2025-26 Nebraska High School Rodeo Approval From:

2025-26 Nebraska High School Rodeo Approval From:

Please complete & submit this form by JANUARY 7, 2026! For any questions please contact Jill Austin 402-580-0510
Name of High School Rodeo:*
Date(s) of Rodeo:*
Start Time of Rodeo Day #1 (include time zone):*
Start Time of Rodeo Day #2 (include time zone)*
**If only a 1 day rodeo, put NA
Number of Performances:*
Rodeo Committee Contact Name:*

First NameLast Name
Rodeo Committee Contact Phone:*
Please enter a valid phone number.Format: (000) 000-0000.
Rodeo Committee Contact Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Rodeo Secretary:*

First NameLast Name
Rodeo Secretary Email:*
example@example.com
Rodeo Secretary Phone:*
Please enter a valid phone number.Format: (000) 000-0000.
Name of Rodeo Arena:*
Exact Address of Rodeo Arena:*
Will you be running a split arena or 2nd arena during your rodeo?*

Split arena2 separate arenasNo
All Around: Please select which All Around point system you will utilize for your rodeo:*

Association all-around point system (500 points plus 10 for each contestant entry awarded to top 6 in each event)The event points in each event (10 points for 1st 1 point for 10th)
Arena Director:*

First NameLast Name
Arena Director Phone:*
Please enter a valid phone number.Format: (000) 000-0000.
Name of Nearest Hospital:*
Address of Nearest Hospital:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Are you willing to provide a hotel for the Sports Medicine Team:*

YesNo
Do you want the optional office charge ($6/contestant)when contestants pay their fees? (This money will come back to the committee)*

YesNo
Do you want a mandatory check-in?*

YesNo
Rodeo Judge #1   First Name*   Last Name*
Rodeo Judge #2   First Name*   Last Name*
Rodeo Judge #3   First Name   Last Name
Date of Cutting: *
**If the Adult Director helps in setting up an early cutting for your rodeo, you may just put "Early Cutting" and we will get the information needed.
Start time of Cutting (include time zone):
Name of Cutting Arena:*
Address of Cutting Arena:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cutting Judge:
Cutting Cattle Provided by:
Name of nearest hospital to Cutting Arena:*
Address of nearest hospital to Cutting arena:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
1. Stock Contractor:*
1. Stock Contractor Phone:*
Please enter a valid phone number.Format: (000) 000-0000.
1. Stock Contractor Supplying:*

BullsBarebacksSaddle BroncsTeam Roping SteersBulldogging SteersCalf Roping CalvesBreakaway Calves
2. Additional Stock Contractor:
2. Additional Stock Contractor Phone:
Please enter a valid phone number.Format: (000) 000-0000.
2. Additional Stock Contractor Supplying:

BullsBarebacksSaddle BroncsTeam Roping SteersBulldogging SteersCalf Roping CalvesBreakaway Calves
3. Additional Stock Contractor:
3. Additional Stock Contractor Phone:
Please enter a valid phone number.Format: (000) 000-0000.
3. Additional Stock Contractor Supplying:

BullsBarebacksSaddle BroncsTeam Roping SteersBulldogging SteersCalf Roping CalvesBreakaway Calves
4. Additional Stock Contractor:
4. Additional Stock Contractor #3 Phone:
Please enter a valid phone number.Format: (000) 000-0000.
4. Additional Stock Contractor Supplying:

BullsBarebacksSaddle BroncsTeam Roping SteersBulldogging SteersCalf Roping CalvesBreakaway Calves
Goat Contractor:*
Goat Contractor Phone:*
Please enter a valid phone number.Format: (000) 000-0000.
Are you interested in hosting a Shooting Sports Event:*

YesNo
Do you need help setting up your Shooting Sports Event?*

YesNo (If you do not need help in setting up, please fill in your information below)
Shooting Sports Event Information:
If you set up your shooting event without the help of an NEHSRA director, please fill out your event info
Are you interested in hosting a Reined Cowhorse Event:*

YesNo
Do you need help in setting up your Reined Cowhorse Event?*

YesNo (If you do not need help in setting up, please fill in your information below)
Reined Cowhorse Event:
If you set up your RCH event without the help of an NEHSRA director, please fill out your event info
Order of Events: *
*Please list each arena
Please list any important information that needs to be posted on the website with rodeo information (ie stalls, parking, hookups, etc)
You are required to carry insurance for the event, please select which option your rodeo needs:*

1 Day Event: $3062 Day Event: $612NA - we will use our own insurance (PLEASE NOTE if you do this, it MUST be pre-approved by our National office)
Who needs to be listed as additional insured on your insurance policy. Additional insured are included in your insurance premium:
*Please list name/address to be considered complet
Additional Comments:
Total fees due to the NeHSRA by JANUARY 7, 2026:*

$411- 1 Day Event ($105) + Insurance ($306)$747- 2 Day Event ($135) + Insurance($612)
We agree by filling out this form & submitting payment, it is holding our dates and we are committed to hosting a rodeo for the dates requesting:

YesNo
File Upload- Completed WSI Liability form*

If you will be utilizing your own Insurance policy, please upload a Certificate of Liability
Cancelof
File Upload

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File Upload

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