Professional Cowboy Association

 

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The Chute Gate

 
Membership Application
 

Please fill out the form below as completely as possible and then click the submit button below to send us your application. Our secure server software (SSL) will encrypt all of your information you input before it is sent to us. If you prefer you may fill out the pdf form and mail it to us. If you are under the age of 18 you must use the pdf form and include the Signature of parent or guardian.

  2017 Membership Application


 
Name:
Address:
City:
State:
ZIP:
Email:
Phone:
Alt. Phone:
Birth Date:
Jacket Size:
Events Worked or Type of Card. Check all that apply.

  Bareback Riding
  Calf Roping
  Steer Wrestling
  Breakaway Roping
  Saddle Bronc Riding
  Girls Barrel Racing

  Team Roping Heading
  Team Roping Heeling
  Bull Riding
  Bull Fighter
  Pick Up Man
  Contract Act

  Stock Contractor
  Judge
  Secretary
  Announcer
  Timer
  Photographer

Team Ropers must designate whether points will count for Heading or Heeling for the PCFR
Choose One:  Heading      Heeling

Rookie:  Yes  No
In order to qualify for ROOKIE, this must be your FIRST year to be a member of ANY rodeo association (excluding High School).

High School:  Yes  No
In order to purchase a PCA High School Membership, you must be a member of your State High School Association.
State:     High School Card Number:

 
Select One:
 
Credit Card:
Card Number:
Expiration Date:
CVV:   ?

I, , agree not to hold the Professional Cowboy Association, the Rodeo Committee, the Stock Contractor, or anyone involved in the production of a rodeo sanctioned by the Professional Cowboy Association liable for any theft or injury sustained at, to or from any rodeo. I further agree to be bound by the rules of the Professional Cowboy Association, and understand the Professional Cowboy Association Board of Directors solely governs the interpretation of the rulebook. I also understand I must enter and compete at a minimum of fifteen PCA sanctioned rodeos as a member in order to be eligible for the Professional Cowboy Finals Rodeo in each event for which I qualify.

I hereby authorize the Professional Cowboy Association or its assigns to debit my Credit Card Account for the amount of , plus a $5.00 Service Charge.