Eastern Dakota 4-H Regional Rodeo - South Dakota 4H Rodeo

Eastern Dakota 4-H Regional Rodeo
DERBY DOWNS ARENA, WATERTOWN, SD – JULY 7 & 8, 2012
RODEO STARTS SATURDAY 9:00 AM & SUNDAY 9:00 AM
NAME ___________________________________________________ 4H Member ID #________________________________
MAILING ADDRESS ______________________________________ TOWN _______________________ZIP _____________
BIRTHDATE _______________________ COUNTY ____________________ PHONE________________________________
ENTRIES POSTMARKED BY JUNE 18, 2012 - NO LATE ENTRIES WILL BE ACCEPTED!
Mail to: Kathy Monnens, 44258 178 th Street, Hazel, SD 57242
Make checks payable to Eastern Dakota 4-H Rodeo – No Refunds.
*For questions after reading ALL pages - please email: monnens@itctel.com or call 628-2310
PARENTS/GUARDIANS MUST SIGN AFTER EACH EVENT ENTERED IN.
SENIOR EVENTS Ages 14-18 as of 1/1/12 PARENT SIGNATURE SAT SUN TOTAL
BAREBACK RIDING Boys $17
SADDLE BRONC RIDING Boys $17
BULL RIDING Boys $17
STEER WRESTLING Boys $17
TIE DOWN ROPING Boys $17
TEAM ROPING Both $17
Header: Heeler: Must Name Partners
There is No Draw!
BARREL RACING Girls $14
POLE BENDING Girls $14
GOAT TYING Girls $17
BREAKAWAY ROPING Girls $17
RIBBON ROPING Girls $17
**AMBASSADOR CONTEST** Girls $15 Complete Ambassador Form –
Send to Misty Brenden
JUNIOR EVENTS Ages 8-13 as of 1/1/12 PARENT SIGNATURE SAT SUN TOTAL
FLAG RACE Boys $14
BREAKAWAY ROPING Boys $17
GOAT TYING Boys $17
CATTLE RIDING Boys $17
**AMBASSADOR CONTEST** Girls $15 Complete Ambassador Form –
Send to Misty Brenden
BARREL RACING Girls $14
POLE BENDING Girls $14
GOAT TYING Girls $17
BREAKAWAY ROPING Girls $17
**Ambassador Candidates must be in attendance for BOTH performances.
Mail the Ambassador Form to Misty Brenden by the deadline! Office Fee $6.00
State Fee $2.00
TOTAL
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
ASSOCIATION and that he/she has completed and included the attached Waiver of Liability, indemnification and medical
release.
Signed _________________________________________________________
4-H Leader or 4-H Youth Program Advisor
“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
participation in the 4-H Rodeo July 7 &/or 8, 2012 at Watertown, SD; and do hereby release the EASTERN SOUTH DAKOTA
4-H RODEO ASSOCIATION AND 4-H LEADERS ASSOCIATION AND STOCK CONTRACTOR OR HIS AGENT from
any and all liability for damages whatsoever they may occur to our child and child’s mount in connection with said event(s).This
4-H member has proof of insurance on file at their County Extension Office.”
Signed ______________________________________________ Signed _____________________________________________
Parent or Guardian
4-H Member
*MUST MAIL “MEDICAL LIABILITY INDEMNIFICATION AND MEDICAL RELEASE”
form with appropriate notary stamps and signatures with this entry
Parents or Guardians Agreement of Waiver of Liability,

Indemnification and Medical Release
Under South Dakota Law, equine professional is not liable for an injury to or the death of a participant in equine activities resulting from
the inherent risk of equine activities, pursuant to SDCL 42-11-1.
The undersigned parent and natural guardian or legal guardian does hereby acknowledge that he/she is aware of the dangers involved in
participating in 4-H Rodeo; and that rodeos are dangerous and will expose him/her to substantial and serious risk of property damage and
/or personal injury or death.
Said undersigned parent and natural guardian or legal guardian does hereby represent that he/she is, in fact, acting in such capacity and
agrees on behalf of the participant and his/her executors, administrators, heirs, next of kin, successors, and assigns to:
a. waive, release and discharge from any and all liability for participant’s death, disability, personal injury, property damage,
property theft or actions of any kink which may hereafter accrue to participant and his/her estate, the State of South Dakota, and
its officers, agents, employees, 4-H volunteers, stock contractors, arena owners and arena official; and
b. indemnify and hold harmless the State of South Dakota, and its officers, agents, employees, 4-H volunteers, stock contractors,
arena owners and arena officials from and against any and all liabilities and claims made by other individuals or entities as a result
of participant’s participation or actions during this activity or event.
The undersigned further consents to and authorizes medical treatment to the participant, which may be deemed advisable in the event of
injury, accident or illness during this event. The undersigned further understands that he/she is financially responsible for any such medical
treatment.
This release waiver shall be construed broadly to provide a release and wavier to the maximum extent permissible under applicable law.
I, the undersigned, acknowledge that I have read and understand the above RELEASE.
Name of Minor ______________________________________ Date of Birth______/_______/______
Signature__________________________________________________ Date ______/_______/______
Name of Parent or Guardian____________________________________________________________
Signature___________________________________________________ Date ______/_______/_____
Notary Acknowledgement
Subscribed and sworn to by _____________________________________ (parent or guardian) before me
This _______ day of ________, 2012
Seal
____________________________________
Notary Public
Notary Print Name:______________________________
My Commission Expires:_________________________
Insurance Information:
Company____________________________________________ policy #___________________________
______ 4-H Rodeo Insurance
______I use the HIS network.
South Dakota State University, South Dakota Counties and U.S. Department of Agriculture Cooperating. South Dakota State
University is an Affirmative Action/Equal Opportunity Employer and offers all benefits, services, education and employment
opportunities without regard for race, color, creed, religion, national origin, ancestry, citizenship, age, gender, sexual
orientation, disability, or Vietnam Era Veteran status.

