New Membership: $150.00                                            President: Morgan Saunders (817)995-1142
Returning Membership: $100.00 
Non-Competing Membership: $35.00                               Vice President: Marty Sitzmann (214)226-3111

Mail Application to:
     WSPBR
     C/O  Marty Sitzmann
     1306 Johnson Lane
     Kemp, TX  75143



DATE:_________________________

NAME:__________________________________________________

ADDRESS:_______________________________________________     CITY:_____________________     ZIP:_________

HOME #:__________________________________    CELL #:_______________________________

SOCIAL SECURITY #:______________________________________    BIRTHDAY:____________________________

Email:___________________________________________________   

COAT SIZE:(Circle One)  S     M     L     XL     XXL      SHIRT SIZE:(Circle One)  S     M     L     XL     XXL


In case of an emergency contact:

NAME:__________________________________     RELATIONSHIP:___________________     PHONE:____________________


I, ________________________________________hereby acknowledge the rules of the WSPBR.  As a member I will acknowledge all of them and will conduct myself in a professional and moral manner at all times.  I also know if for any reason any of the bylaws are broken by myself I can be fined, suspended or terminated.  I understand if for any reason I owe any fines to the WSPBR they are to be paid before I will be allowed to enter and ride in any WSPBR event.  I cannot and will not hold the World Senior Pro Bull Riders or any of the Board of Directors responsible for any injury.  I understand and will obey the Bylaws and Rules of the WSPBR.


SIGNATURE:_____________________________________________________   (Must be Notarized)

NOTARY SIGNATURE:_____________________________________________     DATE:__________________________

EXPIRATION DATE:_______________________________________________