Eastern Dakota 4-H Regional Rodeo - South Dakota 4H Rodeo
Eastern Dakota 4-H Regional Rodeo - South Dakota 4H Rodeo
Eastern Dakota 4-H Regional Rodeo - South Dakota 4H Rodeo
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<strong>Eastern</strong> <strong>Dakota</strong> 4-H <strong>Regional</strong> <strong>Rodeo</strong><br />
DERBY DOWNS ARENA, WATERTOWN, SD – JULY 7 & 8, 2012<br />
RODEO STARTS SATURDAY 9:00 AM & SUNDAY 9:00 AM<br />
NAME ___________________________________________________ <strong>4H</strong> Member ID #________________________________<br />
MAILING ADDRESS ______________________________________ TOWN _______________________ZIP _____________<br />
BIRTHDATE _______________________ COUNTY ____________________ PHONE________________________________<br />
ENTRIES POSTMARKED BY JUNE 18, 2012 - NO LATE ENTRIES WILL BE ACCEPTED!<br />
Mail to: Kathy Monnens, 44258 178 th Street, Hazel, SD 57242<br />
Make checks payable to <strong>Eastern</strong> <strong>Dakota</strong> 4-H <strong>Rodeo</strong> – No Refunds.<br />
*For questions after reading ALL pages - please email: monnens@itctel.com or call 628-2310<br />
PARENTS/GUARDIANS MUST SIGN AFTER EACH EVENT ENTERED IN.<br />
SENIOR EVENTS Ages 14-18 as of 1/1/12 PARENT SIGNATURE SAT SUN TOTAL<br />
BAREBACK RIDING Boys $17<br />
SADDLE BRONC RIDING Boys $17<br />
BULL RIDING Boys $17<br />
STEER WRESTLING Boys $17<br />
TIE DOWN ROPING Boys $17<br />
TEAM ROPING Both $17<br />
Header: Heeler: Must Name Partners<br />
There is No Draw!<br />
BARREL RACING Girls $14<br />
POLE BENDING Girls $14<br />
GOAT TYING Girls $17<br />
BREAKAWAY ROPING Girls $17<br />
RIBBON ROPING Girls $17<br />
**AMBASSADOR CONTEST** Girls $15 Complete Ambassador Form –<br />
Send to Misty Brenden<br />
JUNIOR EVENTS Ages 8-13 as of 1/1/12 PARENT SIGNATURE SAT SUN TOTAL<br />
FLAG RACE Boys $14<br />
BREAKAWAY ROPING Boys $17<br />
GOAT TYING Boys $17<br />
CATTLE RIDING Boys $17<br />
**AMBASSADOR CONTEST** Girls $15 Complete Ambassador Form –<br />
Send to Misty Brenden<br />
BARREL RACING Girls $14<br />
POLE BENDING Girls $14<br />
GOAT TYING Girls $17<br />
BREAKAWAY ROPING Girls $17<br />
**Ambassador Candidates must be in attendance for BOTH performances.<br />
Mail the Ambassador Form to Misty Brenden by the deadline! Office Fee $6.00<br />
State Fee $2.00<br />
TOTAL<br />
I do certify that this 4-H member is in good standing in his/her project work and meets conduct qualifications of our STATE 4-H<br />
ASSOCIATION and that he/she has completed and included the attached Waiver of Liability, indemnification and medical<br />
release.<br />
Signed _________________________________________________________<br />
4-H Leader or 4-H Youth Program Advisor<br />
“We, parent or guardian, and I the member, have read the rules and entry blank and so hereby consent to the 4-H member’s<br />
participation in the 4-H <strong>Rodeo</strong> July 7 &/or 8, 2012 at Watertown, SD; and do hereby release the EASTERN SOUTH DAKOTA<br />
4-H RODEO ASSOCIATION AND 4-H LEADERS ASSOCIATION AND STOCK CONTRACTOR OR HIS AGENT from<br />
any and all liability for damages whatsoever they may occur to our child and child’s mount in connection with said event(s).This<br />
4-H member has proof of insurance on file at their County Extension Office.”<br />
Signed ______________________________________________ Signed _____________________________________________<br />
Parent or Guardian<br />
4-H Member<br />
*MUST MAIL “MEDICAL LIABILITY INDEMNIFICATION AND MEDICAL RELEASE”<br />
form with appropriate notary stamps and signatures with this entry<br />
Parents or Guardians Agreement of Waiver of Liability,
