Penn -Ohio Barrel Racing
Association
2009
Membership Application
Individual Membership Fee: $35
Family
Membership Fee: $55
Please fill out for Individual
Membership
Name_____________________________________________ Age ________________
Address________________________________________________________________________
Phonee______________________________
Work______________________________
E-Mail_________________________________________________________________
Can we E-mail updates
to you? ____________________________________________
Do you have internet
access to log onto the web site? __________________________
Date of
membership______________________________________________________
Please fill out for
Family Membership
(Family member must be
18 years or younger and live in same household)
Family
Name____________________________________________________________
Address________________________________________________________________
________________________________________________________________________
Phone______________________________ Work_______________________________
E-Mail__________________________________________________________________
Can we E-mail updates
to you? ____________________________________________
Do you have internet
access to log onto the web site? __________________________
Date of
membership______________________________________________________
Member
#1________________________________________Age___________
Member
#2________________________________________Age___________
Member
#3________________________________________Age___________
Member
#4________________________________________Age___________
Penn-Ohio Classes
Open 4-D
Master (Rider 39 years and over)
Adult (Rider 19 years-38 years)
Youth 3-D (Rider 18 years and under)
Pee-Wee (Rider 10 years and under, pony
58”& under)
Jr. Horse (Horse 5 years and under)
Poles
A mandatory
sponsorship is needed for all members due by May 1. If you join after May 1st
you have 60 days from the day you joined to turn in your sponsorship form or
you will not receive your points.
Individual
Sponsorship-$50 Family Sponsorship $75
Please make checks payable to Penn-Ohio
Barrel Racing Association and send to: Kristine Nagy 6445 Fairland Rd.,
Clinton, OH 44216
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