__________________________                    _____________________________

Name of Rodeo                                                                        Name of Contestant

__________________________                    _____________________________

Date of Rodeo                                                                          Complete Mailing Address

__________________________                    _____________________________

Location of Rodeo                                                                   City, State, Zip Code

__________________________                    _________________              _______

Social Security Number                                                             Telephone Number                                  Back Number


Check if One Time Only ___________$15.00 (Applies to Non- Members)


PARENTS MUST SIGN For each event you enter.


BOYS EVENTS:                                                                     GIRLS EVENTS:

Bareback Riding_____________________________         ($20)       Pole Bending___________________________________($10)


Steer Wrestling______________________________        ($20)       Goat Tying____________________________________ ($20)


Bull Riding__________________________________         $20)


Saddle bronc_________________________________        ($20)       Break Away Roping____________________________ ($20)


Calf Roping__________________________________       ($20)       Barrel Racing__________________________________($10)


Team Roping_________________________________        ($10)


I am the Header or Healer. My Partner’s name is________________________________


 Ground Fees _________________________________($20 for LAKEVILLE RODEO) Fee to be paid per family. If paid by another member in the family


Indicate contestants name and back number : ___________________________________________________        ___________

                                                                                (Family members Name)                                                        Back Number


Total Amount included with entry is: $__________________________(Includes ground fee) Make Checks payable to: MHSRA


Contestants Signature:_______________________________________________________________



We, the parents or guardians of _________________________________________________(contestant’s name)


 Give the (local Hospital)______________________________ and physicians on the Medical Staff of the Hospital Permission to administer NECESSARY EMERGENCY treatment for injuries he or she may incur while participating in the


__________________________High School Rodeo. We hereby release the (local Hospital)______________________________, physicians on the Medical Staff, and the Rodeo Sponsors from all liability.


Signed:_______________________________________ and______________________________________________.

                (Requires Both Parents/Guardians Signatures)

                                                                                                                Subscribed and Sworn to me before this


                                                                                                                ___________day of ___________, _______



                                                                                                                Notary Public:_____________________________



                                                                                                                                                (Stamp here)

                                                                                                                My Commission Expires:___________________


School Signature Required: 


I certify that this student meets                                                                                                         Entry Deadline:

National High School Rodeo                                                                                                               14 days prior to Rodeo

Association’s GRADE AND CONDUCT                                                                                              Draw outs:

Qualifications.                                                                                                                      24 Hours prior to Rodeo

(Current Grade and Conduct Requirements)                                                                   All Fees:

                                                                                                                                                Due with Entry


_____________________________________(date)_____________                                  Send Entry To:

  Terri Grinager

(School Administration Signature)                                                                                                    return_links(); ?>  16910 CO RD 3 NE

                                                                                                                                                                   Miltona, MN 56354

                                                                                                                                                Questions: (218) 943-1780 Evenings