2021 Membership Application & Wavier

Thank you for your interest in joining the Maritime Barrel Racing Association! Please fill out the digital form below to submit your information (payment details are included below as well), or click here to download a printable .pdf that you can fill out and mail in.

Mail form and signed waiver to:
Maritime Barrel Racing Association
℅ Cindy Wamboldt.
387 New Elm Rd
Chelsea NS
B4V7M3
cwamboldt30@gmail.com

If you have any questions, please do not hesitate to contact us!

If applying for a family membership please list all family members with the date of birth of all youth. Family membership is defined as maximum of 2 adults and any number of youth all residing in the same household. If needed attach a separate list.

All newsletters and notices will be mailed electronically unless otherwise indicated. Please check yes below if you need to have yours sent by Canada Post.

Please list the MBRA numbers you have and the horse associated with that number. Please, also include any numbers you have and don’t currently use. Any numbers not being used for an extended period of time and/or not listed here may be reassigned by the MBRA (If needed please attach a separate list)

With the exception of new members, an additional late fee of $10.00 will be charged after May 1, 2021. For those entering Exhibitions, with the exception of new members, the fee will be double the original fee if received after the close of Exhibition Entries.

2021 Fees: Individual $30.00 Family $60.00

2021 MBRA APPLICATION FOR MEMBERSHIP

By signing this form I/We understand that I/We are applying for membership in the Maritime Barrel Racing Association (herein referred to as the MBRA) and agree to the following:

I/We understand that membership in the MBRA is subject to acceptance by the current board of directors of the MBRA and is a privilege not a right.

I/We understand said membership can be suspended or revoked at any time by the board of directors in accordance with the Bylaws, Rules and Regulations of MBRA and I/We agree to be bound by all such bylaws, rules and regulations.

I/We agree to assume full responsibility for the safety of myself/ourselves and/or my/our representatives, horses or property during any function or event sanctioned by the MBRA.

I/We understand that the MBRA does not carry personal liability insurance on behalf of its competitors and applicant therefore understands that I am/we are responsible for obtaining such insurance.

I/We agree that I/We and my/our representatives shall conduct themselves in a courteous and sportsman like manner at all times, at all MBRA sanctioned events, and to respect not only the rules and regulations of the MBRA but the rights of others to attend and compete in such  vents.

Please type your name in the wavier signature field below as a signature & acknowledgement of this info.

 

NOTE: When applying for a family membership both adults must sign.

Etransfer payment to mbrapayments@gmail.com ℅ Tommy Fraser.
Password: mbra

With the exception of new members, an additional late fee of $10.00 will be charged after May 1, 2021. For those entering Exhibitions, with the exception of new members, the fee will be double the original fee if received after the close of Exhibition Entries.

NOTE:
1) Parent/legal guardian must sign for any and all youth.
2) Unsigned applications will not be accepted.
3) Payment must accompany application.
4) Members are responsible to ensure the association has their current contact
information (postal address, phone number and email address information).

reCAPTCHA is required.