Velva High School Rodeo

Cutting (in Watford City) – Saturday, Sept. 9 Rodeo – Sunday, Sept. 10

OFFICIAL ENTRY

Entry Deadline August 25, 2017

PRINT Contestant’s Name: ______________________________________________

Check the box to the left of the event you want to enter.

Circle the JP behind the event you want to Jackpot (optional). $10 per event.

Boys Events Girls Events

Bareback Riding $55 JP-$10 Barrel Racing $20 JP-$10

Boy’s Cow Cutting $55 JP-$10 Breakaway Roping $30 JP-$10

Bull Riding $55 JP-$10 Girl’s Cow Cutting $55 JP-$10

Saddle Bronc $55 JP-$10 Goat Tying $25 JP-$10

Steer Wrestling $30 JP-$10 Pole Bending $20 JP-$10

Tie Down Roping $30 JP -$10 Team Roping $30 JP-$10

Team Roping $30 JP-$10 I’m the ___ Header ___ Heeler

Team Roping Partner Name: ___________________________________________________ Confirm with your partner if you’re going to Jackpot (JP) or not. Team entry forms must match. If they don’t, neither team member will be entered in the Jackpot.

Total Entry Fee: $ ___________ Total Jackpot Fees: $ ___________ Mandatory Judging Fee: $ 1.00

Total Fee to be paid AT THE RODEO: $ ___________

We, the parents or guardians of ________________________ (name of contestant) give Trinity Health, located in Minot, and their Physicians on their Medical Staff of the Hospital permission to administer NECESSARY EMERGENCY treatment for injuries he or she may incur while participating in the Velva HS Rodeo. We understand that each contestant must be and is covered by medical insurance. (Note: NHSRA member insurance is supplemental to family coverage.) We also understand that we are responsible for the cost of emergency transportation from said rodeo facilities should the need arise. We hereby release Trinity Health, located in Minot Trinity Health, Physicians on their Medical Staff, and the Rodeo Sponsors from all Liability except for negligence.

Both Parents/Guardians must sign each entry form, regardless of the contestant’s age:

__________________________________ and ____________________________ Date: ____________ All entry forms must be mailed to the NDHSRA Office, post-marked by the above deadline.

Rochelle Rustad, NDHSRA, 241 Elm Street, Kindred ND 58051

See the website for the Draw Out Deadline.