Pick up man application (all new pickup men)

National Little Britches Rodeo Association
5050 Edison Ave., Suite 105, Colorado Springs, CO 80915
Phone: (719) 389-0333 Fax: (719) 578-1367

Pick Up Man Application ( New Applicants Only )

PERSONAL INFORMATION

First Name

Last Name

Email Address

Address Line 1

Address Line 2

City

State

Postal Code

Phone Number

Applicant Date Of Birth

Please Note: The rulebook bylaws state membership in this association shall be open to all persons of good character. By signing up and making payment for membership, it should be known that there are conduct and behavior expectations. At any time, should a member have contact with law enforcement, the member can be reviewed for suspension and or loss of membership based on their conduct. Additionally, should at any time, a member be deemed to have inappropriate actions or behaviors, they may be denied entry into a rodeo, and / or reviewed for suspension.

REFERENCE INFORMATION

Please list three references, preferably NLBRA members, such as stock contractors, bullfighters, judges, certified directors or executive board members who have seen you work.

**REFERENCE NAME #1

Address Line 1

Address Line 2

City

State

Postal Code

Phone Number

Reference #1: Rodeo and Position

Reference Letter #1

**REFERENCE NAME #2

Address Line 1

Address Line 2

City

State

Postal Code

Phone Number

Reference #2: Rodeo and Position

Reference Letter #2

** REFERENCE NAME #3

Address Line 1

Address Line 2

City

State

Postal Code

Phone Number

Reference #3: Rodeo and Position

Reference Letter #3

YOUR WORK HISTORY

How long have you been picking up?

WORK HISTORY: When, What Rodeo and What Position

List any additional experience:

Do you have your own horses?

Yes

Have you ever been contracted by a Little Britches Rodeo?

Yes

If yes, give location and dates of 5 most recent:

FRANCHISE INFORMATION

What Franchise(s) do you plan to work for:

Pick Up Man Full Legal Name

By Initialing below I am agreeing that all information included in this form is true and accurate to the best of my knowledge.

Initials of Pick Up Man

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