California High School Rodeo Association - District 2

DATE: Dec. 8th & 9th, 2007 Location: Santa Rosa, CA. (Sonoma County Fairgrounds)

Entries Close: November 28, 2007 MUST BE POSTMARKED BY CLOSING DATE!

CONTESTANT NAME:______

TOUGH ENOUGH TO WEAR PINK RODEO! Are you tough enough to wear pink both days?

CHECK IN: 7:30 to 8:30 am Saturday

Rodeo: 10:00 am Saturday 9:30 am Sunday

Cutting: 7:00 pm – FRIDAY NIGHT

MANDATORY MEETING: 8:00 am Sunday

Saturday Following the rodeo: “D2 Family, Friends and Alumni” Jackpot Team Roping

Mail Entries to:

Chris Mitchell

1481 Capell Valley Rd.

Napa, CA 94558

(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!) Jackpot Jackpot

____ 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) Office/Ambulance Fee - $20.00

TOTAL FEES ______

A $5.00 fee for incomplete or incorrect entries will be charged!

“We the parents or guardians of ____ (name of contestant) give the Santa Rosa Memorial 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 Santa Rosa Memorial Hospital, its physicians on the Medical staff and the Rodeo Sponsors from all Liability.”

è Signed:

(Parent or Guardian Must Sign, regardless of age of contestant)

è 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 PERIOD”.

(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.

ÞSIGNED: 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 RETURNED WITH ENTRY FORM

We the undersigned hereby release the Sonoma County Fairgrounds, City of Santa Rosa, 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.

è Signature of Parent or Legal Guardian______

Date______

è Signature of Contestant______

Date______

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)

MUST place School Seal or Stamp Over Signature

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.