Membership Form

            By joining CCBR you and your horse can qualify for quality year-end awards, as well as being a member of a horse group that promotes real sportsmanship and true healthy fun.

Membership - $20.00 rider/horse team (per year)                 

                           $10.00 for each additional team (Horse or Division)

Divisions

· Assisted – Any age.  Handler MAY cross the Start/Finish Line.

· Pee Wee – 8 years old and under (unassisted)

· Youth – 9 years old to 12 years old (unassisted)

· Teen – 13 years old to 18 years old (unassisted)

· Novice Horse – Rider’s horse has not received accumulated awards in Barrel Racing or Gaming Events. (unassisted)

· Novice Rider – Rider has not received accumulated awards in Barrel Racing or Gaming Events. (unassisted)

· OPEN – Any age & degree of skill. (unassisted)

Accumulated Awards – i.e. High Point/Year End/High Honor etc.    Age – As of Jan. 1^st of current year.  Assisted – Handler may cross start/finish line and lead, point or help as needed.  Handler may touch horse and rider, but MAY NOT touch the equipment.  Unassisted – May have help into the arena, but handler/helper may not cross the start/finish line.

Rider/Horse Team ____________/_____________ Phone (   )                                  

                                    (Rider name              Horse name)

Full Address ______________________________________________________

                                                                                                City/state/zip

Riders Age _________       Division ___________________                       $20.00

2^nd Team ____________/________________ Division _____________     10.00

                 (Same Rider name)        (Horse Name)

3^rd Team ____________/________________ Division _____________      10.00

                                                                        Total Membership Fees $_____

By signing this form, I agree to CCBR rules & verify that if rider listed above is entering a “Novice Rider” that rider has not received any accumulated awards in barrel racing or gaming events. If entering “Novice Horse” division, the horse has not received any accumulated awards in Barrel Racing or Gaming events.  I also acknowledge that I am riding at my own risk.  Minors must have parent sign form as well as entry blank/release forms at all shows.

Signed ______________________________________ Date_______________

If you have any questions at all, please feel free to call Debbie Weber at 919-567-1045.  Rules and Guidelines available on line as well as at all the shows, at the entry booth.  Members will have access to monthly newsletters with point’s standings and latest information.  T-shirts with CCBR logo will be available members at a discounted rate. Members will also receive a $5 discount at show when they enter all six events on one horse in one division.

Send completed form and payment to:                  CCBR

                                                                                    597 Farabow Drive

                                                                                    Holly Springs, NC 27540