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Florida Little Britches

Membership Application

First Name

Last Name

Birth Date

Division - Age as of 7/10/23

Little Wrangler 5 - 8

Junior 9 - 13

Senior 14 - 18

First Name

Last Name

Birth DAte

Division - Age as of 7/10/23

Little Wrangler 5 - 8

Junior 9 - 13

Senior 14 - 18

First Name

Last Name

Birth Date

Division - Age as of 7/10/23

Little Wrangler 5 - 8

Junior 9 - 13

Senior 14 - 18

Parent/Gaurdian Name*

Email

Parent/Gaurdian Name

Phone

Street Address

City

State

Zip code

Contestant Signature

Contestant Signature

Parent/Guardian Signature

Parent/Guardian Signature

Contestant Signature

Preferred Work Assigment

Requests are not guaranteed. Each contestant will be assigned an event to work. Please review the ground rules for more information.

*** Local Family Membership $ 75. QuickBooks invoice will be emailed after registration received.
Terms of the local membership are listed in the Ground Rules. I/We understand & agree that it is my/our responsibility to read the NLBRA Rulebook & FLBRA ground rules and abide by them. I/We understand & agree to the terms set forth in the ground rules for the FLBRA Membership.

Make check payable to FLBRA and mail to: 5010 N Canoe Creek Rd, Kenansville, FL 34739

Thanks for submitting!

Florida Little Britches Rodeo

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