DATE:___________________ TIME: _____________________________

 

NAME______________________________________________________

 

DATE OF BIRTH ______________________________________________

 

ADDRESS____________________________________________________

 

AGE\DATE OF RODEO __________PHONE # _________________________

 

City________________________________ State________ Zip___________

 

Male_____ Female_____

 

 

15-18                                       Entry Fee               Stock

Bull Riding                             $20.00                         $20

Calf Roping                               20.00                         $10

Ribbon Roping                       20.00                          $10

Breakaway Roping                20.00                         $10

Goat Tying                               20.00                            $5 

Barrel Racing                          20.00

Pole Bending                           20.00

Team Roping

   * can enter twice                10.00                            $5/per 

      (Per person)

Header_______________________ * Header_________________________

Heeler ________________________* Heeler_________________________

 

Adult/Child Team Roping $10.00      $5 (per person) *** Will not count for

               All Around; May be consider as a 5th event.

Header________________________Heeler__________________________

 

11-14                                      Entry Fee                  Stock

Steer Riding                          $15.00                          $15

Calf Roping                               15.00                          $10

Ribbon Roping                        15 00                          $10

Breakaway Roping                 15.00                         $10

Goat Tying                                15.00                           $5

Barrel Racing                           15.00

Pole Bending                            15.00

Steer Stopping                         15.00                         $10

 

Calf Riding                               $10.00                         $10

Step Down Roping                   10.00                         $10

Breakaway Roping                  10.00                         $10

Goat Tying                                  10.00                          $5

Barrel Racing                             10.00

Pole Bending                             10.00

Flags                                             10.00

 

Barrel Racing                         $5.00

Pole Bending                             5.00

Flags                                             5.00

Goats (pull ribbon off tail)  5.00

 

 

                         Total Entry Fees_________________________________

                          Late Entries / $5.00 __________________________________

                         TOTAL FEES  $___________________________________

 

 

************************************************************************

 

* ENTRIES MUST BE RECEIVED BY AUGUST 22th 2011  THIS IS A PRE-                ENTRY ONLY SHOW

* ENTER AGE GROUP ACCORDING TO AGE DAY OF RODEO

* NO PERSONAL CHECKS WILL BE ACCEPTED

* SEND ENTRIES AND MONEY ORDERS TO SARAH MERKLEIN

           P.O. BOX 407 RESERVE, NM 87830

* YOU ARE NOT ENTERED UNTIL YOU HAVE PAID ALL FEES AND  TURNED IN YOUR NOTARIZED LIABILITY FORM.  THESE MUST BE IN BY AUGUST 22, 2011 

* ARENA DIRECTOR’S DECISION IS FINAL.

* TEAM ROPERS: PLEASE VERIFY WITH YOUR PARTNER BEFORE ENTERING.

          THE SECRETARY IS NOT RESPONSIBLE FOR GETTING ROPERS A PARTNER.

 

 

 

We, the undersigned, hereby request that the below named minor be granted

permission (1) to enter the restricted area, (2) participate as a contestant, assistant,

official or otherwise in rodeo events, (3) to compete for money, prizes, recognition

or reward, (4) to be covered by participants hospitalization insurance, if applicable,

as limited by the master policy (all collectively hereinafter called “permissive entry”).

In consideration of “permissive entry” to minor into the restricted area, which is the

area from which admission to the general public is restricted, which includes, but is

not limited to the rodeo arena, competition area, chutes, pen, adjacent walkways,

concessions, and other appurtenances, we the undersigned on behalf of the minor

and for ourselves, our personal representatives, heirs, next of kin, spouses and assigns,

do hereby:

 

1. RELEASE, DISCHARGE AND COVENANT NOT TO SUE the rodeo committee, stock

contractor, rodeo association, sponsors, arena operators or owners, and each of them

their officers, agents and employees (all hereinafter collectively referred to as “releasee”)

from any and all claims and liability arising out of strict liability or ordinary negligence of

releasee or any other participant which causes the undersigned injury, death, damages or

property damage. We, the undersigned, jointly, severally and in common, covenant to

hold releasee harmless and to indemnify releasee from any claim, judgement or expenses

(releasee may incur arising out of the minor’s activities or presence in the restricted area.

 

2. UNDERSTAND that minor’s entry into the restricted area and or participation in rodeo

events contains DANGER AND RISK OF INJURY OR DEATH TO MINOR, that conditions of

 the rodeo animals are dangerous and unpredictable, and that there is INHERENT DANGER

in rodeo which we each appreciate and voluntarily assume because the minor and we

choose to do so. Each of the undersigned has observed events of the type that the minor

seeks to participate in. We further understand that the arena surface, access ways or lack

therefore, lighting or lack thereof and weather conditions all change and pose a danger to

the minor, but nevertheless, WE EACH VOLUNTARILY ELECT TO ACCEPT ALL RISKS

connected with the minor’s entry into the restricted area and/or participation in any

rodeo events.

 

3. AGREE that this agreement shall apply to any incident, injury, accident or death

occurring at the captioned location on the above date and for a period of ONE (1) YEAR

THEREAFTER. All subsequent agreements and release documents signed of this document.

 The provisions of this document may be cancelled by one to the undersigned by delivery

to the above rodeo written cancellation of this agreement which shall be effective 24 hours

after the date said cancellation is actually received by the rodeo.

 

WE HAVE READ THIS DOCUMENT, WE UNDERSTAND IT IS A RELEASE OF ALL CLAIMS.

WE APPRECIATE AND ASSUME ALL RISKS INHERENT IN RODEO.

 

 

 

Witness________________ ____Signature of Natural Father____________________

 

Witness____________________ Signature of Natural Mother____________________

 

Witness____________________ Signature of Legal Guardian____________________

 

Witness____________________ Signature of Minor___________________________

 

 

 

On this ________ day of ___________ 2011, before me, personally appeared

Known to me to be the person who executed the foregoing release and acknowledged

that they signed same as their free act and deed

 

 

My Commission Expires:_________________________________________________

 

Notary Public_________________________________________________________