Northwest Missouri Junior Roughstock Series

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Please complete form to participate in the rodeo and so that a confirmation email will be sent to you once completed to show your entry into the rodeo; if form is not received at your provided email please resubmit. CASH ONLY for entry fees. IF NO RED ASTERICK that means MEMBERS DO NOT NEED TO FILL IT OUT WE ALREADY HAVE YOUR INFORMATION. SO MEMBERS ONLY need to fill out email, name, event, and session. NON-MEMBERS complete ENTIRE FORM!!

Email *

Date: Finals May 4, 2019 at 11:00 AM

Location: Savannah, Missouri/S. Banyon Street Savannah, Missouri 64485

1. Contestant First Name *

Please capitalize first letter and lower case remaining letters. Example John or Jo.

2. Contestant Last Name *

Please capitalize first letter and lower case remaining letters. Example Smith or Wilson.

3. Contestant Date of Birth-ONLY FOR NEW MEMBERS

Scroll to the year of birth from drop down arrow at top, then click on month, and then finally date.

YYYY

4. Contestants Address-ONLY FOR NEW MEMBERS

Full Address including City, State, Zip

5. Parents Primary Phone Number-ONLY FOR NEW MEMBERS

6. Membership Number/Non-Member

Type in your membership number or if non-member type Exhibition. If dont have your number we will get it to you asap.

7. Events of the Rodeo *

Contestants can compete in maximum of two events for All-Around Finals competition and as many as you want for the year-end awards as long as dues have been paid for in each event, in good standing with organization, and the contestant has competed in at least 75% of the rodeos in their age group for that event. CHECK ALL EVENTS YOU WANT TO COMPETE IN!! EXHIBITION included!!

PeeWee Mutton Busting (6-under)$25

PeeWee Bareback Riding (9-under)$25

PeeWee Calf Riding (9-under)$25

PeeWee Saddle Bronc (9-under)$25

PeeWee Mini Bulls (6-8)$40

Junior Mini Bulls (9-11)$40

Junior Bareback Riding (10-14)$40

Junior Saddle Bronc (10-14)$40

Junior Steer Riding (10-14)$40

Junior Bulls (12-14)$45

Senior Bull Riding (15-19)$45

Senior Bareback Riding (15-19)$45

Senior Saddle Bronc (15-19)$45

Chute Dogging (19-under)$25

Required

8. Will you be entering Session 1, Session 2, or Both Sessions? *

Just pick one

Session 1-11:00 Am start

Session 2- 3:00 Pm start approximate

Both Sessions

A copy of your responses will be emailed to the address you provided.

Submit

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