Top O’ Texas Kid Pony Show
Saturday, June 29, 2019 – 9:00 A.M.
CITY________________________ STATE _________ ZIP________________
PHONE___________________ BIRTHDATE & YEAR_____________________
AGE AS OF JUNE 1, 2019 __________
BIRTH CERTIFICATE REQUIRED IF NOT ON FILE FROM LAST YEAR
THE EVENTS ARE LISTED BELOW. YOU MAY ENTER ANY OR ALL EVENTS IN YOUR AGE GROUP. AGE IS DETERMINED BY 6-1-19. ENTRIES MUST BE RECEIVED BY 5:00 P.M. TUESDAY, JUNE 18, 2019. LATE ENTRIES ACCEPTED UNTIL 5:00 P.M. JUNE 25, WITH AN ADDED $15 LATE FEE.
NO EXCEPTIONS. MAIL ENTRIES TO: P. O. BOX 659, PAMPA, TX 79066.
CONSENT & RELEASE FORMS MUST BE NOTARIZED AND ACCOMPANY ENTRY FORM.
GROUP 1 - $12.00 EACH GROUP 1 - $12.00 EACH
BOYS EVENTS (5 & under) GIRLS EVENTS (5 & under)
______Barrel Race ______Barrel Race
______Stick Horse Barrel Race ______Stick Horse Barrel Race
______Goat Ribbon Race ______Goat Ribbon Race
______Walk & Lead Barrels ______Walk & Lead Barrels
GROUP 2 - $14.00 EACH GROUP 2 - $14.00 EACH
BOYS EVENTS (Age 6 - 8) GIRLS EVENTS (Age 6 -8)
______Barrel Race ______Barrel Race
______Flag Race ______Flag Race
______MUTTON BUSTIN – $26.00 ($16.00 Entry Fee + $10.00 Stock Charge)
Girls & Boys - Ages 6 & Under – Limit 20
ACCORDING TO TEXAS LAW, WE MUST REQUIRE YOU TO BRING CURRENT COGGINS PAPERS WITH YOU ON THE DAY OF COMPETITION TO SHOW UPON ARRIVAL AT RODEO GROUNDS.
CONSENT/RELEASE FORM LOCATED ON BACK
CONSENT AND RELEASE FORM - TOP O’ TEXAS RODEO ASSOCIATION
I agree to abide by all rules and regulations of the TOTRA dba TOP O’ TEXAS RODEO ASSOCIATION as a participant on the rodeo grounds and surrounding premises.
I acknowledge that I am specifically aware of the inherent risks and hazards associated with rodeo events and by my application and signature hereon I DO ASSUME ALL LIABILITY AND RESPONSIBILITY for any accident or injury to myself, my helpers, my stock, and/or damage to my personal property, if any, while on the rodeo grounds including but not limited to competition, practices or participation in any event or part of any performance or parade. I further waive all claims for damages against the TOTRA dba
TOP O’ TEXAS RODEO ASSOCIATION, INC., its employees, agents, servants and directors, both jointly and severally, for any injuries as heretofore outlined. I acknowledge that I am an amateur and not a member of any pro rodeo association.
(Contestant or participant)
PARENTAL CONSENT AND RELEASE FOR MINOR
I (WE), the undersigned parent(s) or legal guardian(s) of the minor (Under age 18) applicant who has signed the accident release above, have read and do hereby ratify said release, and give my consent for said applicant to compete, participate or practice in any event held on the grounds or surrounding area of the TOTRA dba TOP O’ TEXAS RODEO ASSOCIATION.
I (WE), do expressively release TOTRA dba TOP O’ TEXAS RODEO ASSOCIATION, its servants, employees and directors, both jointly and severally, from all claims and damages by reason of any injury received by said applicant and/or their stock, resulting in death or otherwise, while on the rodeo grounds and/or while competing or participating in any event.
(Parent or guardian)
STATE OF _____________________________________ )(
COUNTY OF___________________________________ )(
Before me, the undersigned, a notary public in and for said county and state, on this day personally appeared
________________________________________________________, known to me to be the person(s) whose name(s) is subscribed to the foregoing instrument, and acknowledged to me that __ he (they) executed the same with full understanding and for the purposes and consideration therein expressed.
Given under my hand and seal of office this the ________ day of ______________________________, 2________.
Notary Public in and for
My commission expires: