Duchesne County Fair

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Saturday, August 6, 2022
10:00 AM at the Duchesne Fair Grounds
Events will be held in the Indoor Arena/Outdoor Arena
For more details see the Flyer
Entries Close: Sunday, August 2, 2021
No exceptions for late entries . . . Enter Today!

Contestant To Compete

First Name:	Last Name:
Address:
Address:
City:	State/Province:	ZIP/Postal Code:
Phone:
Email:

Birth Date

Age Divisions

Gender

Age Divisions
(Age as of August 3, 2019)
Pee Wee - 8 & Under
Junior 9 - 13
Senior 14 - 18

Cowboys and Cowgirls can enter any event they would like in their age group. For example, boys can enter barrels or girls can enter calf roping. Awards will be given based on the fastest time or highest score for each event. The only exception is we will award an all-around cowboy and cowgirl in each age division at the end of the rodeo.

Juniors 9 - 13 Yrs

Mini Bulls (Juniors):

$35.00

Select:

Item Subtotal:

$0.00

Breakaway Roping (Juniors):

$15.00

Select:

Item Subtotal:

$0.00

Goat Tying (Juniors):

$15.00

Select:

Item Subtotal:

$0.00

Chute Doggin (Juniors):

$15.00

Select:

Item Subtotal:

$0.00

Barrel Racing (Juniors):

$15.00

Select:

Item Subtotal:

$0.00

Pole Bending (Juniors):

$15.00

Select:

Item Subtotal:

$0.00

Junior Team Roping (You may only enter one time)

Juniors my enter tie-down roping with seniors. Points will not count toward the all around but you will be able to win prizes!!

Team Roping (Juniors):

$15.00

Select:

Item Subtotal:

$0.00

Seniors 14 - 18 Yrs

Steer Wrestling (Senior):

$15.00

Select:

Item Subtotal:

$0.00

Tie-Down Roping (Senior):

$15.00

Select:

Item Subtotal:

$0.00

Bull Riding (Senior):

$35.00

Select:

Item Subtotal:

$0.00

Goat Tying (Senior):

$15.00

Select:

Item Subtotal:

$0.00

Pole Bending (Senior):

$15.00

Select:

Item Subtotal:

$0.00

Breakaway Roping (Senior):

$15.00

Select:

Item Subtotal:

$0.00

Barrel Racing (Senior):

$15.00

Select:

Item Subtotal:

$0.00

Senior Team Roping (You may only enter one time)

Team Roping (Seniors):

$15.00

Select:

Item Subtotal:

$0.00

I am a
Partner's Name

Pee Wee - 8 Yrs & Under

Contestants will compete on horses in these three events

Barrel Racing (Pee Wee):

$15.00

Select:

Item Subtotal:

$0.00

Goat Tail Untying (Pee Wee):

$15.00

Select:

Item Subtotal:

$0.00

Pole Bending (Pee Wee):

$15.00

Select:

Item Subtotal:

$0.00

Stick Horse - 6 Yrs & Under

Stick Horse Barrel Racing:

$5.00

Select:

Item Subtotal:

$0.00

Stick Horse Pole Bending:

$5.00

Select:

Item Subtotal:

$0.00

Dummy Roping

Dummy Roping 5 yrs & Under:

$5.00

Select:

Item Subtotal:

$0.00

Dummy Roping 6- 8 yrs old:

$5.00

Select:

Item Subtotal:

$0.00

Muttin' Bustin'

(50 lb limit)
In order to use the sheep, we will have to weigh riders at check in.

Muttin' Bustin':

$15.00

Select:

Item Subtotal:

$0.00

Total:

$0.00

Payment Information:

Processing Fee Rates:
Cards:	2.5% ($1.50 min) (1.5% surcharge for foreign cards)
eCheck:	$0.75

Method of Payment:	Credit/Debit Card eCheck
Update Name from Above

Name on Account:
Routing Number:
Account Number:
Institution:

Name on Card:
Account Number:
Expiration Date:
Billing Street Address:
Billing ZIP/Postal Code:

Change Payment Method

**There will be limits in Mutton Bustin, Bull Riding, Calf Roping and Team Roping.
First to pay will have priority when considering those limits.
The draw will be random and will have nothing to do with the order entries are received.

DUCHESNE COUNTY FAIR
RELEASE AND WAIVER
(Printable Waiver Form)

IN CONSIDERATION of being permitted to participate in any way in the above named EVENT(s) THE UNDERSIGNED:

1) HEREBY ACKNOWLEDGES THAT the activities of the above named EVENT(s) are very DANGEROUS and involve the risk of SERIOUS INJURY and/or DEATH and/or PROPERTY DAMAGE and hereby ASSUMES full responsibility for any risk of such injury, death or damage whether caused by negligence of RELEASEE or otherwise.

2) HEREBY AGREES TO RELEASE FROM LIABILITY, INDEMNIFY, SAVE AND HOLD HARMLESS DUCHESNE COUNTY (herein, "RELEASEE") and its designees, agents, and employees, for any loss, liability, damage, or cost they may incur arising out of or related to the undersigned's participation in the EVENT(s) wheather caused by the negligence of the RELEASEE or otherwise.

3) HEREBY AGREES THAT THE RELEASE AND WAIVER OF LIABILITY, HOLD HARMLESS, AND INDEMNITY AGREEMENT EXTENDS TO ALL ACTS OF NEGLIGENCE BY THE RELEASEE, INCLUDING NEGLIGENT RESCUE OPERATIONS OR PROCEDURES OF THE RELEASEE OR ANY PERSON AFOREMENTIONED.

4) I HAVE READ THE FORGOING AGREEMENT, FULLY UNDERSTANDING ITS TERMS, UNDERSTANDING THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND HAVE SIGNED FREELY AND VOLUNTARILY WITHOUT INDUCEMENT, ASSURANCE OR GUARANTEE BEING MADE TO ME AND INTEND MY SIGNATURE TOBE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THOSE MENTIONED ABOVE.

5) I fully understand that there is no RIDER MEDICAL INSURANCE PROVIDED.

Participant/Guardian

I agree to the waiver above

Name

For more information contact:
Jason Wells - 435-724-4506
Monica Wells - 435-724-4582

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