Rodeo Entry Blank for HYRO's Own 
Saturday, April 20, 2024 Rodeo begins at 9:00am
Event Address: Honokaʻa Rodeo Arena - Wailana Place, Honokaʻa HI 96727
Contact us at (808) 938-1496 or lynnhiga.hyro@gmail.com
Entries close on April 10, 2024 at 8 pm. No late entries will be accepted.
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Email *
Contestant Name *
Contestant Age *
Contestant Mailing Address *
Contestant Parent Telephone Number *
Parent Email *
Division *
Little Wrangler: 5-8 years old, Juniors: 9-13 years old
Required
Dummy Roping (5-8 years)
Calf Riding (Ages 8-13)
I hereby certify that I have read the NLBRA and HYRO official rule books. *
Required
It is mutually understood that said contestant is protected of a limited insurance policy, as set forth in the rules, in which we the parents/guardians, agree to pay the deductible and co-insurance portion of any claim. *
E SIGNATURE: By typing in your name below, you understand insurance obligations
In case of injury it is the responsibility of the parent, guardian or insured contestant to secure insurance claims forms from the rodeo secretary where injury occurred. Rodeo Secretary MUST sign the claim form. Contestant portion of the claim form MUST be completed. Then mail direct along with invoice of service and copy of any Explanation of Benefits from the (primary) insurance, to the insurance claims office for payment. The deductible and co-insurance is paid by parents, guardian or contestant directly to attending physician or hospital.

CONTESTANT MUST REPORT THE INJURY TO RODEO OFFICIALS BEFORE LEAVING THE RODEO TO BECOME VALID. CLAIM BLANK MUST BE SUBMITTED WITHIN NINETY (90) DAYS FOLLOWING ACCIDENT!

All claims are subject to limitations of policy.
 *
E SIGNATURE: By typing in your name below, you understand injury claim expectations.
E SIGNATURE: By typing your name(s) below you understand the following statement. In the event that only one parent or guardian acknowledges the statement below, such parent or guardian has the authority to bind both parent or guardian.
We the parents and/or legal guardians, and contestants, HAVING READ THE HYRO AND NLBRA RULE BOOK AND COMPLETED the ENTRY, herewith give consent for participation of the contestant whose name appears on this digital Google form, with the approved Hawaii Youth Rodeo 'Ohana - Hawaii Little Britches Rodeo Association at the Rose Correia Andrade Stadium in Honoka'a from October 20, 2023 to April 30, 2024. We acknowledge that participation in any Hawaii Youth Rodeo 'Ohana -Hawaii Little Britches Rodeo Association, (hereinafter HYRO-HLBRA) sanctioned rodeo or activity as a competitor, participant, volunteer or spectator exposes a competitor, participant, volunteer or spectator to a substantial and serious risk of property damage, personal injury, or death. We assume all risks to ourselves, our guests and our children, including risk which can be eliminated, altered or controlled, whether or not integral to equestrian recreational activities. In consideration for our child being permitted to participate in HYRO-HLBRA rodeos and activities, we hereby agree to indemnify, hold harmless and release HYRO-HLBRA its agents, executive committee members, sponsors, volunteers, owners, stock contractors and any HYRO-HLBRA franchisee, production entity or organization, their agents, representatives, sponsors, volunteers, owners, and stock contractors from liability for any and all property damage, personal injuries, death, or other claim arising from our child(s) our own, or our guest(s) participation in any HYRO-HLBRA activity, including but not limited to, rodeos, practices, play days, clinics or other activities, including claims that are known or unknown, foreseen or unforeseen, future or contingent. This release, waiver, and indemnity agreement is intended to be as broad and inclusive as is permitted by law, if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. Also, it is mutually understood that the Rodeo Sponsors shall retain all rights and privileges of said rodeo. In submitting this entry, contestant, parents and/or legal guardians agree to permit use of all publicity, photographs, radio and televisions broadcasts, motion pictures, newspaper and magazine accounts and website
 *
Parent/Legal Guardians Name(s) and relationship, today's date and contact information *
I understand that I will have to send my entry fees through PayPal $$. Please use QR code to pay rodeo entry. In the "ADD A NOTE", please specify child's name and all events entered in.

Entries close on April 10, 2024 at 8PM. No late entries will be accepted.
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