UBRA Weekend Membership Form - $25
Questions? (715) 857-6343 or info@ubra.org

MEMBERSHIP INFORMATION
Name:
Phone:
Address:
E-mail:
City, :
    
State Zip:
Age as of 1/08:
List additional family members information below. Fee $20 per additional member
Name   
 Age as of 1/08

Membership Term & Fees: Weekend Membership Fees are $25/person . ($20 for each additional family member.) Regular yearly Open Membership Fees are $50/person and Youth/Futurity Membership Fees are $30/person. ($20 for each additional family member.)

Membership is effective for the weekend only. There are NO REFUNDS for any reason. Membership entitles you to accumulate points for weekend added money and awards.

Disclaimer of Liability I hereby request membership with the United Barrel Racing Association LLC aka UBRA. I agree to release and hold harmless The UBRA, arena owners, event promoters, sponsors, and any person connected with UBRA produced and endorsed events from losses, damages, or injury to me, my equipment, and/or my animals resulting in my attendance or participation in any UBRA produced or endorsed event. United Barrel Racing Association assumes no liability to those who have not read these conditions and having not read these conditions, they are still held to their contents.______________________________________________________________________________________
Signature & Date

Or print and mail membership application along with a check or money order to:
UBRA; 960 Bunyan Ave., Balsam Lake, WI 54810

Good Luck and HAVE FUN!

United Barrel Racing Association
www.ubra.org (715) 857-6343 info@ubra.org