Indemnification and Medical Release<br />
Under <strong>South</strong> <strong>Dakota</strong> Law, equine professional is not liable for an injury to or the death of a participant in equine activities resulting from<br />
the inherent risk of equine activities, pursuant to SDCL 42-11-1.<br />
The undersigned parent and natural guardian or legal guardian does hereby acknowledge that he/she is aware of the dangers involved in<br />
participating in 4-H <strong>Rodeo</strong>; and that rodeos are dangerous and will expose him/her to substantial and serious risk of property damage and<br />
/or personal injury or death.<br />
Said undersigned parent and natural guardian or legal guardian does hereby represent that he/she is, in fact, acting in such capacity and<br />
agrees on behalf of the participant and his/her executors, administrators, heirs, next of kin, successors, and assigns to:<br />
a. waive, release and discharge from any and all liability for participant’s death, disability, personal injury, property damage,<br />
property theft or actions of any kink which may hereafter accrue to participant and his/her estate, the State of <strong>South</strong> <strong>Dakota</strong>, and<br />
its officers, agents, employees, 4-H volunteers, stock contractors, arena owners and arena official; and<br />
b. indemnify and hold harmless the State of <strong>South</strong> <strong>Dakota</strong>, and its officers, agents, employees, 4-H volunteers, stock contractors,<br />
arena owners and arena officials from and against any and all liabilities and claims made by other individuals or entities as a result<br />
of participant’s participation or actions during this activity or event.<br />
The undersigned further consents to and authorizes medical treatment to the participant, which may be deemed advisable in the event of<br />
injury, accident or illness during this event. The undersigned further understands that he/she is financially responsible for any such medical<br />
treatment.<br />
This release waiver shall be construed broadly to provide a release and wavier to the maximum extent permissible under applicable law.<br />
I, the undersigned, acknowledge that I have read and understand the above RELEASE.<br />
Name of Minor ______________________________________ Date of Birth______/_______/______<br />
Signature__________________________________________________ Date ______/_______/______<br />
Name of Parent or Guardian____________________________________________________________<br />
Signature___________________________________________________ Date ______/_______/_____<br />
Notary Acknowledgement<br />
Subscribed and sworn to by _____________________________________ (parent or guardian) before me<br />
This _______ day of ________, 2012<br />
Seal<br />
____________________________________<br />
Notary Public<br />
Notary Print Name:______________________________<br />
My Commission Expires:_________________________<br />
Insurance Information:<br />
Company____________________________________________ policy #___________________________<br />
______ 4-H <strong>Rodeo</strong> Insurance<br />
______I use the HIS network.<br />
<strong>South</strong> <strong>Dakota</strong> State University, <strong>South</strong> <strong>Dakota</strong> Counties and U.S. Department of Agriculture Cooperating. <strong>South</strong> <strong>Dakota</strong> State<br />
University is an Affirmative Action/Equal Opportunity Employer and offers all benefits, services, education and employment<br />
opportunities without regard for race, color, creed, religion, national origin, ancestry, citizenship, age, gender, sexual<br />
orientation, disability, or Vietnam Era Veteran status.
