July 16, 2024 Benefit – Johnson County Cowgirls

Name *

Phone *

Email *

Division *

Peewee 0-6
Juniors 7-10
Seniors 11-14
Open

Check all age divisions you will be competing in. Team Roping is listed under "Open".

Peewee Events

PW Dummy Roping - $7.00
PW Goat Tail Tying - $7.00
PW Barrel Racing - $7.00
Assisted PW Barrel Racing - $7.00
PW Pole Bending - $7.00
Assisted PW Pole Bending - $7.00

Barrel Horse's Name

Our Announcer does a great job of acknowledging our Peewee's 4 legged partner.

Pole Horse's Name

Our Announcer does a great job of acknowledging our Peewee's 4 legged partner.

Junior Events

Jr. Barrel Racing - $12.00
Jr. Pole Bending - $12.00
Jr. Goat Tying - $14.00
Jr. Dummy Roping - $12.00

Roll Time from Junior Barrels to Open Barrels *

****If YES, Don't forget to enter the Open as well****

Horse Name (Jr. Barrels) *

Our Announcer does a great job of acknowledging our Junior's 4 legged partner.

Roll Time from Junior Poles to Open Poles *

****If YES, Don't forget to enter the Open as well****

Horse Name (Jr. Poles) *

Senior Events

Sr. Barrel Racing - $12.00
Sr. Pole Bending - $12.00
Sr. Goat Tying - $14.00
Sr. Calf Breakaway - $30.00
Sr. Steer Breakaway - $18.00

Roll Time from Senior Barrels to Open Barrels *

****If YES, Don't forget to enter the Open as well****

Horse Name (Sr. Barrels) *

Roll Time from Senior Poles to Open Poles *

****If YES, Don't forget to enter the Open as well****

Horse Name (Sr. Poles) *

Open Events

Open Barrel Racing - $23.00
Open Pole Bending - $23.00
Open Goat Tying - $14.00
Open Calf Breakaway - $30.00
Open Steer Breakaway - $18.00
Open Steer Stopping - $18.00
Open Team Roping - $15.00

Barrel Slack (only offered if more than 65 are entered) *

I prefer slack if available.
Good with either slack or rodeo
I prefer the rodeo

If there are 65 or more entered-excluding rolled times-we will offer slack. 50 will run in the rodeo and the rest in slack. If you prefer slack over the rodeo please mark "Prefer Slack" box. We will post on Facebook by 9 am the morning of whether or not there will be slack. We will also post the draw.

4D Barrel Racing - $23 per Horse

1st Open 4D Barrel Horse Name Required *

2nd Open 4D Barrel Horse Name Required *

3rd Open 4D Barrel Horse Name Required *

4th Open 4D Barrel Horse Name Required *

2D Pole Bending - $23.00 per Horse

1st Open 2D Pole Horse Name Required *

2nd Open 2D Pole Horse Name Required *

Open Calf Breakaway- $30.00 Each Horse

1st Open Calf Breakaway Horse Name *

2nd Open Calf Breakaway Horse Name *

Open Steer Breakaway- $18.00 Each Horse

1st Open Steer Breakaway Horse Name *

2nd Open Steer Breakaway Horse Name *

Team Roping- $15.00 Each Partner (Boys must rope with a woman or girl)

Please make sure both you and your partner are entered! Note: If you enter with someone and they do not enter with you, you are not entered!

Team Roping - Team 1 Header First/Last Name *

Team Roping - Team 1 Heeler First/Last Name *

Team Roping - Team 2 Header First/Last Name *

Team Roping - Team 2 Heeler First/Last Name *

Team Roping - Team 3 Header First/Last Name *

Team Roping - Team 3 Heeler First/Last Name *

JCC Membership *

I have already paid
I need a membership
I will pay the Non Member Fee

After the first rodeo, family memberships increase to $65 and individual memberships to $45. Non members pay a $10 fee per individual per rodeo. You must be a member to accumulate points toward year end.

Type of Membership

Individual - $45.00
Family - $65.00

Family Members Covered - list FIRST and LAST names as well as birth dates of minors. *

Family consists of parent/guardian and children 18 and younger as of January 1, this year.

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Release and Waiver of Agreement

In consideration of being allowed to participate in the Johnson County Cowgirls Rodeo, I, for myself and any minor children for whom I am parent, legal guardian or otherwise responsible for my heirs, personal representatives or assigns, herby acknowledge the risks of injury or damage (to property, personal injury and/or death) involved in participating in rodeo. I, for myself and any minor children for whom I am parent, legal guardian or otherwise responsible for my heirs, personal representatives or assigns, also hereby expressly waive claim, lawsuit, complaint, charge or cause of action against the Johnson County Cowgirls, Johnson County Fairgrounds, their officers, members, representatives, successors from any and all liability of any nature for any and all injury or damage (including property damage, personal injury, illness, paralysis, and/or death) to me, said minor or any of our animals as the result of my/our participation in the Johnson County Cowgirls Season. *

Clear Signature

Please Sign

Buffalo High School Rodeo Club Donation

Total due

$0.00

Contestants may not compete until fees are paid in office.

Payment Type *

Credit cards only accepted online.

Processing Fee *

Price: $0.00

Credit Card *

Card

Name on Card

Message for the Office Crew.