2016
Gulf Coast Barrel Racing Association
Membership Application
www.gcbra.net
Mail to:
Misty Myers
5913 Avenue F
Santa Fe, TX 77510
Odie.girl@yahoo.com
Dues: $60- per member and $40- for each additional
Family Member living at same address
Fines: $40- per member*Must be paid before you can Rejoin
Fines are owed for neglecting work-points from previous year(s)
Member Requirements:
 Workpoints-20 points per member
 Donation-$60- Cash Donation per member, due in June
These requirements must be met to participate at the
Year End Finals.
Name:
Mailing Address:
City, State, Zip:
County:
**MEMBERS RECEIVE THEIR ASSOCIATION INFORMATION VIA EMAIL/WEBSITE**
Email Address:
Home Phone # ( )
Cell # ( )
Date of Birth:
Parents Name if the under age of 21:
School (if applicable):
Occupation, Employer & Work Phone #:
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The following must be completed prior to anyone under the age of 21 will be allowed to join the GCBRA.
I hereby release the GULF COAST BARREL RACING ASSOCIATION from responsibility in the event of an accident
or injury to my child.
Signed (Parent or Guardian):
Date:
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I hereby release the GULF COAST BARREL RACING ASSOCIATION from responsibility in the event of accident or
injury to myself or my horse. I further acknowledge that they are not responsible for loss or damage to my
personal property.
Signed:
Date:
*ALL DOGS MUST BE ON A LEASH AT ALL TIMES and NO ALCOHOLIC BEVERAGES*
ALLOWED AT GCBRA EVENTS!!
Please Read your Rulebook for all Rules and Regulations.