2022 OSTPA Membership
After completing the membership page, submit it and then mail payment to OSTPA, c/o Stacie White, 811 Township Road 2850, Perrysville, OH, 44864.  Please include your Federal W-9 form with your payment.

**To be eligible for end of year money, competitors must be a member of both OSTPA and PPL.

Membership Descriptions:

SUBSCRIBER ASSOCIATE: A Subscriber Associate Membership is $20 per year.  This one-year membership entitles you to all of the OSTPA Roarin' Times newsletters and mailings

VOTING ASSOCIATE: If you would like to become a Voting Associate of OSTPA you must first join a local club of the OSTPA.  This membership entitles you to all of the OSTPA Roarin' Times newsletters and mailings.  Note: This is for those members of local clubs that wish to have their membership count for that club.  For every 10 members a club has they get one vote at the OSTPA Full Board meetings.  Fee for a Voting Associate is $35.

COMPETING MEMBERSHIP:A Competing Membership with OSTPA entitles you to all of the OSTPA Roarin' Times newsletters and mailing.  In addition, you will receive: rule book additions, and one vehicle pass per competition vehicle allowing cardholder, vehicle and three other individuals through the gate. New members will receive all of the above plus a current rulebook, OSTPA patch, and all necessary decals.

If you are submitting this membership form as a subscriber or voting associate, please just place and x in items that do not apply to you.
Sign in to Google to save your progress. Learn more
Membership *
Type of Membership: *
Competitors: You do not need to pay for a voting membership.  As a competitor, you are automatically a voting member of OSTPA.
First Name: *
Last Name: *
Street/Mailing Address: *
City: *
State *
State, if "other" was chosen above:
Zip Code: *
Pulling Division: *
If you are joining as a Light-Limited Pro Stock, please designate which your tractor is.
Clear selection
Vehicle name:
Make/Model of Vehicle
Local Club you are a member of: *
Event/award checks made payable to: *
Email:
Cell phone number:
It is important that we have an updated contact number to use.  
Home phone number:
I prefer to have ______ as my primary phone number. *
I would like to be put on a list to have informational texts sent to me from OSTPA. *
This would include event/rainout information, general membership information and reminders about upcoming dates.
PPL # (if known):
Jacket Size: *
Jacket Size if "other" was chosen above:
I would like to have a paper copy of the newsletter sent to me. *
Electronic versions of the newsletter are available on the website.
Any other information that may be needed for membership purposes:
Agreement of Release *
1.) Hereby release, waive, discharge and covenant not to sue OSTPA as an Association, including all its corporate elected and appointed officials, all members of committees referees and inspectors, its individual members, its member clubs, agencies of government which control essential event sites, financiers and firms which render essential gratis, including all officers, agents, and employees of the foregoing and volunteer workers assisting in sanctioned PPL event activities, all hereinafter referred to as “Releasees” from or for any and all liability to me, my personal representatives, heirs, next of kin, successors and assigns, for all loss or damage for bodily injury, or death or damage to property of the undersigned which in any way grows out of or results from any OSTPA event activity or part thereof, during the actual sanction period and whether any such claim may be based upon alleged breach of any statutory duty or obligations; and 2.) Hereby agree to indemnify and save and hold harmless the releasees and each of them from any loss, liability, damage or cost they may incur due to the presence of the undersigned in or upon the restricted area or in any way competing, officiating, observing, or working for, or for any purpose participating in the event and whether caused by the negligence of releasees or otherwise. 3.) Hereby assume full responsibility for and risk of bodily injury, death or property damage due to negligence of releasees or otherwise while in or upon the restricted area, and/or while competing, officiating, observing, or working for or for any purpose participating in the event. 4.) Expressly acknowledges and agrees that the activities of the event are very dangerous and involve the risk of serious injury and/or death and/or property damage, the undersigned further expressly agrees that the foregoing Release Waiver and Indemnity Agreement is intended to be as broad and inclusive as is permitted by the law of the Province or State in which the event is conducted and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full force and effect.
Required
Promotional Release *
In consideration of the OSTPA promotional efforts on behalf of the sport, I hereby assign all commercial communications, pictures and broadcast rights to the OSTPA.
Required
Check # of payment being sent to OSTPA office: *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms