May 31st Playday Form

LA PINE RODEO
May 31st Playday Buckle Series Form
TODAYS DATE

MonthDayYear
Date
First Name
Last Name
Phone Number
Horses Names
Emergency Contact
Phone
If Competitor is under the age of 18:
Competitor Age
ParentGuardian
Phone
AGE DIVISION
Type a question

Pewee (6 & under)Junior (7-9)Intermediate (10-13)Senior (14-17)Adult (18-49)Super Senior (50 & up)
LA PINE RODEO
Events ($5 per event)

Barrel RacingSpeed BarrlesPolesBirangle
Volunteer Sign-Up (Please check one):

Gate – First 2 EventsGate – Last 2 EventsBarrels – Setup & Pattern ResetSpeed Barrels – Setup & ResetPoles – Setup & ResetBiangle – Setup & Reset
Total
Please make checks payable to:

Iam signing this Entry Form freely and voluntarily on behalf of myself and/or my minor child(ren
Participant Name
Participant Signature

Clear
ParentGuardian Name
ParentGuardian Signature

Clear
Address: PO Box 674, La Pine, OR 97739 Email: info@lapinerodeo.com Website: www.lapinerodeo.com

My Products

Barrels

$5.00 Quantity

Speed Barrels

$5.00 Quantity

Poles

$5.00 Quantity

Birangle

$5.00 Quantity

All Events

$20.00 Quantity

Total

$0.00

LA PINE RODEO