Dewey County 4H Rodeo May 30, 2021, 9:00 AM MST This entry form must be mailed to Rodeo Secretary, Jada Kraft, 13449 241st Ave; Firesteel, SD 57633, postmarked by Thursday, May 13, 2021, or entries will be returned.
First & Last Name: ______Date of Birth: ______ Female Male
Mailing Address: ______Age (as of Jan. 1): ______
City: ______Email Address: ______
State /Zip: ______Phone Number: ______Parent/guardian Name ______Phone Number:______
Junior Girl, Ages 8 – 13, as of January 1, 2021 Junior Boy, Ages 8 – 13, as of January 1, 2021
x Fee Events Parent/Guardian’s Signature x Fee Events Parent/Guardian’s Signature $20 Barrel Racing $20 Breakaway Roping $20 Breakaway Roping $25 Cattle Riding $20 Goat Tying $15 Flag Racing $20 Pole Bending $20 Goat Tying $15 Flag Race $25 Bareback Steer Riding $20 Team Roping $20 Team Roping Total Fees Total Fees
Team Roping Header: ______Team Roping Heeler: ______
Senior Girl, Ages 14 – 18, as of January 1, 2021 Senior Boy, Ages 14 – 18, as of January 1, 2021
x Fee Events Parent/Guardian’s Signature x Fee Events Parent/Guardian’s Signature $20 Barrel Racing $30 Bareback Riding $20 Breakaway Roping $30 Bull Riding $20 Goat Tying $20 Calf Roping $20 Pole Bending $30 Saddle Bronc Riding $20 Ribbon Roping $20 Steer Wrestling 1 1 $20 Team Roping $20 Team Roping Total Fees Total Fees
Team Roping Header: ______Team Roping Heeler: ______
We, the 4-H member and parents/guardian, have read the rodeo rules and hereby consent to the 4-H member’s participation in the Dewey County 4H Rodeo, on May 30, 2021.
______Signature of Parent or Guardian Signature of 4-H Member
NOTE: As a competing 4H member, you are eligible to enter any offered 4H Rodeo event regardless of your gender. However, you may only enter events in one Division. This year we have decided to give all-around saddles!!
*IN NO CASE WILL ANY ENTRY BLANK BE ACCEPTED THAT IS NOT PROPERLY FILLED OUT. PARENTS OR GUARDIANS SIGNATURE MUST BE SIGNED. CHECK RULES AND REGULATIONS (SEPARATE SHEET). *****NO FEES WILL BE WAIVED OR REFUNDED WITHOUT PROPER DOCUMENTATION ***** We will be having a rules meeting around 8:45 AM before rodeo*****.
MAIL ENTRY AND FEES TO: Surcharge (Jr. and Sr. one time only) $______$5.00 _____ Dewey County 4-H Rodeo c/o Jada Kraft st Entry Fees: $______13449 241 Ave Firesteel, SD 57633 Total Enclosed: $______Be Sure to Read Ground Rules on Page 2!!!!