www.flyingdxbar.com

Flying DX Youth Rodeo

Fifth - Eighth Grade GIRLS

                         Contestant Entry Form $ CASH ONLY $

Contestants Name: _________________________________________________________________
Address: ____________________________________ City: __________________ State: _______  Zip: _____________
Email Address: _____________________________________ Phone: _________________________
Is contestant a Flying DX member?  Yes ___ No ___               

Please Circle Events and Write in Totals

Saturday (Date __________)      

Sunday (Date __________)

Poles  $14.00
Barrels $14.00
Goat Tying Legs $14.00
Breakaway Roping $16.00
Team Roping  $20.00
Header___________ Heeler___________
Header___________ Heeler___________
Ribbon Roping $16.00 
Roper ________ Runner ________
Steer Stopping $16.00

Exhibitions:

_____________

Office Charge           

$7.00

Daily Total:

$ _________
Poles  $14.00
Barrels $14.00
Goat Tying Legs $14.00
Breakaway Roping $16.00
Team Roping  $20.00
Header ________ Heeler_________
Header_________ Heeler________
Ribbon Roping $16.00
Roper_______ Runner _____  
Steer Stopping $16.00

-- NO Exhibitions on Sunday --

Office Charge $7.00

Daily Total:    

$ _________

Saturday & Sunday Totals $_______________

Please mark yes or no so we know if you want to be put into the draw for Ribbon Ropen and/or Team ropen. YES__ NO __ Paid for draw run yes or no.  Amount paid $ __________  Ribbon Roping Team Roping                                                                 Parent Consent Form 

As considerations for being allowed to participate and/or compete in the Flying DX events, I the undersigned agree to the following: Acknowledgement of Risk: The undersigned acknowledges that the Flying DX events are dangerous activities and that the participation in said events, as either a contestant, an employee or volunteer, exposes the participant to a substantial and serious risk or property damage, personal injury or death.  The undersigned expressly acknowledges that his/her participation will involve such a hazard.
Release of Sponsors:
The undersigned being fully aware that participation in the Flying DX events will expose him/her to a substantial and serious risk of property damage and/or personal injury or death, hereby releases all sponsors from liability for any and all property damage, personal injuries or other claims arising from the undersigned’s participation in said events including those that are known and unknown, foreseen and unforeseen, future or contingent.
Covenant Not to Sue:
 The undersigned covenants that the undersigned shall not now or at any time in the future, directly or indirectly, commence or prosecute any action, suit or other proceeding against the sponsors (or their officers, directors, employees, agents, or affiliates) concerning, arising out of, or related to the actions, causes or action, claims and demands hereby waived, released or discharged by the undersigned.
Assurances:
The undersigned has full power, authority, capacity and right without limitation to execute, deliver and perform this release.
Rules:
 The undersigned agrees to all of the rules of the Flying DX.
Binding Effect:
This release shall be binding upon the undersigned and the undersigned’s spouse, legal representatives, heirs, successors and assigns.
Note:
Participants under 18 years of age must have the following signed by their parents or guardian. 
Consent to Treat:
 I hereby give the affiliated EMS the right to treat the above listed child, which I am the parent or guardian should the need arise.
I have read the above release in full.  I totally understand its terms and conditions, and I hereby voluntarily execute and deliver this consent to contestant’s participation in the Flying DX events.  I further agree to be fully bound by the release’s terms and conditions in both by individual capacity and in my capacity as parent or legal guardian for the undersigned.
 

  Parents/Guardian Signature: __________________________        ______  There will be no tolerance of anyone confronting the judges at any time.  Refer to rulebook for consequences.