I agree to become familiar with and be bound by the rules of the National Team Roping Horse Association. I expressly agree to have all disputes related to compliance with or violation of these rules resolved by the procedures provided in the rules.

I understand that a false declaration will result in suspension of NTRHA privileges as defined within the NTRHA’s rules & regulations. It is the member's responsibility to notify the NTRHA office immediately upon any change in his/her Non-Professional/Amateur status. Failure to do so could result in loss of Non-Professional/Amateur status for life.

First Name	*
Last Name	*
Address	*
City	*
State	*	- - Choose One - - AL AK AZ AR CA CO CT DC DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY
Zip	*
Country	*	USA Canada Mexico Brazil Argentina Venezuela Italy Australia New Zealand Dominican Republic Germany Sweden France Israel
Phone Number	*
Int'l Phone Number
Alternate Phone/Mobile	*
Email Address	*
Birthdate	* Please use xx/xx/xxxx format.
SSN# (Must have for earnings reporting)	*
Membership classification desired?	*	-- Choose One -- Open Limited Open Non Pro Amateur Nov. Amateur Youth Associate (Non Competitive or Owner)
Membership Term	*	-- Choose One -- 1 Year - $95 3 Year - $250 Lifetime - $1500 1 Year Lariat Family - $225 3 Year Lariat Family - $650 1 Year Youth - $45 3 Year Youth - $100
Is this a youth membership?	*	Yes No
If yes, youth classification desired?		-- Choose One -- Open Youth Non Pro Youth Amateur Youth
Other memberships (You may select more than one)		AQHA APHA ApHC PHBA OTHER BREED PRCA USTRC ACTRA NCHA NRCHA NRHA OTHER PERFORMANCE ASSOC.
USTRC Header #	*	None 1 2 3 4 5 6 7 8 9
USTRC Heeler #	*	None 1 2 3 4 5 6 7 8 9 10
Other membership classifications (AQHA Amateur, NCHA Non Pro, etc.)
LTE as roping competitor?	*	None $0-$10,000 $10,001-$25,000 $25,001-$50,000 $50,001-$100,000 Over $100,000
LTE as a rope horse owner?		None $0-$10,000 $10,001-$25,000 $25,001-$50,000 $50,001-$100,000 Over $100,000
Unless you are an Open or Limited Open rider, you or your immediate family MUST all legal and equitable interest to any horses you compete on in an NTRHA event.	* Immediate family is defined as spouse, child, legal guardianships.	Acknowledged
Have you ever been, or are you presently employed on a rope horse training facility?	*	Yes No
If yes, please list employer describe your duties.
Have you ever ridden, trained, assisted in training rope horses and/or been a roping instructor?	*	Yes No
If yes, please list last dates employed as a rope horse trainer or instructor.
Are you a relative of, married to, or living in the same household as a rope horse trainer?	*	Yes No
If yes, do you assist with the daily tasks of training or instructing?		Yes No
If yes, please describe your duties.
Any other information you would like us to know regarding your competitive classification.
I agree to become familiar with and be bound by the rules of The National Team Roping Horse Association.	*