Beaver County - Junior Britches
Junior Britches Rodeo
Thursday, August 26 at 5pm

 
Mutton Bustin (Ages 0-4):   $10.00   Quantity:   Item Subtotal:  
$0.00
Participants Name [1]
Participant Age [1]

Participants Name

[2]
Participant Age [2]

Participants Name

[3]
Participant Age [3]

Participants Name

[4]
Participant Age [4]

Participants Name

[5]
Participant Age [5]

Participants Name

[6]
Participant Age [6]

Participants Name

[7]
Participant Age [7]

Participants Name

[8]
Participant Age [8]

Participants Name

[9]
Participant Age [9]

Participants Name

[10]
Participant Age [10]
Mutton Bustin (Ages 5-7):   $10.00   Quantity:   Item Subtotal:  
$0.00
Participants Name [1]
Participant Age [1]

Participants Name

[2]
Participant Age [2]

Participants Name

[3]
Participant Age [3]

Participants Name

[4]
Participant Age [4]

Participants Name

[5]
Participant Age [5]

Participants Name

[6]
Participant Age [6]

Participants Name

[7]
Participant Age [7]

Participants Name

[8]
Participant Age [8]

Participants Name

[9]
Participant Age [9]

Participants Name

[10]
Participant Age [10]
Barrels (Assisted - Ages 5 & under):   $5.00   Quantity:   Item Subtotal:  
$0.00
Participants Name: [1]
Participants Age [1]

Participants Name:

[2]
Participants Age [2]

Participants Name:

[3]
Participants Age [3]

Participants Name:

[4]
Participants Age [4]

Participants Name:

[5]
Participants Age [5]

Participants Name:

[6]
Participants Age [6]

Participants Name:

[7]
Participants Age [7]

Participants Name:

[8]
Participants Age [8]

Participants Name:

[9]
Participants Age [9]

Participants Name:

[10]
Participants Age [10]
Barrels (Ages 0-8):   $10.00   Quantity:   Item Subtotal:  
$0.00
Participants Name [1]
Participant Age [1]

Participants Name

[2]
Participant Age [2]

Participants Name

[3]
Participant Age [3]

Participants Name

[4]
Participant Age [4]

Participants Name

[5]
Participant Age [5]

Participants Name

[6]
Participant Age [6]

Participants Name

[7]
Participant Age [7]

Participants Name

[8]
Participant Age [8]

Participants Name

[9]
Participant Age [9]

Participants Name

[10]
Participant Age [10]
Barrels (Ages 9-13):   $10.00   Quantity:   Item Subtotal:  
$0.00
Participants Name [1]
Participant Age [1]

Participants Name

[2]
Participant Age [2]

Participants Name

[3]
Participant Age [3]

Participants Name

[4]
Participant Age [4]

Participants Name

[5]
Participant Age [5]

Participants Name

[6]
Participant Age [6]

Participants Name

[7]
Participant Age [7]

Participants Name

[8]
Participant Age [8]

Participants Name

[9]
Participant Age [9]

Participants Name

[10]
Participant Age [10]
Barrels (Ages 14-18):   $10.00   Quantity:   Item Subtotal:  
$0.00
Participants Name [1]
Participant Age [1]

Participants Name

[2]
Participant Age [2]

Participants Name

[3]
Participant Age [3]

Participants Name

[4]
Participant Age [4]

Participants Name

[5]
Participant Age [5]

Participants Name

[6]
Participant Age [6]

Participants Name

[7]
Participant Age [7]

Participants Name

[8]
Participant Age [8]

Participants Name

[9]
Participant Age [9]

Participants Name

[10]
Participant Age [10]
Poles (Assisted - Ages 5 & under):   $5.00   Quantity:   Item Subtotal:  
$0.00
Participants Name: [1]
Participants Age [1]

Participants Name:

[2]
Participants Age [2]

Participants Name:

[3]
Participants Age [3]

Participants Name:

[4]
Participants Age [4]

Participants Name:

[5]
Participants Age [5]

Participants Name:

[6]
Participants Age [6]

Participants Name:

[7]
Participants Age [7]

Participants Name:

[8]
Participants Age [8]

Participants Name:

[9]
Participants Age [9]

Participants Name:

[10]
Participants Age [10]
Poles (Ages 0-8):   $10.00   Quantity:   Item Subtotal:  
$0.00
Participants Name [1]
Participant Age [1]

Participants Name

[2]
Participant Age [2]

Participants Name

[3]
Participant Age [3]

Participants Name

[4]
Participant Age [4]

Participants Name

[5]
Participant Age [5]

Participants Name

[6]
Participant Age [6]

Participants Name

[7]
Participant Age [7]

Participants Name

[8]
Participant Age [8]

Participants Name

[9]
Participant Age [9]

Participants Name

[10]
Participant Age [10]
Poles (Ages 9-13):   $10.00   Quantity:   Item Subtotal:  
$0.00
Participants Name [1]
Participant Age [1]

Participants Name

[2]
Participant Age [2]

Participants Name

[3]
Participant Age [3]

Participants Name

[4]
Participant Age [4]

Participants Name

[5]
Participant Age [5]

Participants Name

[6]
Participant Age [6]

Participants Name

[7]
Participant Age [7]

Participants Name

[8]
Participant Age [8]

Participants Name

[9]
Participant Age [9]

Participants Name

[10]
Participant Age [10]
Poles (Ages 14-18):   $10.00   Quantity:   Item Subtotal:  
$0.00
Participants Name [1]
Participant Age [1]

Participants Name

[2]
Participant Age [2]

Participants Name

[3]
Participant Age [3]

Participants Name

[4]
Participant Age [4]

Participants Name

[5]
Participant Age [5]

