Kleberg County Bull Bash Registration Form

Contestant Name

First NameLast Name

Date of Birth

Date

Phone Number

Format: (000) 000-0000.

Email

example@example.com

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

NEGATIVE COGGINS REQUIRED!

Office Fees:

NBHA $20

Payment due week of rodeo for all other events. You may pre-pay by calling or texting

Daniel (956) 369-0198

Samantha (956) 329-8226

**Division determined by age of contestant day of the rodeo**

We accept Cash, Venmo, Zelle & Credit/Debit Card (4%).

*SIDE SADDLE POT* $40

Exhibition Run

Number of Barrel Runs

Number of Poles Runs

Leadline

Lil’ Spurs - my child will also be signing up to compete in the Lil’ Spurs 8 & Under Division

**Lil Spurs Registration** (separate office fee of $5 applies): 8 & Under

**3D Jackpot Poles**

Number of Horses in Poles

Name of Horses for Poles

**4D Jackpot Barrels** (separate from NBHA)

Number of Horses in Barrels

Name of Horses for Barrels

NBHA - I / my child will be registering for the NBHA competition.

NBHA District

**NBHA Barrels** (separate office fee of $20 applies)

Number of Horses in NBHA Barrels

Name of Horses for NBHA Barrels

Bull Riding

Steer Riding

Weight

I want to register my kid for Mutton Bustin'

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 Youth Rodeo Association, DRH Cattle Company, DSU Roughstock, Filthy 5, stock contractors, sponsors, staff 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

Kleberg County Bull Bash

Bull & Steer Riding

Mutton Bustin'