2015 Ranch Rodeo Entry Packet

Transcription

2015 Ranch Rodeo Entry Packet
Grimes County Fair Ranch Rodeo
June 5, 2015
5:30pm – Team Captain Meeting / Rodeo starts at 6:00p.m.
4 man team - $150 a man
Events: Pasture Roping, Mugging & Branding
1st place team will receive buckles
Only 25 Teams will be accepted
YOU MUST PRE-ENTER, no entries the day of the rodeo
**Mail or hand deliver your entries and FEES by May 27th.
(info at bottom of page)
**Best of Texas Ranch Rodeo Qualifier –Top TWO teams Qualify**
You may enter on two teams as long as at least 1 team member is different
Grimes Co. Fairgrounds
ALL contestants must pay admission to Fairgrounds
$12 at the gate – or – Fair Pass
Passes can be purchased from a Queen candidate by May 28th for $15
For more information or entry form call:
Casey or Jodi Finke Rice 936-870-5081
Blake or Stephanie Burzynski 936-661-5557
Mail entries & fees by May 27th to:
Grimes County Ranch Rodeo
C/O Stephanie Burzynski
8773 HWY 90N
Bedias, TX 77831
Please send money order or check payable to: Grimes County Ranch Rodeo
TEAM NAME: _______________________________________________________
EACH TEAM MUST FILL THIS OUT
RANCH RODEO
GRIMES COUNTY FAIRGROUNDS
JUNE 5, 2015
The signing of this agreement releases, Grimes County, the Grimes County Fair Association and/or the Grimes
County Ranch Rodeo Committee or anyone designated by them as “in charge” from liability for any injury or
accident during, or in connection with this event. None of these parties will be held accountable in any lawsuit, nor
will they be a part of any lawsuit.
**ANY team member under the age of 18 MUST have a minor release signed before they will be allowed to compete.
TEAM MEMBER #1:
Signature:
Phone #:
Printed Name and Address:
______
______
______
TEAM MEMBER #2:
Signature:
Phone #:
Printed Name and Address:
______
______
______
TEAM MEMBER #3:
Signature:
Phone #:
Printed Name and Address:
______
______
TEAM MEMBER #4:
Signature:
Phone #:
Printed Name and Address:
______
______
GRIMES COUNTY RANCH RODEO
JUNE 5, 2015
Minor Disclaimer: The following statement must be signed by the parent or guardian of potential entrees for
the Ranch Rodeo who are less than 18 years of age.
Child’s Name:
Allergies:
Handicaps:
My above child has permission to participate in the Ranch Rodeo at the Grimes County Fair Grounds. I understand
that there are certain risks associated with this event. I understand that signing this disclaimer releases Grimes
County, the Grimes County Fair Association, the Grimes County Ranch Rodeo Committee or anyone designated as
“in charge” by them from liability for any injury or accident during or associated with this rodeo. None of these
parties will be held accountable in any lawsuit, nor will they be a part of any lawsuit.
I hereby grant permission for ___________________________ to secure medical services for my above named child
in case of any emergency when I cannot be reached.
Parent/Guardian Signature:
Date:
Phone Number: