2008-2009  
Little Britches Rodeo Association Pg  1 of 2
                    ENTERING  A RODEO AND NOT RIDING , YOU WILL BE CHARGED ALL OF YOUR ENTRY FEES.
                 YOU MUST CALL AND DRAW OUT ON THURSDAY BEFORE THE RODEO,  STOCK AND EVENT RUNS
                 HAVE TO BE CALLED IN TO THE STOCK CONTRACTOR AND CLUB PUTTING ON THE RODEO.
NON-DRAW OUTS MUST PAY THEIR FEES BEFORE ENTERING ANOTHER RODEO
 DRAWING OUT AT A RODEO FEES MUST STILL BE PAID
CONTESTANT INSTRUCTIONS:
The Standard Entry Blank is provided to facilitate entry into any approved Little Britches Rodeo.  It is YOUR RESPONSIBILITY
to know the particulars of each rodeo including, but not limited to fees,deadline,limited entry, etc.  This information is
available via the web at www.nlbra.com and in the NLBRA NEWS.  In using the Standard Entry Blank, it is understood that
neither the National Office nor the rodeo shall become responsible for errors in submitting entry!  Please send this form
to the appropriate Rodeo Secretary, not to the NLBRA National Office.        
MANDATORY     E-MAIL or  FAX #
CONTESTANT TO COMPETE:
Name of Rodeo Entering:___________________________________Rodeo Dates:____________  
 
Today's Date_____________________________________NLBRA Card Number______________  
 
Contestant Name;_________________________________________Present Age:_____________  
 
Address:________________________________________________Birthdate:________________  
 
City:____________________________State:_____Zip__________Telephone:_________________  
 
CHECK EVENTS ENTERED            
                 SENIOR BOYS DIVISION       WRANGLERS     JUNIOR BOYS DIVISION  
  Steer Wrestling       Barrels       Bareback Bronc Riding  
  Saddle Bronc Riding     Poles       Bull Riding  
  Bareback Bronc Riding     Flag Race     Breakaway Calf Roping  
  Bull Riding       Goat Tail-Untying     Goat Tying  
  Calf Roping       Flag Race  
  Dally Team Roping   JR. TEAM  ROPING     Dally Ribbon Roping  
Header _____   Header   ____     Roper       ____  
Heeler  _____   Heeler    ____     Runner     ____  
Partner             Partner     
                SENIOR GIRLS DIVISION        Partner __________________                                      JUNIOR GIRLS DIVISION    
  BreakawayCalf Roping         Breakaway Calf Roping  
  Barrel Race         Barrel Race  
  Goat Tying         Goat Tying  
  Trail Course         Trail Course  
  Pole Bending         Pole Bending  
Please indicate which rodeo(s) you are entering   #1 ________   #2 ________  
  Rough Stock Fee - $18.00    Number of Events Entered                   ____________  
  Roping Event Stock Fee $8.00    Event Fee -$13 each event PLUS                 $ ____________  
  Goat Stock Fee - $3.00                       STOCK FEE  
I HEREBY CERTIFY THAT I HAVE READ    National Fee @ $9.00 per rodeo                 $ ____________  
ALL RULES OF THE NLBRA       Non-Member Fee @ $25 per rodeo                 $ ____________  
       TOTAL ENCLOSED                                    $ ____________  
Signed______________________________     Check
 
Cash
 
Money Order
 
       (Contestant Signature)         (Double All Fees if entering a back to back rodeo)  
   
ENTRY VOID UNLESS COMPLETED IN DETAIL ON BOTH SIDES
IMPORTANT ! Pg 2 of 2
PARENTS ( or Guardian)  Must Complete This Medical Information and Sign Consent.
Does Contestant have serious illness:______________________malformations:_______________
Injuries:______________________________Explain:______________________________________
Does Contestant have drug allergies:______________________date of tetanus immunization or
booster shot:_____________________Explain:__________________________________________
Has Contestant suffered prior rodeo injuries?____________________________________________
Date:__________Rodeo:____________________________________________________________
Other remarks:____________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
    It is mutually understood that said contestant is protected under provisions of a
limited medical insurance policy, as set forth in the rules, in which we, parents or
guardians, agree to pay the deductible and co-insurance portion of any claim
    We, the parents and/or guardians, and contestant, HAVING READ THE NLBRA RULE BOOK AND
COMPLETED the ENTRY, herewith give consent for participation of the contestant whose name appears on
the reverse side, in the approved Little Britches Rodeo at the location and on those dates noted on the reverse
side.  We acknowledge that participation in any National Little Britches Rodeo Association, (hereinafter NLBRA)
sanctioned rodeo or activity as a competitor, participant, volunteer or spectator exposes a competitor,
participant, volunteer or spectator to a substantial and serious risk of property damage, personal injury, or death.
We assume all risks to ourselves, our guests and our children, including risk which can be eliminated, altered
or controlled, whether or not integral to equestrian recreational activities.  In consideration for our child being
permitted to participate in NLBRA rodeos and activities, we hereby agree to indemnify, hold harmless and
release NLBRA it agents, executive committee members, sponsors, volunteers, owners, stock contractors and
any NLBRA franchisee, production entity or organization, their agaents,representatives,sponsors,volunteers,owners
and stock contractors from liability for any and all property damage, personal injuries,death,or other claims arising
from our child, our own, or our guest participation in any NLBRA activity, including but not limited to,rodeos,practices,
play days, or other activities, including claims that are known or unknown, foreseen, or unforeseen, future or contingent. 
This release,waiver,and indemnity agreement is intended to be as broad and inclusive as is permitted by law, if any
portion thereof is held invalid, it is agreed that the balance shall, not withstanding, continue in full legal force and
effect.  Also, it is mutually understood that the Rodeo Sponsors shall retain all rights and privileges of said rodeo.  In
submitting entry,contestant,parents and/or guardians agree to permit use of all pablicity,photographs,radio and
television broadcasts, motion pictures, newspaper and magazine accounts and websites. 
          In the event of the signature of only one parent or guardian, such parent or guardian, such parent or guardian
has the authority to bind both parents or guardians with their signature.
FATHER:____________________________________   MOTHER_______________________________
           Signature              Signature
GUARDIANS:_____________________________________________________ CONTESTANT ____________________________
           Signature            Signature
DATE________________CITY______________________STATE____________
`
NOTE TO PARENTS:
In case of injury it becomes the responsibility of the parent,guardian,or injured contestant to secure insurance claim
forms from the Rodeo Secretary where injury occurred.  Rodeo Secretary MUST sign the claim form.  Contestants
portion of the form MUST be completed.  Then mail direct,along with invoice for services and copy of any Explanation
of Benefits from other (primary) insurance.  to the insurance claims office for payment.  The deductible and co-insurance is paid
by parents,guardian,or contestant, directly to attending physician or hospital. 
     CONTESTANT MUST REPORT THROUGH FIRST AID BEFORE LEAVING RODEO
     TO BECOME VALID.  CLAIM BLANK MUST BE SUBMITTED WITH NINETY(90)
     DAYS FOLLOWING ACCIDENT
     All claims subject to limitations of policy !
ATTENTION PARENTS AND CONTESTANTS  
      CONTESTANTS MUST HAVE AN ENTRY BLANK - SIGNED -  (FRONT & BACK) ON FILE.
  THIS FILE WILL BE SENT TO EACH
RODEO  IN REGION 4.
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Application for
National Little Britches Rodeo Association
page 1 and 2 (You can turn this in to Mrs. Bobbie, secretary, at your first rodeo)
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