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Name:
_____________________________________________________________ |
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Address:
___________________________________________________________ |
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City: |
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State: |
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Zip Code: |
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Home Phone: |
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Social Security # |
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Work Phone: |
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Date of Birth: |
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Cell Phone: |
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Dept/Agency: |
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E-Mail |
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Spouse: |
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Child |
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Name: |
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Child |
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Phone# |
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Child |
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Qualifications (Persons eligible for membership) |
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(1) Must be either and active or retired police
officer |
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(2) An active
or retired reserve police officer |
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(3) A
full-time firefighter, employed by a municipal, county, state or federal
firefighting agency |
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(4) A Member of the
Military,active,retired or reserve. |
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(5) The
immediate family (defined as:
mother,brothers,sisters,and offspring's,aunts & uncles. ) |
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(6) Spouse
& children 21 years and under of the associate members are also eligible. |
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(7) No
member of a professional rodeo association or organization will be eligible
for membership |
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if
they have received more than $2,000.00 in winnings the previous year in that
association. |
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(8) The qualifying officer or firefighter must
be a member of the NPRA, in good standing, for the |
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immediate family and or spouse to join. |
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(9) All members of NPRA must have proof of
medical insurance. |
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Applicants Signature:___________________________ |
Date: __________________ |
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Legal Guardian Signature: ______________________ |
Date:__________________ |
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Qualifying paperwork
may be requested to complete application process. If you have a question
concerning your eligibility for joining please call the rodeo office#
951-751-3364 |
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(NPRA does not carry insurance for members or
participants) |
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Continued |
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General Membership
Dues__________________________________ |
$ 100.00 |
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Family
Membership____________________________________________ |
$ 150.00 |
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Non-Competing Primary
Member____________________________________ |
$ 35.00 |
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Each Member Must Submit an Application |
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RETURN APPLICATIONS TO: |
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NPRA
2834 Hamner ave. PMB 140
Norco Ca. 92860
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Questions?
Please call 951-751-3364 |
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Please do not write below this line. For official
use only |
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Membership # |
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Post-Mark Date |
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Amount Enclosed |
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Proof of Insurance |
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******************************************************************************************** |
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