Member Information
The SSRUC would like to give back to the Sand Springs Community by starting a can or nonperishable food drive.
If everyone could bring a can or nonperishable food item to each of the Play Days and Team Penning, we could have a very impressive donation to give to the City of Sand Springs. Donated items will be given to the city to be handed out at Thanksgiving and Christmas.
MEMBERSHIP APPLICATION
P. O. Box 91
Sand Springs, OK 74063
(Please Print)
DATE: ____________________________
NAME: _________________________________________________________________________________
(Last) (First)
BIRTH DATE: _____________________________ AGE: _________
SPOUSE: _______________________________________________________________________________
(Last) (First)
BIRTH DATE: _____________________________ AGE: _________
ADDRESS: ______________________________________________________________________________
CITY: __________________________________________STATE:______ ZIP: _______
HOME PHONE: __________________________________________________________________
BUSINESS PHONE: __________________________________________________________________
CELLULAR: _________________________________________________________________
EMAIL ADDRESS: _________________________________________________________________
CHILDREN (RIDERS ONLY)
_________________________________________AGE:____ BIRTH DATE: _________
_______________________________________ _ AGE:____ BIRTH DATE: _________
_______________________________________ _ AGE:____ BIRTH DATE: _________
_______________________________________ _ AGE:____ BIRTH DATE: _________
CHECK ALL ACTIVITIES YOU ARE INTERESTED IN:
{ } PLAYDAYS
{ } TEAM PENNING
{ } TRAIL RIDING
{ } ROPING
{ } BARREL SERIES
I agree to abide by the Club’s Rules and By-Laws and realize that at all activities I take part in. I do so at my own risk.
Release: As parent or legal guardian of the above
named minors. I agree not to hold Sand
Springs Round-up Club, its officer’s, members, or landlords Responsible for any
accidents or loss which may occur.
CURRENT COGGING IS REQUIRED!!!!!!!
SIGNED: ___________________________________________
DATE: _____________________________________________
FAMILY MEMBERSHIP ($25.00) ______
SINGLE MEMBERSHIP ($15.00) ______
JUNIOR MEMBERSHIP ($10.00) ______
NEW MEMBERSHIP: _________ RENEWAL: _________
AMOUNT PAID: _____________ DATE: _______________
PD BY CHECK#_______________ CASH: _______________
RECEIVED BY: ____________________________________
DATE RECEIVED MONEY: ___________________________
