Albuquerque, New Mexico
ESTABLISHED IN 1985
FIRST IMPRESSION RODEO CLUB, INC.
ENTRY FORM
Please write legibly and complete each line below. Fill out one entry form per contestant per rodeo
DATE: ______
Contestants Name: ______
Address: ______
City: ______State: ______Zip Code: ______
Phone#: ______Alternate Phone: ______Gender: M F (circle one)
Is contestant sharing a horse with another contestant? Sharing with: ______
Age as of March 1 ______
You must present your birth certificate to the rodeo secretary before the start of the rodeo*
EVENTS: / 6 & Under / 7--9 / 10--13 / 14--18 / Fee / Stock Fee / Total Entry / TotalStick Horse Race / ----- / ----- / ----- / $5.00 / ----- / $5.00
Lead line / ----- / ----- / ----- / $5.00 / ----- / $5.00
Dummy Roping / ------ / ----- / ----- / $10.00 / ----- / $10.00
Sheep Riding / ----- / ----- / ----- / $15.00 / $10.00 / $25.00
Goat Tapping w/ parent 6 &under / ----- / ----- / ----- / $10.00 / $5.00 / $15.00
Steer Dobbing / $15.00 / $10.00 / $25.00
Barrels / $10.00 / ----- / $10.00
Flags / $10.00 / ----- / $10.00
Poles / $10.00 / ----- / $10.00
Goat Tying Girls/Boys (Pigging String) / ----- / $15.00 / $10.00 / $25.00
Calf Riding / ----- / ----- / ----- / $20.00 / $15.00 / $35.00
Mini Bull Riding / ----- / ----- / $30.00 / $25.00 / $55.00
Bullriding (Juniors) Open / $35.00 / $30.00 / $65.00
Bullriding (Seniors) Open / $40.00 / $35.00 / $75.00
Ribbon Roping / $15.00 / $10.00 / $25.00
Team Roping / ----- / $15.00 / $10.00 / $25.00
Chute Dogging / ----- / ----- / $15.00 / $10.00 / $25.00
Breakaway Roping (All Ages) / l / $15.00 / $10.00 / $25.00
Administrative Fee / Due Each Rodeo / $5.00
Series/Awards Fee / One fee per contestant and due by the first rodeo / $50.00
Late Entry Fee / Contestants will not receive points until paid / $25.00
Day Run Fee / Non-series member not paying awards fee / $5.00
Team Roping Partner's Name ______Heading /Heeling TOTAL DUE: ______
If you need a partner please note here: ______
FIRST IMPRESSION GYMKHANA RODEO RELEASE
MINOR'S PARTICIPATION CONSENT
I AM AWARE THAT THE SPORT OF RODEO CAN BE A DANGEROUS SPORT
TO A PERSON OR ANIMAL
I,______, give my child, ______. Permission to participate in the First Impression Gymkhana Rodeo. Therefore, I hereby release the First Impression Rodeo Club, Inc., its members and officers from any and all liability in the event of an injury or loss to any person, my animals belongings and will make NO claim as a result of any loss or injury.
______
SignatureDate
Subscribed and sworn before me ______this ______day of ______, 20____.
My Commission Expires on______,
______Notary Public.
FIRST IMPRESSION GYMKHANA RODEO RELEASE
18 & OVER CONTESTANTS
I AM AWARE THAT THE SPORT OF RODEO CAN BE A DANGEROUS SPORT
TO A PERSON OR ANIMAL
I, ______, will participate in the First Impression Rodeo Gymkhana Series for the year. Therefore, I hereby release the First Impression Rodeo Club, Inc., its members and officers from any and all liability in the event of an injury or loss to my person, my animals or personal belongings and will make NO claim as a result of any loss or injury.
______
SignatureDate
President Sam Flores
Vice President Mike Chavez