UGRA Membership Application
Please complete this form and submit to Utah Gay Rodeo Association

A check or cash for you membership dues of $20 must be sent to:
Utah Gay Rodeo Association P.O. Box 702194 West Valley City, UT 84170

Or turned in to our Treasurer, Jim Baker.

Or you can click the button at the bottom of this page that will direct you to our PayPal page to pay your membership dues.
Email address *
Name *
Please contact us at if you would like something other than your legal name printed on your membership badge.
Street Address *
City *
State *
Zip *
Home/Cell Phone *
Birth Date *
Would you like your personal information published in the membership directory? *
Type of membership *
UGRA Privacy Policy
UGRA does not give out our membership list to any organization. Member names may be
published in our newsletter and the membership directory. If you do not wish to have your
name published, please notify the board of directors in writing and we will attempt to
accommodate your request.

By typing my name below, I confirm that I agree to follow the membership bylaws and
standing rules as outlined by the UGRA.
Member Signature: *
Date *
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