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 / Total
Stick 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