Participants Name

[6]
Participant Age [6]

Participants Name

[7]
Participant Age [7]

Participants Name

[8]
Participant Age [8]

Participants Name

[9]
Participant Age [9]

Participants Name

[10]
Participant Age [10]
Ribbon Pull (Assisted - Ages 5 & under):   $5.00   Quantity:   Item Subtotal:  
$0.00
Participants Name: [1]
Participants Age [1]

Participants Name:

[2]
Participants Age [2]

Participants Name:

[3]
Participants Age [3]

Participants Name:

[4]
Participants Age [4]

Participants Name:

[5]
Participants Age [5]

Participants Name:

[6]
Participants Age [6]

Participants Name:

[7]
Participants Age [7]

Participants Name:

[8]
Participants Age [8]

Participants Name:

[9]
Participants Age [9]

Participants Name:

[10]
Participants Age [10]
Ribbon Pull (Ages 0-8):   $10.00   Quantity:   Item Subtotal:  
$0.00
Participants Name [1]
Participant Age [1]

Participants Name

[2]
Participant Age [2]

Participants Name

[3]
Participant Age [3]

Participants Name

[4]
Participant Age [4]

Participants Name

[5]
Participant Age [5]

Participants Name

[6]
Participant Age [6]

Participants Name

[7]
Participant Age [7]

Participants Name

[8]
Participant Age [8]

Participants Name

[9]
Participant Age [9]

Participants Name

[10]
Participant Age [10]
Ribbon Pull (Ages 9-13):   $10.00   Quantity:   Item Subtotal:  
$0.00
Participant Age [1]
Participants Name [1]

Participant Age

[2]
Participants Name [2]

Participant Age

[3]
Participants Name [3]

Participant Age

[4]
Participants Name [4]

Participant Age

[5]
Participants Name [5]

Participant Age

[6]
Participants Name [6]

Participant Age

[7]
Participants Name [7]

Participant Age

[8]
Participants Name [8]

Participant Age

[9]
Participants Name [9]

Participant Age

[10]
Participants Name [10]
Goat Tie (Ages 14-18):   $10.00   Quantity:   Item Subtotal:  
$0.00
Participants Name [1]
Participant Age [1]

Participants Name

[2]
Participant Age [2]

Participants Name

[3]
Participant Age [3]

Participants Name

[4]
Participant Age [4]

Participants Name

[5]
Participant Age [5]

Participants Name

[6]
Participant Age [6]

Participants Name

[7]
Participant Age [7]

Participants Name

[8]
Participant Age [8]

Participants Name

[9]
Participant Age [9]

Participants Name

[10]
Participant Age [10]
Calf Riding (Ages 8-13):   $10.00   Quantity:   Item Subtotal:  
$0.00
Participants Name [1]
Participant Age [1]

Participants Name

[2]
Participant Age [2]

Participants Name

[3]
Participant Age [3]

Participants Name

[4]
Participant Age [4]

Participants Name

[5]
Participant Age [5]

Participants Name

[6]
Participant Age [6]

Participants Name

[7]
Participant Age [7]

Participants Name

[8]
Participant Age [8]

Participants Name

[9]
Participant Age [9]

Participants Name

[10]
Participant Age [10]
Junior Bulls (Ages 14-18):   $10.00   Quantity:   Item Subtotal:  
$0.00
Participants Name [1]
Participant Age [1]

Participants Name

[2]
Participant Age [2]

Participants Name

[3]
Participant Age [3]

Participants Name

[4]
Participant Age [4]

Participants Name

[5]
Participant Age [5]

Participants Name

[6]
Participant Age [6]

Participants Name

[7]
Participant Age [7]

Participants Name

[8]
Participant Age [8]

Participants Name

[9]
Participant Age [9]

Participants Name

[10]
Participant Age [10]
 
Total:
$0.00

Acknowledgement, Waiver, and Release of Liability
Participant(s) listed above, hereby acknowledges participant's voluntary participation in a high-risk activity conducted at the Beaver County Fair [hereinafter "Fair"].  Participant acknowledges being advised that if there is any doubt as to Participant's physical condition, the advice of a competent physician should be sought and followed prior to entry. In consideration of the privilege granted of participation in the Fair event, ad for other good and valuable consideration, Participant hereby agrees to be legally bound, and hereby binds all heirs, executors, administrators, or assigned person and waives and release all causes of action, claims, or rights which Participant may have against Beaver County, the Beaver County Fair Committee, or the agents, representatives, successors, or assignees of the same for any and all injury, physical or emotional harm, or other effects or consequences suffered by me in said activity.  Participant further acknowledges that Participant has received and reviewed a copy of the applicable rules and regulations pertaining to said activity and agrees to abide by them.  Participant acknowledges that Participant has read this document carefully, and that Participant understands its contents, and executes it of his/her own free will and choice.
 
E-Signature of Parent/Guardian in box 1 and Date in box 2
 
Parent/Guardian Information
First Name: Last Name:
Address:
Address:
City: State/Province: ZIP/Postal Code:
Phone:
Email:
Payment Information:
Processing Fee Rates:
Cards:2.9% plus $0.30
eCheck:$0.49
Method of Payment:
 Update Name from Personal/Organizational Information
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

**Please be aware that payments will reflect on your statement as

CBT*BEAVER COUNTY UT and the service fee transaction as 'CBT*SVC FEE BEAVER CO'.


Confirmation of payment must be provided to participate.

Please bring your receipt with you to the event. 

Submitting ...
SIP Program & Data © 2006-2021 Instant Payments All rights reserved.
~ Terms & Conditions ~ Privacy Policy ~ Contact Us ~
SIP Version 3.07.14803; (API: 2.18)
RSI Security PCI DSS Compliance