TEXAS HIGH SCHOOL RODEO ASSOCIATION

WRANGLER DIVISION– QUALIFYING REGION VII RODEO

Mail to: Anne Dollery = &nb= sp; Place: &= nbsp; Wharton Co. Fairgrounds in Crescent

P.O. Box 886 = Date: &= nbsp;

Caldwell, Texas 77836 &= nbsp; Time: &= nbsp; 1:00 pm

(979) 272-2249 (home) = Postmark Date: &n= bsp;

(979) 412-2551 (cell) &= nbsp; &nbs= p; IN HAND: <= /span>

adollery@aol.com

NAME: ____________________________________________________________________= __

ADDRESS:______________________________________CITY/ZIP:______________= _______

PHONE #:_______________________________________GRADE:______________________<= /o:p>

CIRCLE THE EVENTS YOU WISH TO ENTER

EVENTS FOR GIRLS=             &nb= sp;          ENTRY FEE      &nbs= p;            &= nbsp;       PARENT’S SIGNATURE

1. Barrel Racing            =                   &= nbsp;   $30        &= nbsp;           &nbs= p;         _________________= _______________

2. Pole Bending            =                   &= nbsp;   $30        &= nbsp;           &nbs= p;         _________________= _______________

3. Girls Breakaway Roping                 $30        &= nbsp;           &nbs= p;         _________________= _______________

4. Girls Goat Tying            =              &= nbsp;   $30        &= nbsp;           &nbs= p;         _________________= _______________

EVENTS FOR BOYS&= nbsp;

1. Jr. Bull Riding            =                  &= nbsp;   $50        &= nbsp;           &nbs= p;         _________________= _______________

2. Boys Breakaway Roping                $30        &= nbsp;           &nbs= p;         _________________= _______________

3. Boys Goat Tying            =              &= nbsp;   $30        &= nbsp;           &nbs= p;         _________________= _______________

4. Calf Roping            =             <= span style=3D'mso-tab-count:1'>        &= nbsp;   $30        &= nbsp;           &nbs= p;         _________________= _______________

5. Chute Dogging            =                 &= nbsp;   $30        &= nbsp;           &nbs= p;         _________________= _______________

EVENTS FOR BOYS & GIRLS

1= . Dally Team Roping&nbs= p;                    &= nbsp;   $30        &= nbsp;                 &= nbsp;   ________________________________=

Header:______________________________ Heeler:_____________________________

2. Ribbon Roping            =                &= nbsp;   $30        &= nbsp;           &nbs= p;         _________________= _______________

            Roper:______________________________Runner:________________= _____________

(YOU MAY NOT ENTER OPEN**YOU MUST = HAVE A PARTENER**NO COURTESIES)

TOTAL ENTRY FEES DUE<= span style=3D'mso-tab-count:1'>    $___________________Ent= ries must be postmarked by the

OFFICE CHARGE        &= nbsp;          $_____23.00_________deadline, however they will be accepted

STATE OFFICE CHARGE      $______2= .00_________if in my hands by the late deadline with

LATE FEE ($25.00)        &= nbsp;        $__________________a $25.00 late fee per rodeo

TOTA= L FEES        &= nbsp;           &nbs= p;    $__________________**Medical draw outs will be h= onored

        &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p; ONLY if I am Notified BEFORE the Rodeo starts.        &= nbsp;

I certify that this student meets the National H= igh School Rodeo Association’s GRADE & CONTACT

Qualifications. M= inimum requirements: Student must ha= ve passing in 4 subjects or if carrying less than 4,

Student must have passing grades in all subjects= :

SIGN= ED:______________________________________DATE:__________= ______________________

        =        (COUNSELOR, PRINCIPAL, SUPERINTENDENT)

We, the Parents or Guardians of ______________________________(contestant) give permission to the

Physicians on the Medical Staff or the Hospital = to administer necessary emergency treatment for injuries

He/she may incur while participating in the offi= cially approved High School Rodeos. = We understand that

Each contestant must be and covered by medical insurance. We hereby release = the Hospital, Physicians on

The Medical Staff, an= d the Rodeo Sponsors from all liability:

SIGN= ED:_____________________________________________________= __

        =     (PARENT OR GUARDIAN)