associate memberships are a membership for non competing members who wish to   vote)

Open Membership - $75.00 ----------------------------------------$__________                       (open memberships are a membership for those who want to compete)

Junior Membership - $55.00 - Birth Date:   __________------$__________          
(16 & under as of August 1st, 2009)

Pee Wee Membership - $35.00 - Birth Date:   ________------$__________       
(8 & under as of August 1st, 2009)

TOTAL ENCLOSED: $_________

One Attendance Card per Horse:   Total # of cards Required ________________

Parents Names:__________________________________________________________

Parents Signature:________________________________________________________

I hereby understand that I take full responsibility and I WAIVE ALL CLAIMS against the Peace Country Barrel Racing Association, its executive, directors, members, agents, contractors, employees and facilities, thereof for any and all injury, loss or damage, which I or my property may sustain.

SIGNATURE:_________________________________________________
DATE:_________________________