Eastern Dakota 4-H Regional Rodeos
General 4-H Rodeo Rules
Thank you for participating in our rodeo. To ensure a fair, smooth and safe weekend the 4-H Rodeo Committee
strongly wants both parents and contestants to fully read and understand the following rules which apply to all
contestants and all events. We follow the STATE 4-H RODEO RULES.
The Eastern Dakota 4-H Regional Rodeos are TWO SEPARATE RODEOS with a chance to qualify for state in a
contestant’s respective event(s) each day. Please note schedule of events below. Saturday - top four in each
event qualify for Finals. Sun - top four qualify for Finals
State Finals Entry: State Finals paper work entry deadline is May 1 st . Contestants are responsible to read and
follow the General Information on Finals Entry Forms and the Ground Rules pertaining to the 4-H Finals
Rodeo. All contestants qualifying for the 4-H Finals Rodeo (by finishing in the top 4 places at a
Regional/County 4H Rodeo) are automatically entered. If a contestant does not wish to enter the finals or has
event/events that they wish to not enter, then they will have to notify the Finals secretary by e-mailing
sd4hfinals@hotmail.com by AUGUST 6th. If the contestant does not notify the secretary prior to the finals
draw, the contestant is responsible for the entry fees. For further information refer to the SD 4-H Rodeo
Finals website www.sd4hrodeo.org
Award Qualifiers: Awards will be given to the top four qualifiers in each event for the Saturday rodeo and
awards will be given to the top four qualifiers in each event for the Sunday rodeo.
BUCKLES will be given to the first place in all events Sat. and first place in each event on Sun. and also for allaround
each respective day.
In the event of a tie for first place in All-Around an additional points system will be used to break the tie.
REQUIRED Insurance/indemnification form: Contestants must include the completed Parent/Guardian
Agreement of Waiver of Liability, Indemnification and Medical Release form with their entry. If entering both
rodeos, only one completed copy of the form is required.
Med/Vet Release: NO Refunds for any reason other than an official medical/veterinarian’s release for injured
contestant or animal.
Liability: The Eastern Dakota 4-H Rodeo Association, 4-H Leaders Association, and the Rodeo Stock Contractor
will assume NO liability for contestants, livestock, or spectator’s injuries, losses, or damages. Every known
precaution will be taken for safety sake. Arena will be worked appropriately.
Entries: In no case will an entry be accepted that is not properly filled out and the contestant and parent’s or
guardian’s signature signed before a notary, leader’s or Youth Program Advisor signatures or without
adequate entry fee. This can be a check, cash or money order If a check or money order is issued, make it
payable to Eastern Dakota 4-H Rodeo. ENTRIES MUST BE POSTMARKED NO LATER THAN JUNE 18, 2012.
Registration: Contestants will get their contestant number and complimentary program at the club house on
Friday night or the first day of their participation only. Just the “Sunday only” contestants need to register
Sunday morning. Contestants will use the same number when participating both days.
Team Ropers: Must state HEADER OR HEELER on entry form. NO PARTNER WILL BE ADDED OR SWITCHED.
NO Entry Confirmation Postcards will be mailed. Your cancelled check is your entry confirmation.
Friday, July 6, 2012
4:30 PM Ambassador Registration
5:00 PM Ambassador Horsemanship, Interviews,
Personality & Appearance
5:00-8:00 ALL Contestants Registration Open
Saturday, July 7, 2012
7:30 AM Contestant Registration Opens
8:45 AM Contestant Meeting
9:00 AM Grand Entry and Rodeo Begins
*Crowning of Ambassadors & Scholarship presentations
will be immediately prior to Cattle Riding
*Awards given after each event is officially posted
Sunday, July 8, 2012
8:00 AM Registration open for “Sunday Only” Contestants
8:45 AM Contestant Meeting
9:00 AM Grand Entry and Rodeo Begins
*Awards given after each event is officially posted
Order of Events (subject to change): Saturday and Sunday
Small Arena
Sr. Girls Ribbon Roping
Sr. Boys Calf Roping
Jr. Boys Goat Tying
Jr. Girls Goat Tying
Jr. Girls Breakaway
Jr. Boys Breakaway
Sr. Girls Breakaway
Jr. Girls Pole Bending
Sr. Girls Pole Bending
Large Arena
Sr. Boy Bareback
Jr. Girls Barrels
Sr. Girls Barrels
Jr. Boys Flag Race
Sr. Boys Saddle Broncs
Sr. Girls Goat Tying
Sr. Boys Steer Wrestling
Sr. Dally Team Roping
Jr. Boys Cattle Riding
Sr. Boys Bull Riding