Coastal Bend Rodeo Series Registration Form

Coastal Bend Rodeo Series

February 21, 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. Leadline payment due February 17!

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

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

Daniel (956) 369-0198

Samantha (956) 329-8226

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

Yes, I want to enter for my chance to win a saddle!No, I don't want a saddle.
Exhibition Run

Barrels $5 per runPoles $5 per run
Number of Barrel Runs
Number of Poles Runs
Leadline

8U : $50 + $100 series fee
Chute Roping

14 - 18 : $30 per run13U : $25 per run
Breakaway

Open: $80 per horse13U: $40 per horse14 - 18: $50 per horse
Number of Horses in Breakaway
Name of Horses for Breakaway
**3D Jackpot Goat Tying**

Open: $40 per horse13U: $30
Number of Horses in Goat Tying
Name of Horses for Goat Tying
**3D Jackpot Figure 8's**

Open: $60 per horse13U: $4014-18 $60
Number of Horses in Figure 8's
Name of Horses for Figure 8's
**4D Jackpot Barels**

Open: $60 per horse14-18: $60 per horse13U: $50
Number of Horses in Barrels
Name of Horses for Barrels
**3D Jackpot Poles**

Open: $60 per horse14-18: $60 per horse13U: $50
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

Novice 17 - 19 $130Junior Bulls 15 - 16 $120Mini Bulls 10 - 14 $115
Steer Riding

Boys & Girls Calf 9U: $75Girls 10 - 18 : $100
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, stock contractors, 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*

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Coastal Bend Rodeo Series

Bull & Steer Riding