LiL Spurs Rodeo Series

www.lilspursrodeo.com

Contestants Name: ___________________________________________ Age: _____ (As of 5/1/2011)

*One Entry form per child *Sign and notarize waiver on back

0-3 Boys/Girls 4-5 Boys/Girls

____ stick horse barrels ____ barrels –horse

____ goat tail untie- ground ____ goat tail untie-ground

____ barrel crawl- stick horse ____ barrel crawl – stick horse

6-8 Girls 9-11 Girls 12-14 Girls

____barrels ____ barrels ____ barrels

____ goat tail untie-horse ____ goat tying ____ goat tying

____ key hole ____ poles ____ poles

6-8 Boys 9-11 Boys 12-14 Boys

____ goat tail untie-horse ____ goat tying-piggin string ____ goat tying-piggin string

____ flag race ____ flag race ____ flag race

____ key hole ____ key hole ____ steer stopping

11-14 Boys/Girls Rough Stock – Last Rodeo

____ breakaway ____ 4-7 Sheep Riding

____ 8-10 Steer Riding

____ 11-14 Steer Riding

_________________________________ ___________________ _________________________

Parent/ Guardian Signature Phone Number E-mail

Entry Fee: $2 per event per Rodeo (Example: 3 events x $2 per event x 3 rodeos= $18)

ENTRIES DUE: June 13, 2011

Mail Entry Form, Waiver of Liability and Fees to:

Stacy McGee 16607 99th ST SW Rhame, ND 58651

701-279-5539 / sim@ndsupernet.com

Bowman Dakota Winds Arena

Rodeo Dates: Wednesday: June 22 & July 6 at 5:00 PM; Finals: August 3 at 4:00 PM

Rain Date: July 20

(NO Jackpot this year)

WAIVER & RELEASE

I recognize and acknowledge that there are certain risks of physical injury to participant in this youth rodeo program and all activities associated therewith and I agree to assume the full risk of any such injuries, damages or loss regardless of severity which I or my child/ward may sustain as a result of participating in any activities associated with this youth rodeo program.

I waive and relinquish all claims that I, my insurer, or my child/ward may have against the Lil Spurs Rodeo Committee and its officers, servants and employees from any and all claims from injuries, damages or loss which I or my child/ward may have or which may accrue to me or my child/ward on account of my participation of my child/ward in this program.

Child’s Name: _____________________________

_________________________________________ Date: ________________

Signature: Parent or Legal Guardian

State of North Dakota

County of Bowman

The foregoing instrument was acknowledged before me this _____ day of _____, 2011 by _________________________________.

_______________________________

(SEAL) Notary Signature

My commission expires ___________