*PLEASE PRINT*

The Jack & Becky Derby Memorial Scholarship Rodeo
TYRA Rodeo
Sinton, Texas
March 22, 2003

Rodeo Secretary:  Mo Cox
Address:               16453 CR 1726
City/Zip:                Odem, Texas 78370                                  PHONE:  361/244-0510 (no calls after 6:00 p.m.)
 ALL RETURN CALLS WILL BE COLLECT     

CONTESTANT'S NAME:_______________________________________TYRA #: _____________
ADDRESS:_____________________________________CITY:_______________________________
 ZIP: ________________

HOME PHONE: _______________________ AGE AS OF 9/1/02: ________________
BIRTHDATE: ______________________

CONTESTANT'S SIGNATURE: ___________________________________________________

  ENTRIES MUST BE POSTMARKED BY: March 10, 2003!  LATE ENTRIES WILL BE ACCEPTED IF IN THE HANDS OF THE SECRETARY NO LATER THAN: March 17, 2003 AND ACCOMPANIED BY A $20.00 LATE FEE.  ALL ENTRIES RECEIVED AFTER THE EXTENDED DEADLINE, WILL BE RETURNED.  NO EXEPTIONS! NO POST DATED CHECKS!!

Please circle the number of events that you wish to enter.  You must be entered in the event to be a courtesy roper or runner.  TYRA fees are included.  $10.00 OFFICE CHARGE PER FAMILY.  IF ENTRY FEES ARE NOT MAILED WITH ENTRY FORM, IT WILL BE RETURNED.  If you would like confirmation, please send self addressed stamped post card.  NO CALL IN!

EVENT AGE GROUP ENTRY FEES
1. Bareback (Friday show only) Boys 14 & over $53.00 1_____________
2. Bull Riding (Friday show only) Boys 14 & over $53.00 2_____________
3. Jr. Steer Riding (Friday show only) Boys 13 & over $33.00 3_____________
4. Sub-Jr. Figure 8 Barrels Boys & Girls 8 & under $25.00 4_____________
5. Jr. Figure 8 Barrels Boys & Girls 13 & under $25.00 5_____________
6. Sr. Tiedown Boys 14 & over $25.00 6_____________
7. Jr. Tiedown Boys 13 & under $25.00 7_____________
8. Jr. Goat Tying Girls 13 & under $25.00 8_____________
9. Sr. Goat Tying Girls 14 & over $25.00 9_____________
10. Sub-Jr. Cloverleaf Boys & Girls 8 & under $25.00 10_____________
11. Jr. Cloverleaf Girls 13 & under $25.00 11_____________
12. Sr. Cloverleaf Girls 14 & over $25.00 12_____________
13. Boys Breakaway Boys 13 & under $25.00 13_____________
14. Jr. Girls Breakaway Girls 13 & under $25.00 14_____________
15. Girls Breakaway Girls 14 & over $25.00 15_____________
16. Steer Wrestling Boys 14 & over $25.00 16_____________
17. Sub-Jr. Poles Boys & Girls 8 & under $25.00 17_____________
18. Jr. Poles Boys & Girls 13 & under $25.00 18_____________
19. Sr. Poles Girls 14 & over $25.00 19_____________
20. Jr. Ribbon Roper Boys 13 & under $25.00 20_____________
         Runner: __________________________________
21. Sr. Ribbon Roper Boys 14 & over $25.00 21_____________
         Runner:__________________________________
22. Jr. Ribbon Runner Girls 13 & under $25.00 22_____________
         Roper: __________________________________
23. Sr. Ribbon Runner Girls 14 & over $25.00 23_____________
         Roper: __________________________________
24. Team Roping Boys & Girls all ages $25.00 24_____________
            Header:__________________   
            Heeler: _____________________
________ I am willing to be a courtesy runner TOTAL ENTRY FEES: _____________
________ I am willing to be a courtesy roper LATE FEE: (if applicable) _____________
MAKE SURE YOU COORDINATE WITH PARTNER (S) OFFICE CHRG:  $10.00
TOTAL ENCLOSED: _____________

*** HY 0 SILVER ALL AROUND BUCKLES***

GIVEN TO ALL AROUND IN EACH AGE GROUP (BOY & GIRL)

NON-TYRA MEMBERS ONLY: Before me, the undersigned authority, a Notary Public in and for ________county and the State of Texas, on this day, personally appeared _______________________the parents of applicant who has signed the foregoing application for entrance in the Derby Memorial TYRA Rodeo, who upon their oath, each deposeand says: Our son/daughter, applicant above, is a capable rodeo performer and we hereby give our permission for said applicant to participate in any event in said rodeo and do hereby release the Derby Memorial Rodeo, TYRA Stock Contractors and owners, all officials and all other personnel connected with said event, from any and all liability in case of accident or injury or damage to said contestant and his/her property, etc. and if said contestant is injured, we hereby give our permission and consent for him/her to be transported to hospital and given treatment by any doctor, hospital or personnel of either and hereby release said doctor, hospital and personnel for transporting contestant to hospital and administering necessary treatment, if any.

FATHER/GUARDIAN:_________________________________MOTHER/GUARDIAN:________________________ NOTARY PUBLIC:___________________

SWORN AND SUBSCRIBED BEFORE ME THIS____________DAY OF_____________, 2003.



THE JACK & BECKY DERBY MEMORIAL RODEO
March 22, 2003
ROB & BESSIE WELDER PARK
SINTON, TEXAS
                                            361-244-0510                                    
9:00AM
                  INCASE OF RAIN, THE RODEO WILL BE MOVED TO THE SHOWBARN IN ROBSTOWN, TX  NO REFUNDS!!!!!!!

 

Mail all entries to:  Mo Cox                                                     Entry deadline is MARCH 10, 2003
                            16453 CR 1726                                          Late entries will be accepted if in the hands of the     
                             Odem, Texas 78370                                   secretary no later than March 17, 2003                                                                                                   and accompanied by a $20.00 late fee.

1.                 This is a 1-go Jackpot Rodeo.

2.                 Rodeo will begin at 9:00am Saturday morning.   This is a one day rodeo.

3.                 Be sure to coordinate with your partners.  

4.                 Money must accompany your entry blank or it will not be accepted.  Make checks payable to the Derby Memorial Fund.

5.                 All TYRA rules will be enforced.  DECISIONS OF THE JUDGES WILL BE FINAL!!

6.                 Hats are not required.  No caps in the arena.  All other attire will be in accordance with the TYRA rules.

7.                 All Non-TYRA members and Locals must have a notarized release form (on the back of entry blank) filled out to relinquish any responsibility of Rodeo and any personnel involved with this Rodeo.

8.                 Back gate will be open in all roping events.

9.                 Tentative order of events  
           Bareback Riding                                                  
           Bull Riding                                                  
           Steer Riding                                      
           Cloverleaf Barrels                                                
           Tiedown                                                       
           Team Roping
           Steer Wrestling
           Ribbons
           Figure 8 Barrels
           Breakaway Roping
           Pole Bending
           Goat Tying

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