Official Entry Blank South East South Dakota 4H Rodeo Crooks Rodeo Arena, Crooks, South Dakota Saturday, June 20, 2015 Start Time: 10 a.m. Name:____________________________________Parent/Guardian:___________________________________ Mailing Address:_________________________________Town:_________________________Zip:___________ Age as of 1/1/15:_______Birthdate: __ _ /____/____ County:_________________________________________ Email address for rodeo confirmation_____________________________________________________________ Cell phone number(s) you can be reached at on rodeo day _______________________________________________ Entries must be postmarked no later than May 30, 2015! NO LATE ENTRIES! Entries will be limited to the first 160 contestants! th Mail entries to : Kristi Moran 46626 258 Street Hartford, SD 57033 Make checks payable to : SESD 4H Rodeo ( √) Senior Events Fee Parent/Guardian Signature By Each Event Entered Bareback Bronc Riding Boys Saddle Bronc Riding Boys Steer Wrestling Boys Calf Roping Boys Bull Riding Boys Barrel Racing Girls Breakaway Roping Girls Goat Tying Girls Pole Bending Girls Ribbon Roping Girls Dally Team Roping – Boys and Girls Header: ( √) Junior Events Breakaway Roping – Boys Bull Riding Boys Flag Race – Boys Goat Tying – Boys Barrel Racing – Girls Breakaway Roping – Girls Goat Tying – Girls Pole Bending Girls $17.00 $17.00 $17.00 $15.00 $17.00 $13.00 $15.00 $15.00 $13.00 $15.00 $13.00 Heeler: Fee Parent/Guardian Signature By Each Event Entered $15.00 $17.00 $13.00 $15.00 $13.00 $15.00 $15.00 $13.00 Entry Fee $_______ $5 Surcharge $__ 5.00_ TOTAL DUE $_______ Contestants must give their current name, address and age. Parents or guardians and contestants must read and sign the following consent: We, the parents or guardians, and I the 4H member have read the rules and complete entry form and hereby consent to our child’s participation in the 4H Rodeo at Crooks, South Dakota on the 20th of June, 2015. We do hereby release the 4H Rodeo committee and/or its agents and the stock contractor or his agent from any and all liability for damages whatsoever that may occur to our child and our child’s horse or mount while competing in said show or while enroute to and from the rodeo arena. We give the local hospital or clinic and physicians or ambulance attendant’s permission to administer necessary treatment and release all of the above persons from liability. _________________________________________ _________________________________________ Signature of Parent or Guardian Signature of 4H Member *Regardless of contestant’s age *Confirmation will be on South East South Dakota 4H Rodeo page on Facebook* South East South Dakota 4H Rodeo Rules 1. NO LATE ENTRIES! Entries must be postmarked by May 30, 2015 . Entry blanks will be returned if incomplete or missing the required fees. You will be notified if not accepted in an event. There will be NO ENTRIES ALLOWED AT REGISTRATION. No entries will be refunded. Do NOT send cash . 2. Entries will be limited to the first 160 contestants! Parking is limited. Please do not park in front of the elevator. 3. There will not be exhibition runs allowed. 4. Scholarship applications for graduating high school seniors, along with their completed rodeo entry forms, must be postmarked by May 30, 2015 . 5. Start time is 10 a.m. on Saturday, June 20, 2015 at the Crooks Rodeo Grounds in Crooks, South Dakota . Contestants must check in prior to the contestant meeting. The contestant’s meeting will begin at 9:30 a.m. 6. State 4H Rodeo Rules will be used. We encourage you to obtain and use the State 4H Rodeo Rules and Regulations (SH 91,2006 edition) at your local County Extension Office. Some new rules have been added and it is the contestant’s responsibility to learn the new rules. 7. If you enter team roping, please list the name of the header and heeler. There will be no choosing partners or changing partners after entry blanks are sent in. 8. A $5.00 surcharge per contestant will be assessed. This is a required fee. 9. Contestants will be disqualified if the contestant or their parents harass the judge. All grievances must be directed to the arena director. 10. Contestants will be called for twice before they will be passed by. Be ready, unless obligated in the other arena. Small arena takes precedence. 11. No liquor will be permitted on the grounds. 12. Reminder: 4H rules require vests and mouthpieces be worn for rough stock events. 13. Contestants must wear their number at all times. This includes when picking up prizes . 14. The hat rule will be enforced. 15. There will be no ties. Ties will be decided by a flip of the coin. 16. Contestants in the stock events must provide their own hazer or calf pusher. The Rodeo Committee will provide string, ribbons and rubber bands. 17. Parent signature is REQUIRED regardless of contestant’s age. 18. Event order and start times are subject to change . 19. State Finals Rodeo Entry st State Finals paper work entry deadline is MAY 1 . Contestants are responsible to read and follow the General Information on Finals Entry Forms and the Ground Rules pertaining to the 4H Finals Rodeo. All contestants qualifying for the 4H Finals Rodeo (by finishing in the top 4 places at a Regional/County 4H Rodeo) are automatically entered. If a contestant does not wish to enter the finals or has event/events that they wish to not enter, then they will have to notify the Finals secretary by emailing [email protected] by AUGUST 1st . If the contestant does not notify the secretary prior to the finals draw, the contestant is responsible for the entry fees. For further information refer to the SD 4H Rodeo Finals website www.sd4hrodeo.org 20. Contestants will not be discriminated against due to race, color, creed, sex, or national origin. If you have any questions, please write or call: Kristi Moran th 46626 258 Street Hartford, SD 57033 6053510878 *There will be no charge at the gate.
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