California High School Rodeo Association - District 2
Entries Close: MUST BE POSTMARKED BY CLOSING DATE!
CHECK IN: 10:00 am Saturday Mail Entries to:
Cutting: 8:00 a.m. Saturday Chris Mitchell
Rodeo: 11:00 am Saturday 9:30 am Sunday 1481 Capell Valley Rd.
MANDATORY MEETING: 8:00 am Sunday Napa, CA 94558
“Fun”draiser: (707) 254-7047
Make checks payable to: CHSRA Dist. 2
Please place a check mark next to the event you wish to enter and also a check mark next to Jackpot (if you
wish to enter for that event!)
____ Bull Riding ($72) ______($10) ____Pole Bending ($22) ______($10)
____ Bareback ($72) ______($10) ____Barrel Racing ($22) ______($10)
____ Saddle Bronc ($72) ______($10) ____Breakaway ($42) ______($10)
____ Tie Down Roping ($42) ______($10) ____Goat Tying ($22) ______($10)
____ Steer Wrestling ($42) ______($10) ____Girls Cutting ($42) ______($10)
____ Boys Cutting ($42) ______($10)
____ Team Roping ($42) ______($10)
Partners Name_______________________________ Total Event Fees ________
*For points purposes PLEASE indicate Total Jackpot Fees ________
if you are a Header or Heeler (circle one) Mandatory Office Fee - $20.00
Total Stall Fees ________
TOTAL FEES ________
“We the parents or guardians of ____ (name of contestant) give the ____________________
Hospital and 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 ____________________ Hospital, its
physicians on the Medical staff and the Rodeo Sponsors from all Liability.”
(Parent or Guardian Must Sign, regardless of age of contestant)
Contestant Signature _____ Membership # District #_____
Address City ____ Zip _____
Telephone _____ Grade Age
Name of High School
For School Official Validation:
“I do certify that this student meets both the NHSRA Grade and Conduct qualifications (If carrying
4 classes or less, must be passing in all,) AND California High School Rodeo Association
Requirements, which are:
STUDENT Has at Least a 2.0 GRADE POINT AVERAGE AS OF THE LATEST “GRADING
(Grading Period: Quarter, Semester, or “Progress Reports” mailed home that are generated with ALL current
grades and mailed to ALL students) (No “walk around” grades accepted!)
Student must be in good standing; not ruled undesirable for misconduct at school.
SIGNED: PHONE #
Principal or Counselor (Place School Stamp or Seal over Signature)
*NO LATE ENTRIES WILL BE ACCEPTED (all entries will be returned unopened if
postmarked after due date)
*Membership cards required at check-in
*Contestants must be C.H.S.R.A. member in good standing
*Set-ups: Form at the bottom of this sheet. All set-up forms must accompany rodeo entry.
Form must be completed in its entirety.
THE RELEASE BELOW MUST BE COMPLETED AND RETURED WITH
We the undersigned hereby release the __________________________ Fairgrounds, City of ______________,
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. We hereby give
permission for the designated first aide person; Hospital and Physicians of the medical staff of the Hospital to
administer necessary emergency treatment for injuries he or she may incur while at the above said Rodeo.
Signature of Parent or Legal Guardian________________________________
Signature of Contestant_____________________________________________
Please list any additional sponsors you have gained since turning in your Athlete Bio:
SET-UP FORM (Only fill out if you need a set-up for this rodeo)
Reason for Rodeo Set-up: _______________________________________________________________________
Date of School Function: ________________________________________________________________________
School Contact and Phone No.: ___________________________________________________________________
Signature of: School Athletic Director (for High School Team Sports Function)
OR Principal or Counselor (if test or other School Related Function)
Please place School Seal or Stamp Over Signature
(Signature of Principal or Relevant School Official)
*Contact name at school must be completed. (He/She will be contacted by the rodeo secretary to verify
function and date.)
*Set-ups are for high school functions only. Contestant must be a valid member of a school team, contest or test
activity occurring on the date of this rodeo.
*Set-ups are for Saturday (or 1st go): meaning both goes run on Sunday or 2nd go.
*Sunday set-ups will be accepted only if there are no contestants needing a Saturday set-up.
*Set-ups will be run prior to the start of the 2nd go round. Stock and positions will be drawn for set-ups just the
same as other contestants.