South Dakota Hs Rodeo Association Standard Practice Rodeo Form Entry Form

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SOUTH DAKOTA HS RODEO ASSOCIATION STANDARD PRACTICE RODEO FORM
NAME OF PRACTICE RODEO_____________________________________________
DATE: ____________________________________ENTRY FEE PER EVENT________
NAME: ________________________________________________________________
ADDRESS: ____________________________________________________________
2016 NHSRA CARD NO: __________________________________________________
CELL PHONE:___________________________________________________________
EMAIL:________________________________________________________________
SCHOOL YOU ATTEND__________________________________________________
***Make sure that you are there by the check in time deadline to be eligible to compete!
EVENTS
PARENTS SIGNATURE
___QUEEN
______________________________________
___BARRELS
_____________________________________
___POLES
______________________________________
___GOAT TYING
______________________________________
___BREAKAWAY ROPING
_____________________________________
___GIRLS CUTTING
______________________________________
___BOYS CUTTING
_____________________________________
___BAREBACK
_____________________________________
___SADDLE BRONC
_____________________________________
___BULL RIDING
______________________________________
___CALF ROPING
______________________________________
___STEER WRESTLING
______________________________________
___TEAM ROPING
______________________________________
HEADER
______________________________________
HEELER
______________________________________
___REINED COW HORSE
______________________________________
___$TOTAL
Do you wish to be included in the jackpot? ___Yes___No Include with fees
WAIVER OF LIABILITY:
_____________PRACTICE RODEO COMMITTEE WILL NOT BE LIABLE FOR ANY INJURIES
TO CONTESTANTS OR HORSES WHILE PARTICIPATING, OR ON THE RODEO GROUNDS.
We the parents or guardian of: _________________(name of contestant) give the local hospital
and the Physicians on the Medical staff of the Hospital permission to administer NECESSARY
EMERGENCY treatment for injuries he or she may incur while participating in the SDHSRA
practice rodeos. We understand that each contestant must be and is covered by medical
insurance. We here by release the hospital, physicians on the medical staff, and the RODEO
SPONSORS from all liability.
CONTESTANTS SIGNATURE_____________________________________________
PARENTS SIGNATURE__________________________________________________
I certify that this student meets current grade and conduct requirements as set forth by the
National High School Rodeo Association. The student must be passing 70 % of classes taking
to be eligible to compete.
Signed: ____________________________________(Superintendent or Principal)

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