State Finals Entry by i301aw

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									                        Ohio High School Rodeo Association
                                                  Official Entry Form
                             Crazy Woman Ranch
              6450 Lancaster-Circleville Rd, Lancaster, OH 43130
                         June 15 – 17, STATE FINALS
                                                 Check-in 4-6pm
                      First Rodeo, Fri at 7pm, Second Rodeo, Sat. at 9am
                                   Third Rodeo, Sat at 7pm
Name _______________________________________________Age_______Grade_________

Address____________________________________________________Phone_____________

City___________________________State____Zip____________Email___________________

1st     2nd     3rd     Performance             1st     2nd    3rd     Performance
___     ___     ___     Bull Riding             ___     ___    ___     Barrel Racing
___     ___     ___     Goat Tying              ___     ___    ___     Saddle Bronc Riding
___     ___     ___     Breakaway Roping        ___     ___    ___     Calf Tying
___     ___     ___     Steer Wrestling         ___     ___    ___     Bareback Riding
                                                ___     ___    ___     Pole Bending
___     ___     ___     Team Roping____________(header/heeler) Partner_________________
Medical Release
We, the parents or guardians of ________________________give the local hospital and the physicians on the medical
staff of the hospital permission to administer NECESSARY EMERGENCY treatment for injuries he/she incur while
participating in the OHIO HIGH SCHOOL RODEO at Lancaster, OH. We understand each contestant MUST be and is
covered by medical insurance. We hereby release the local hospital, physicians, medical staff and the rodeo sponsors from
all liability.
We, the parents or guardians of ________________________also recognize that my/our child participates in the event
totally at my/our risk for injuries or property damage I or my family may incur, and I acknowledge that I hereby release
and hold harmless the sponsors, co-sponsors, their owners, officers, directors, arena owners, members, affiliated
organizations and others acting on its behalf, from any claim, legal liability, legal action or right for damages, for any
accident which may occur to my equine or me. I also assume and accept full responsibility for any damages done by me or
my equine at this activity.
Signed_________________________________and______________________________Date__________
                                   (both parents must sign regardless of contestant’s age)

                    CALL-INS ARE MONDAY, JUNE 11TH FROM 6-9PM
            Bring entry form and payment to the Rodeo, Checks payable to OHSRA
                # of events entered ________ x $27               $__________
                Stalls (optional) _________ x $25/ night         $__________     (Call Chris @ 614-595-1619)
                Family Pass        __________x $10               $__________
                TOTAL AMOUNT DUE                                 $__________

         Any questions please contact Bob Jarvis, 330-718-3226 or Bryan Montgomery, 330-720-4103

								
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