JR. High Division Rodeo District 2 /
Saturday, January 18th ,2014 @ Humboldt County Fairground, Ferndale, California
Entries Close and Must be postmarked by: January 3rd ,2014
Contestant Name: / Card #
ALL CONTESTANTS MUST VIEW THE SAFETY VIDEO PRIOR TO FIRST RODEO PERFORMANCE
“CERTIFICATE OF MAILING” recommended / Mandatory Check-In Saturday 6:30 – 7:30 AM
RODEO STARTS SATURDAY & SUNDAY AT 9:00 AM / Mandatory Meeting: Saturday 8:00 AM
You will receive a $5.00 fee or a Trash Bag for Incomplete or Incorrect Entries!
X / BOYS EVENTS / Fee / X / GIRLS EVENTS / Fee
Jr. Bull/Steer Riding / $37.50 / Pole Bending / $15.00
Breakaway / $22.50 / Barrel Racing / $15.00
Goat Tying / $15.00 / Goat Tying / $15.00
Tie Down Roping / $22.50 / Breakaway / $22.50
Chute Dogging / $22.50
Team Roping / $22.50 / Partner’s Name:______
q I am a HEADER / Request Ghost Roper / $6.00
q I am a HEELER / Max of 3X/Year
Ribbon Roping / $22.50 / Partner’s Name:______
q I am a ROPER / Request Ghost Roper / $6.00
q I am a RUNNER / Max of 3X/Year
NOTE: Boys may NOT compete in both Breakaway and Tie Down Roping (You Must Choose One). Ribbon Roping is a mixed event, Boy/Girl team. $6.00 of the entry fee for each event goes toward a Jackpot for that event.
I would like to go in a draw to be a Ghost Roper for: / q / Team Roping / q / Header / q / Heeler
q / Ribbon Roping / q / Roper / q / Runner
Event Entry Fees / $
Ambulance and Office Fees / $ 15.00
Make Checks Payable to: CHSRA District 2 / TOTAL ENTRY FEES / $
We the parents or guardians of: ______(Name of Contestant) give the Redwood Memorial Hospital and the Physicians on the Medical staff of the Hospital, permission to administer Necessary Emergency treatment for injuries he/she may incur while participating in the CHSRA District #2 Rodeo. We understand that each contestant must be and is covered by medical insurance. We hereby release the Redwood Memorial Hospital, its physicians, the Medical staff and the Rodeo Sponsors from all Liability. We the undersigned hereby release the Humboldt County Fairground, City of Ferndale, West Coast Rodeo Company; its officers and employees; all members of CHSRA, and any and all persons associated with the above said Rodeo from all liabilities, losses or damages to rider or property.
Signature of Parent or Legal Guardian / Signature of ContestantContestant Name / Dist #
Address / City / Zip Code
Phone # / School Attending
I do hereby certify that this student meets NHSRA grade and conduct qualifications. (Must have passing grades in minimum of 4 classes. If carrying less than 4 classes, passing grades in all.) AND CHSRA requirements, which are: Student has at lease a 2.0 GPA as of the latest “Grading Period”, (Covering 5 weeks or more) including a Quarter, Semester, or Progress Report mailed home that are generated with all current grades, and mailed to all students. No “Walk Around” grades accepted. NOTE: Student must be in good standing; not ruled undesirable for misconduct at school.
Date / Phone #Signature of Principal or Counselor (Place School Stamp or Seal over Signature)
NO LATE ENTRIES ACCEPTED!
(All entries will be returned unopened if postmarked after due date)
Membership cards required at check-in
Contestants must be a C.H.S.R.A. member in good standing
Open to all Districts – Points to District #2 members only
Report Card:
Send your most current report card to your Membership Secretary
JHD Rodeo Secretary / JHD Membership SecretaryDeanna Machado / Brandy Settles
2845 Hillside Drive / 346 Lupine Avenue
Fortuna, CA 95540 / Arcata, CA 95521
707-725-1753 / 707-599-6825
Please list your NEW sponsors to be included in the program:
Please ensure your entry is complete and make a copy for your records. Call me if you have any questions. Let’s have a fun and safe Rodeo…see you then!