BATTLE OF THE BULLS/BULLS & BRONCS

BATTLE OF THE BULLS

SCRIBNER
Parent Information:

Please fill out all information in this form. Any incomplete waivers will be considered void and your child will not be eligible to compete until a new waiver is completed.
Parents Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Contestant Information
Name

First NameLast Name
Address (if different from above)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Rider's age:
M-SRA Membership Number (if applicable)
If you wish to sign up for a new Mid-States Rodeo Association membership, please see Kristin at the check in trailer. All fees associated with M-SRA will be due at the time the membership form is filled out.
By signing this form, you are verifying that you have read the entirity of the assumption of risk and waiver of liability form above.

If you have any questions, please contact Ryan Whitaker @ 402-575-1649

Thank you & Good Luck!
Signature
Should be Empty: