Entry – Stick Horse Barrel

TRI-STATE RODEO Stick Horse Barrel 2103 303RD AVENUE P.O. BOX 80 FORT MADISON, IA   52627 319-372-2550          

Monday, September 2nd at the CE “Eddie Richards” Tri-State Rodeo Arena Registration begins at 8:00am.

Registration required! Entry Forms due by Monday, August 26, 2019

This is a timed event. Contestants will begin from a starting line race around the barrels on their stick horse there will be a 60 second time limit for each contestant, the fastest time will win.

Open to contestants age 3-6

Parent/Guardian Name

Parent/Guardian Email

Parent/Guardian Phone Number

Contestants Name

Gender MaleFemale

Age as of 1/1/19

Address

City

State

T-Shirt Size

I/We agree to all terms in the release below

RELEASE

I/We being the Parent or Legal Guardian of the above named individual do hereby take full responsibility and agree not to hold any person of the Rodeo Operating Committee or any person connected with this event responsible for accidents or injuries which may occur while the above named individual is competing in the Tri-State Stick Horse Barrel.

Parent/Guardian MUST Sign. Under Iowa Law, a domesticated animal professional is not liable for damages suffered by, an injury to, or the death of a participant resulting from the inherent risks of domesticated animal activities, pursuant to Iowa Code Chapter 73. You are assuming risks of participating in this domesticated animal activity.