<strong>Eastern</strong> <strong>Dakota</strong> 4-H <strong>Regional</strong> <strong>Rodeo</strong>s<br />
General 4-H <strong>Rodeo</strong> Rules<br />
Thank you for participating in our rodeo. To ensure a fair, smooth and safe weekend the 4-H <strong>Rodeo</strong> Committee<br />
strongly wants both parents and contestants to fully read and understand the following rules which apply to all<br />
contestants and all events. We follow the STATE 4-H RODEO RULES.<br />
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The <strong>Eastern</strong> <strong>Dakota</strong> 4-H <strong>Regional</strong> <strong>Rodeo</strong>s are TWO SEPARATE RODEOS with a chance to qualify for state in a<br />
contestant’s respective event(s) each day. Please note schedule of events below. Saturday - top four in each<br />
event qualify for Finals. Sun - top four qualify for Finals<br />
State Finals Entry: State Finals paper work entry deadline is May 1 st . Contestants are responsible to read and<br />
follow the General Information on Finals Entry Forms and the Ground Rules pertaining to the 4-H Finals<br />
<strong>Rodeo</strong>. All contestants qualifying for the 4-H Finals <strong>Rodeo</strong> (by finishing in the top 4 places at a<br />
<strong>Regional</strong>/County <strong>4H</strong> <strong>Rodeo</strong>) are automatically entered. If a contestant does not wish to enter the finals or has<br />
event/events that they wish to not enter, then they will have to notify the Finals secretary by e-mailing<br />
sd4hfinals@hotmail.com by AUGUST 6th. If the contestant does not notify the secretary prior to the finals<br />
draw, the contestant is responsible for the entry fees. For further information refer to the SD 4-H <strong>Rodeo</strong><br />
Finals website www.sd4hrodeo.org<br />
Award Qualifiers: Awards will be given to the top four qualifiers in each event for the Saturday rodeo and<br />
awards will be given to the top four qualifiers in each event for the Sunday rodeo.<br />
BUCKLES will be given to the first place in all events Sat. and first place in each event on Sun. and also for allaround<br />
each respective day.<br />
In the event of a tie for first place in All-Around an additional points system will be used to break the tie.<br />
REQUIRED Insurance/indemnification form: Contestants must include the completed Parent/Guardian<br />
Agreement of Waiver of Liability, Indemnification and Medical Release form with their entry. If entering both<br />
rodeos, only one completed copy of the form is required.<br />
Med/Vet Release: NO Refunds for any reason other than an official medical/veterinarian’s release for injured<br />
contestant or animal.<br />
Liability: The <strong>Eastern</strong> <strong>Dakota</strong> 4-H <strong>Rodeo</strong> Association, 4-H Leaders Association, and the <strong>Rodeo</strong> Stock Contractor<br />
will assume NO liability for contestants, livestock, or spectator’s injuries, losses, or damages. Every known<br />
precaution will be taken for safety sake. Arena will be worked appropriately.<br />
Entries: In no case will an entry be accepted that is not properly filled out and the contestant and parent’s or<br />
guardian’s signature signed before a notary, leader’s or Youth Program Advisor signatures or without<br />
adequate entry fee. This can be a check, cash or money order If a check or money order is issued, make it<br />
payable to <strong>Eastern</strong> <strong>Dakota</strong> 4-H <strong>Rodeo</strong>. ENTRIES MUST BE POSTMARKED NO LATER THAN JUNE 18, 2012.<br />
Registration: Contestants will get their contestant number and complimentary program at the club house on<br />
Friday night or the first day of their participation only. Just the “Sunday only” contestants need to register<br />
Sunday morning. Contestants will use the same number when participating both days.<br />
Team Ropers: Must state HEADER OR HEELER on entry form. NO PARTNER WILL BE ADDED OR SWITCHED.<br />
NO Entry Confirmation Postcards will be mailed. Your cancelled check is your entry confirmation.<br />
Friday, July 6, 2012<br />
4:30 PM Ambassador Registration<br />
5:00 PM Ambassador Horsemanship, Interviews,<br />
Personality & Appearance<br />
5:00-8:00 ALL Contestants Registration Open<br />
Saturday, July 7, 2012<br />
7:30 AM Contestant Registration Opens<br />
8:45 AM Contestant Meeting<br />
9:00 AM Grand Entry and <strong>Rodeo</strong> Begins<br />
*Crowning of Ambassadors & Scholarship presentations<br />
will be immediately prior to Cattle Riding<br />
*Awards given after each event is officially posted<br />
Sunday, July 8, 2012<br />
8:00 AM Registration open for “Sunday Only” Contestants<br />
8:45 AM Contestant Meeting<br />
9:00 AM Grand Entry and <strong>Rodeo</strong> Begins<br />
*Awards given after each event is officially posted<br />
Order of Events (subject to change): Saturday and Sunday<br />
Small Arena<br />
Sr. Girls Ribbon Roping<br />
Sr. Boys Calf Roping<br />
Jr. Boys Goat Tying<br />
Jr. Girls Goat Tying<br />
Jr. Girls Breakaway<br />
Jr. Boys Breakaway<br />
Sr. Girls Breakaway<br />
Jr. Girls Pole Bending<br />
Sr. Girls Pole Bending<br />
Large Arena<br />
Sr. Boy Bareback<br />
Jr. Girls Barrels<br />
Sr. Girls Barrels<br />
Jr. Boys Flag Race<br />
Sr. Boys Saddle Broncs<br />
Sr. Girls Goat Tying<br />
Sr. Boys Steer Wrestling<br />
Sr. Dally Team Roping<br />
Jr. Boys Cattle Riding<br />
Sr. Boys Bull Riding