Producer certifying 8 or more events also receive:
UBRA Series Awards & Additional advertising on UBRA website as UBRA Series Producer

1. Jackpot Barrel Race:
   • Standard certification includes: PeeWee, Youth, Open, Futurity & Derby.
   • Producer may add any additional class for $5. UBRA members earns points in their respective UBRA membership division class (ie: youth member earns points in youth class, open member in open class).
2. WSCA Horse Show/Fun Show/Play Day Event:
   • Standard certification includes: Pee Wee (rider 10 years and under), Junior Rider (11 to 13 years), Intermediate Rider (14 to 17 years), Senior Rider (18 to 34 years), Sr.+ Rider (35 to 49 years) and Sr.++ Rider (50 years and over) RESULTS FROM AGE DIVISION CLASSES THAT INCLUDE OPEN MEMBERS WILL BE COMBINED FOR OPEN POINTS.
   • The producer may certify their jackpot class for an additional $5.
   • Double judged classes will receive 1 set of points per class, not per judge

Added $$: Event Times: Event Name: Business Name: Arena: Phone:  Cell Phone: Email: Website: Address: City, State & Zip: Contact: Notes:	The UBRA logo is mandatory, please choose any of the following banners. To download a banner image to your system right click on the image and save it to your local system. Remember to include the UBRA logo on your flyer.

Payments are also accepted via PayPal or online via credit card with a 5% fee. Form must be mailed.
PayPal payment; send to info@ubra.org. Pay via Credit card here.

Certification
The information provided above is complete and accurate to the best of my knowledge, and I hereby request
endorsement of the above listed show by the United Barrel Racing Association, LLC (UBRA, LLC). I have read and am familiar with the
UBRA rules and guidelines for endorsed shows and agree to abide by and be bound to them. I will submit a
complete copy of the show results and any UBRA membership applications and fees to the UBRA office within
seven (7) calendar days of the completion of each show. I understand that failure to comply with the above
mentioned rules and guidelines or to submit show information and fees can result in UBRA withdrawing
endorsement of any subsequent shows.
I agree that the United Barrel Racing Association, LLC , assumes no liability if I have not read these conditions and having not
read these conditions, I am still held to their contents. I further agree that if any dispute should arise
involvingthe United Barrel Racing Association, LLC , the proper venue shall be Polk County, in the State of Wisconsin.

Signature:___________________________________ Date:____________