MIME-Version: 1.0 Content-Location: file:///C:/EBC4CAAD/genericentryform.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" TEXAS HIGH SCHOOL RODEO ASSOCIATION

TEXAS<= span style=3D'font-size:11.0pt'> HIGH SCHOOL RODEO ASSOCIATION

OFFICIAL ENTRY BLANK – QUALIFYING REGION V= II 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;      9: 00 a.m.

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

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

5.  Girl’s Cutting        &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;                    &= nbsp;   ________________________________=

EVENTS FOR BOYS&= nbsp;           

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

2.  Saddle Bronc<= /span> Riding      &= nbsp;           &nbs= p;    $50        &= nbsp;           &nbs= p;         _________________= _______________

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

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

5.  Steer Wrestling            =                 &= nbsp;   $30        &= nbsp;           &nbs= p;         _________________= _______________

6.  Boy’s Cutting        &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;                    &= nbsp;   ________________________________=

EVENTS FOR BOYS  & GIRLS

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

 

            Header:______________________________ Heeler:_____________________________

  (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;            &= nbsp;           &nbs= p;             = ONLY if I am Notified BEFORE the

  &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;      Rodeo starts.

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 cove= red 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)