www.flyingdxbar.com

Flying DX Youth Rodeo

Freshmen to Seniors - 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  $16.00
Barrels $16.00
Goat Tying $16.00
Breakaway Roping $20.00
Ribbon Roping $20.00 (per team)
Roper____________  Draw   yes  1    no1 Runner ___________ Draw   yes   1   no1
Team Roping  $30.00 (per team)
Header ___________ Heeler ___________
Header ___________ Draw   yes  1    no1 Heeler ___________ Draw   yes  1    no1
Steer Stopping $16.00

Exhibitions:

_______________

Office Charge           

+$7.00

Daily Total:

$ _________
Poles  $16.00
Barrels $16.00
Goat Tying $16.00
Breakaway Roping $20.00
Ribbon Roping $20.00  (per team)
Roper_____________ Draw   yes  1      no1 Roper______________ Draw   yes  1     no1
Team Roping  $30.00 (per team)
Header ____________ Heeler _____________
Header ____________ Draw   yes  1    no1 Heeler _____________ Draw   yes  1     no1
Steer Stopping $16.00

-- NO Exhibitions on Sunday --

Office Charge:

+ $7.00

Daily Total:    

$ _________

 

Saturday & Sunday Totals $_________________

 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. *