2021-2022 AJRA Membership Application

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NEW MEMBERS DO THIS !! REMIND 101 Before you complete this form, please join our REMIND 101 group (even returning members). You may join on multiple phones as well. This is how a lot of information will be sent out. Even have your child join on their phone. Instructions are below. By following "B" instructions, you do not have to download the app.

Done

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Member first Name *

Member Last Name *

Birthdate *

YYYY

Gender *

Male

Female

Grade level in school - K-5 is called JR and 6-8th is called SR. *

1st

2nd

3rd

4th

5th

6th

7th

8th

Is this the contestant's first year with AJRA? Indicting yes will make the contestant eligible for rookie points, given he/she competes in at least 2 events for at least half of the rodeo season AND at finals in those events. *

Yes

If you are a returning member, what was your back number last year? Leave blank if you do not know or if this is your 1st year with AJRA - You will be issued a back number :)

Mother's Name *

Father's Name *

Any other adult that will bring contestant to rodeo

Home Mailing Address *

City *

State *

Alabama

Florida

Other:

Zip Code *

Home Phone *

Dad Cell Number *

Can you receive text on this number? (Dad) *

Yes

Mom Cell Number *

Can you receive text on this number? (Mom) *

Yes

e-mail address

These are the events my child is interested in participating in: This allows us to prepare the correct amount of stock before the season begins. *

Sr Bareback Steer Riding (Boys)

Jr Bareback Steer Riding (boys)

Sr Breakaway Roping (Girls)

Sr Breakaway Roping (Boys)

Jr Breakaway Roping (Co-Ed)

Sr Tie Down Calf Roping (Boys)

Sr Pole Bending (Girls)

Jr Pole Bending (Co-Ed)

Sr Chute Dogging (Boys)

Sr Team Roping (Co-Ed)

Jr Team Roping (Co-Ed)

Sr Girls Goat Tying

Jr Girls Goat Tying

Sr Boys Goat Tying

Jr Boys Goat Tying

Sr Bull Riding (Boys)

Jr Steer Riding (Boys)

Sr Barrel Racing (Girls)

Jr Barrel Racing (Co-Ed)

Required

Please check the box below to show your understanding of the Call-in/Call-out procedures. *

I understand that I must enter online (link will be on facebook, website and sent out via REMIND) for the first rodeo of the season during the designated call-in time. Starting with the second rodeo of each season, my child will be automatically entered in the events chosen above. If I do NOT want my child to participate in a rodeo/event (draw out) OR I want to make a change to their events, I am required to contact the Call-In Secretary during the designated Call-in/Call-Out time to draw out of the rodeo or make the needed event change. Failure to do this means I will be responsible for all rodeo fees before my child will be eligible to compete at the next scheduled AJRA rodeo.

Required

TEAM ROPERS ONLY: please choose whether you will head or heel:

Header

Heeler

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TEAM ROPERS ONLY: Please put your Team Roping Partner's name below or type in DRAW if they are in need of a draw partner.

Please check the following showing you understand the items below must be received by the AJRA rodeo secretary on or before September ???, 2021. These forms can be found in the "2021-2022 AJRA Membership Application Part 2" on the AJRA Website. *

Acknowledgement of Membership Guidelines

Notarized release statement

Website/Internet Release Form

Report Card Grading System Form

Copy of last year's final report card (or a letter from school stating current grade level)

Copy of birth certificate

Copy of health insurance card

Membership payment ($50 for fist child, $30 for each additional)

Required

Please sign below and press submit. (You will receive a confirmation message once it is submitted). This is PART 1 of the application process. *** Please be sure to print the 2021-2022 AJRA Membership Application PART 2 and mail all forms in part 2 to the Association Secretary by September , 2021. Please type your full name below. All parent information will be put into a directory that will be shared with officers and directors. (Parent's Signature) *

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