Coastal Bend Rodeo Series Registration Form

Coastal Bend Rodeo Series

2026
Contestant Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
BoyGirl
Phone Number*
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
NEGATIVE COGGINS REQUIRED!

Office Fees:
- Rough Stock $10
- Leadline $10
- Rest of the events $20
Leadline series fee $100 - all leadline contestants must register for series.

Payment due week of rodeo. You may pre-pay by calling or texting

Daniel (956) 369-0198

Samantha (956) 329-8226

We accept Cash, Venmo, Zelle & Cashapp.
Events

Leadline 8U : $50Breakaway Open : $80Breakaway 15 - 18 : $50Breakaway 14U: $40Chute Roping 15 - 18 : $25 per runChute Roping 14U : $25 per run4D Goat Tying 19U : $40
Exhibition Run

Barrels $5 per runPoles $5 per run
Number of Barrel Runs
Number of Poles Runs
**4D Jackpot Barels**

Open: $60 per horse14U: $50 per horse
Number of Horses in Barrels
Name of Horses for Barrels
**3D Jackpot Poles**

Open: $60 per horse14U: $50 per horse
Number of Horses in Poles
Name of Horses for Poles
Bull & Steer Riding

Office fee $10 & Series Fee $100
Register for Bull/Steer Riding Series ($100 series fee)

YesNo
Bull Riding

Open Bulls 18U $150Junior Bulls 15 - 17 $140Mini Bulls 10 - 14 $130
Steer Riding

Boys 9U: $100Girls 10 - 18 : $100Girls 9U : $50
Youth Rodeo Liability Waiver & Release

By submitting this registration, I hereby acknowledge and agree to the following:
- I am the parent/legal guardian of the participant listed on this form.
- I understand that participation in a rodeo involves inherent risks, including the risk of serious injury.
- I voluntarily assume all risks associated with participation and agree not to hold DRH Cattle Company, Filthy 5, sponsors, or volunteers liable for any injury, loss, or damage that may occur.
- I also grant permission for photographs or video taken during the event to be used for promotional purposes.
- I understand that all entry fees are non-refundable, including in the case of injury, cancellation, or no-show.
By signing below, I certify that I have read and agree to the terms of this waiver
Parent / Guardian Full Name*

First NameLast Name
Parent / Guardian Signature*

Powered by Jotform SignClear
Should be Empty:

Coastal Bend Rodeo Series

Bull & Steer Riding