Membership Form

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                                            LSSRA MEMBERSHIP FORM

MEMBERSHIP DUES $150.00

(Must be paid in full for points and prizes to be awarded)

NAME ____________________________________________

ADDRESS _________________________________________

TOWN_____________________STATE____________ZIP________

PHONE____________________________________________

SOCIAL SECURITY #_______________________________

E-MAIL ___________________________________________

JACKET SIZE______________________________________

CHECK YOUR CLASSIFICATION

(LSSRA has the right to re-classify as necessary)

A___Open

B___Intermediate

C___Beginner

I have read and understand the LSSRA’s Assumption of Risk and Release of Liability and Indemnification. (ATTACHED) I know that this document binds myself, my heirs, my agents and representatives.

MEMBERSHIP WILL NOT BE ACCEPTED WITHOUT A SIGNED RELEASE.

SIGNATURE____________________________________DATE_____________

MAIL FORM AND $150.00 CHECK TO

LSSRA

1121 CR 416

COMANCHE, TEXAS 76442

ASSUMPTION OF RISK, RELEASE OF LIABILITY AND INDEMNIFICATION

 THIS IS A RELEASE OF LIABILITY. BY BECOMING A MEMBER OF THE LONE STAR STEER ROPERS ASSOCIATION (hereafter called LSSRA), YOU ARE AGREEING TO RELEASE THE LSSRA AND OTHER PARTIES FROM LIABILITY. PLEASE READ THIS PROVISION CAREFULLY.

Members acknowledge that rodeo events, including LSSRA-sanctioned events, are inherently dangerous activities. Members further acknowledge that participation in a LSSRA-sanctioned event (whether as a competitor, independent contractor, official, laborer, volunteer or observer) exposes the participant to substantial and serious hazards and risks of property damage, personal injury and/ or death. Each Member, in consideration of his membership in the LSSRA and his being permitted to participate in a LSSRA sanctioned event in any capacity, does by such membership and participation agree to assume such hazards and risks.

 Each Member further agrees to discharge, waive, release and covenant not to sue LSSRA, all LSSRA sponsors, all Members (including, without limitation, contestants, stock contractors, Rodeo Committees, Rodeo Producers and Promoters and Contract Personnel), and any other LSSRA- sanctioned event production entity (and each party's respective officers, directors, board members, employees and agents), from all claims, demands and liabilities for any and all properly damage, personal injury and/ or death arising from such Member's participation in a LSSRA-sanctioned event. Property includes (but is not limited to) ALL animals, vehicles, trailers and personal belongings, whether owned or borrowed. This discharge, waiver and release includes claims, demands and liabilities that are known or unknown, foreseen or unforeseen, future or contingent, and includes claims, demands, and liabilities arising out of the negligence of the parties so released by such Member. Furthermore, where permitted by applicable law, this discharge, waiver and release also includes claims, demands and liabilities arising out of the gross negligence or willful and wanton negligence of the parties so released. This discharge, waiver and release also includes claims, demands, and liabilities by a Member for indemnities and contributions arising from properly damage, personal injury and/or death to a third party. In the event that any provision of this discharge, waiver and release is determined to be invalid for any reason, such invalidity shall not affect the validity of any of the other provisions, which other provisions shall remain in full force and effect as if this discharge, waiver and release had been executed with the invalid provision eliminated. The undertakings and covenants of the foregoing provisions shall be binding upon each Member, his or her heirs, legal representatives, successors, and assigns. Indemnification. Each Member (including, without limitation, contestants, stock contractors, Rodeo Committees, Rodeo Producers and Contract Personnel) agrees to indemnify and save and hold harmless LSSRA and all LSSRA sponsors from any and all claims, demands and liabilities for any and all property damage, personal injury and/ or death asserted by a third parry (defined as any party other than the Member, LSSRA or a LSSR sponsor) and arising from such Member’s participation in a LSSRA-sanctioned event.

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SIGNATURE OF APPLICANT

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PRINTED NAME

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DATE