No. ________
Date________
Red Rock Park- Gallup, NM -June 25-28, 2014
bestofthebest@gallupnm.gov
P.O. Box 10 Churchrock, NM 87311 (505) 726-8342
Name:_____________________________________________________ Date of Birth:___________________
Mailing Address:__________________________________________________________________________
Email Address:____________________________________________ Phone #:________________________
All High School Events Limited to First 81 Entries
E
N
T
R
Y
B
L
A
N
K
Quantity
Event
Barrel Racing
Pole Bending
Goat Tying
Breakaway Roping
Tie Down Roping
Header
Heeler
Partner Name:
(Limited to 81 Entries)
(Limited to 81 Entries)
(Limited to 81 Entries)
(Limited to 81 Entries)
(Limited to 81 Entries)
(Limited to 81 Entries)
(Limited to 81 Entries)
Contestant/Parent Team Roping
( No Limited Entry)
1
Header:
Heeler:
Secretary Fee
Stalls Required (Mare or Gelding)
Stalls Required for Stud
RV (Length_____Width_____)
Adult Passes
Children Passes
Total:
Money
$250
$250
$250
$250
$250
$250 per man
$250 per man
$
$
$
$
$
$
$
$300 per
team
$
$ 35
$ 80
$ 80
$100
$ 40
$ 20
Total
$ 35
$
$
$
$
$
$
Cashier’s Check or Money Order Only! Checks Payable to: City of Gallup. No Personal Checks.
Mail Completed Entry Blank and Check to: P.O. Box 10, Churchrock, NM 87311
Electronic entries with credit card can be made at:
www.gallupnm.gov/bestofthebest
$10 convenience fee will be added for Credit Card processing.
Long Live Cowboys
Please include the following with your entry:
1.
2.
3.
4.
5.
Completed entry blank and notarized release
A photo copy of a birth certification
Proper form of payment
2014 High School Spring Transcript
Current Coggin’s and Health Certificate will be Required upon Entering The Grounds
Entry will not be considered complete until all the above requirements have been received. If any of the above information is
found to be false, your entry will be forfeited. The burden of proof lies with the contestant in case of question related to the
above information.
MINOR'S RELEASE
We, the undersigned parents/guardian of _____________________________________, do fully agree and consent to the
participation of the afore mentioned child, to participate as a contestant in such rodeo, we hereby consent and fully
acknowledge the following: "Best of the Best” contestants acknowledge that rodeos are dangerous activities and the
participation in a rodeo as a competitor, an independent contractor, or volunteer, exposes the participant to substantial and
serious risk of property damage, personal injury or death. “Best of the Best” contestants acknowledge that participation in the
rodeo will involve such a hazard. Being fully aware that participation in the “Best of the Best” rodeo will expose said
contestant to substantial and serious risk of property damage and/or personal injury or death, said contestant releases and
indemnifies “Best of the Best” producers, sponsors, and the City of Gallup, New Mexico, and their affiliated, related or
subsidiary companies, and the officers, directors, employees, and agents of each entity or organization from liability for any
and all property damage, personal injuries or other claims arising from participation in the “Best of the Best” sanctioned rodeo,
including claims that are known and unknown, foreseen and unforeseen, future or contingent. The applicant understands that
each contestant is responsible for his or her own medical expenses.
Signature of Contestant:_______________________________________
Date:______________
Signature of Parent or Legal Guardian__________________________
Date:_______________
Sworn To and Subscribed Before Me this _____________ day of ___________________________, 2014
_________________________________Notary Public
Commission Expires: ________________
Please list any additional information such as sponsors, awards or specific requests:
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
Long Live Cowboys