Acadiana Barrel Racing Association

Acadiana Barrel Racing Association

2021 Membership Form
*Participation and points begin to accrue only AFTER membership is paid.
2021 Memberships
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Single Membership $ 35.00
Please enter a short description.

Family Membership $ 65.00
FAMILY Mother/Father and children (age 19 or over must have own membership)

Processing Fee $ 3.00

Total $ 0.00
Name

First Name Last Name
Date of Birth

Month Day Year
Date
Email:
example@example.com
Phone Number

Area Code Phone Number
Mailing Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
FAMILY - PLEASE LIST ALL FAMILY MEMBERS THAT WILL RIDE (include last names, DATE OF BIRTH AND RELATION TO PRIMARY MEMBER) EXAMPLE: John Doe, 12/20/1992, Brother
I (we) agree to abide by all rules and regulations as set forth by the ABRA and the arena personnel. Any violation of
posted rules may result in my disqualification. I (we), including minor children, understand we ride and participate
in this event at our own risk as to any aspect of this event and understand ABRA is not in the care, custody or
control of any animal, participant, piece of equipment or portion of the arena or competition site. **PARENTS ARE
RESPONSIBLE FOR MINOR CHILDREN**. I hereby certify I understand this agreement and have read the ABRA
RULEBOOK and explained it to all members listed above and all family members. I (we) understand I am
responsible for any damages to ourselvs, our animals, our equipment or damage we may cause others as a result of
our participation in this association or event. (Rules available on our website or you can request a printed copy.)

Payment Methods

Debit or Credit Card

First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Please click one of the PayPal options to complete payment and submit the form.

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