All Age Groups Entry Form

The official website of the High Plains Junior Rodeo Association.

	All Age Groups Entry Form
Mail Entry to:
High Plains Junior Rodeo Association			CALL BACKS FOR EACH RODEO posted at
140 N. St. RD. 1490			www.hpjra.com, if changes are needed, call
Levelland, TX 79336			(806)891-1915 Tuesday from 6-10pm (TX time)

RODEO: __________________________________ DATES:___________________________________
Performance Choice 1: _________________________ Choice 2: ______________________________
Name: ______________________________________ Member #: ______________________________
Address: _____________________________________Date of Birth: _______________Age:_______
City:_______________________ State: _______ Zip: __________Phone: _______________________
Social Security #:_______________________________				Alt. Phone*: __________________
		*This needs to be a number that someone can be reached on in case of entry questions.
1) Secretary must receive entries no later than the Sunday preceding the rodeo you are entering. 2) Entries must be accompanied by a check or money order. 3) Contestant cannot have reached their twentieth birthday prior to January 1, 2008. 4) Contestant is not and has never been married. 5) Contestant may only enter events available in his or her age group. 6) Non-members must have wavier notarized, include a copy of a birth certificate and pay with money order. 7) Entry fees includes stock charge of $17.50 in all events, except Barrels, Poles & Goats, whereas the timer/stock charge is $9.50. 8) Boys and Girls compete together in the 9-12 Steer Breakaway, Team Roping events and all 8 & Under events. 9) Fees must include the Administration fee of $10 for members & $20 for non-members. 10) Only ONE contestant per entry form--MUST HAVE MEMBER # or be non-member.

GIRLS EVENTS
9-12		13-15		16-19
Barrels	$35_____	Barrels	$40_____	Barrels	$55_____
Poles	$35_____	Poles	$40_____	Poles	$55_____
Goat Tying	$35_____	Goat Tying	$40_____	Goat Tying	$55_____
Breakaway	$35_____	Breakaway	$40_____	Breakaway	$55_____
Steer Breakaway _____	$35_____ ___	Ribbon Roping	$40_____	2nd Breakaway	$55_____
Team Roping (1) $35 or (2) $70	$_____	Team Roping (1) $40 or (2) $80	$_____	Team Roping (1) $55 or (2) $110	$_____
Entry Fee TOTAL:	$_________	Entry Fee TOTAL:	$__________	Entry Fee TOTAL:	$__________

BOYS EVENTS
9-12		13-15		16-19
		13- 19 Saddlebronc	$55_____	13- 19 Saddlebronc	$55_____
		13- 19 Bareback	$55_____	13- 19 Bareback	$55_____
Steer Riding	$35_____	13-15 Chute Dogging	$40_____	16-19 Bull Dogging	$55_____
Calf Touching	$35_____	Bull Riding	$40_____	Bull Riding	$55_____
Breakaway	$35_____	Tiedown Roping	$40_____	Tiedown Roping	$55_____
Double Mugging	$35_____	Breakaway	$40_____	2nd Tiedown Roping	$55_____
Steer Breakaway	$35_____	Ribbon Roping	$40_____
Team Roping (1) $35 or (2) $70	$_____	Team Roping (1) $40 or (2) $80	$______	Team Roping (1) $55 or (2) $110	$_______
Entry Fee TOTAL:	$_________	Entry Fee TOTAL:	$_________	Entry Fee TOTAL:	$_________

Team #1 Header:________________________ Heeler:_____________________________
Team #2 Header:________________________ Heeler:_____________________________

8 & Under Events (Boys & Girls)
Barrels	$30____	Add all Entry Fee totals here:
Poles	$30____
Goat Tying	$30____		ENTRY FEE TOTAL (from above)		$_________
Breakaway	$30____		Administration Fee:		$_________
Calf Riding	$30____		(Member is $10, Non-Member is $20)
Entry Fee TOTAL $__________
			TOTAL FEES ENCLOSED:		$_________

HPJRA MUST HAVE A WAIVER OF LIABILITY ON FILE. MEMBERS SIGNED ONE WITH THEIR APPLICATION.
NON-MEMBERS NEED TO PRINT ONE FROM WWW.HPJRA.COM.