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

Date Of Birth

Reference Information

REFERNCE NAME

Address Line 1

Address Line 2

City

State

Postal Code

Phone Number

Rodeo and Position

Reference Letter

REFERENCE NAME

Address Line 1

Address Line 2

City

State

Postal Code

Phone Number

RODEO AND POSITION

Reference Letter

REFERENCE NAME

Address Line 1

Address Line 2

City

State

Postal Code

Phone Number

RODEO AND POSITION

Reference Letter

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:

Briefly, explain what experience you have with kids in the rough stock events.

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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