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SAN PATRICIO COUNTY
RIDING AND ROPING CLUB
SATURDAY, APRIL 26th, 2008
ROB & BESSIE WELDER PARK BREAST COLLARS WILL BE AWARDED TO FIRST PLACE TIMED EVENTS GEAR BAGS TO FIRST PLACE IN ROUGH STOCK
16453 CR 1726 ODEM, TX 78370 PHONE: 361-244-0510(NO CALLS AFTER 5:00PM PLEASE)
EMERGENCY MEDICAL FORM FOR ALL ROUGH STOCK RIDERSTHE SAN PATRICIO COUNTY TYRA RODEO CANNOT AND WILL NOT ASSUME ANY FINANCIAL OBLIGATIONS, BUT WISHES TO PROVIDE THE BEST SERVICES POSSIBLE IN AN EMERGENCY. PLEASE READ THE FOLLOWING STATEMENT AND FILL IT OUT CAREFULLY BEFORE SIGNING. In case of an accident or serious illness, I request the San Patricio County TYRA Rodeo to contact me. I hereby authorize the Emergency Medical Personnel to treat or transport my child, ________________________________, to the nearest hospital for treatment. I also authorize the attending hospital and doctors to treat my child as necessary.
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_______________________________ ________________________________ _______________________________ Emergency Contact phone number Date
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