XBR Membership Application

MEMBERSHIP DETAILS

1. Payment Status: *This question is required.

2. TYPE OF MEMBERSHIP:

Full Membership includes voting rights, one companion pass, and entry advantages.
Rookie Permit is only applicable for a first-time member of the XBR or a returning member whose total individual earnings are less than $500. Permit holders do NOT have the right to vote.
Judge’s Card includes voting rights and one companion pass.
Associate Membership is a great way to support the sport of Xtreme Bronc Riding! Associate Membership benefits include: membership card, window decal, admission/access to contestant seating at sanctioned rodeos; XBR Rulebooks available to Associate Members by request. *Associate members do NOT have the right to vote and are not granted competition privileges.

*This question is required.

3. XBR MEMBER CONTACT DETAILS *This question is required.

First Name

Last Name

Street Address

City

State

Zip

Country

Email Address

Phone Number

Date of Birth This question requires a valid date format of MM/DD/YYYY.

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4. Emergency Contact

Name

Relationship to Contestant

Phone Number