Energy Capital Junior Rodeo August 13-15, 2021 Cam Plex – Morningside Park | Gillette, Wyoming Event Schedule: COMING SOON…. Click Here for Rules. CLICK HERE to download the General Release Form. Energy Capital Junior Rodeo Entry Form Contestant Name* First Last Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Cell Phone*Email* Age of Rider as of January 1, 2021.* Date of Birth* MM slash DD slash YYYY 10 Year Old & Under Age Group | Boys & GirlsSaturday (August 15) ONLY10 YO EventsPlease Select Your Events:* Barrels Poles Goat Tying Breakaway None for this category 12 Year Old & Under Age Group | Boys & Girls12 YO EventsPlease Select Your Event* Barrels Poles (JP) Goat Tying (JP) Breakaway (JP) Tie Down (JP) None for this category Junior Patriot Qualifier$50 per event. Price: $50.00 Quantity: 15 Year Old & Under Age Group | Boys & Girls15 YO EventsPlease Select Your Events* Girls Barrels Poles (JP) Girls Goat Tying (JP) Boys Goat Tying (JP) Girls Breakaway (JP) Boys Breakaway (JP) Boys Tie Down Roping (JP) Chute Doggin Team Roping (JP) None in this category Junior Patriot Qualifier (JP)$200 per event this category. Price: $200.00 Quantity: Team Roping Names*List whether Header or Healer. List Partner. List Draw Option. 19 Year Old & Under Age Group | Boys & Girls19 YO EventsPlease Select Your Events* Girls Barrels Poles (JP) Girls Goat Tying (JP) Girls Breakaway (JP) Boys Tie Down Roping (JP) Boys Steer Wrestling (JP) Team Roping (JP) None in this category. Junior Patriot Qualifier (JP)$200 per event this category. Price: $200.00 Quantity: Stock Charge | Goat Tying* Price: Stock Charge | Steer Wrestling* Price: Stock Charge | Tie Down* Price: Stock Charge | Team Roping*$25 per person Price: $25.00 Quantity: Stock Charge | Chute Doggin* Price: Team Roping Names*List whether Header or Healer. List Partner. List Draw Option. Notes to Event Producer:General Release of Claims*Parents must submit release form with registration. Drop files here or Select files Accepted file types: jpg, pdf, gif, doc, Max. file size: 256 MB. W9 FormPlease submit a W9 form with entry. Drop files here or Select files Accepted file types: jpg, pdf, gif, doc, Max. file size: 256 MB. DISCLAIMER* DISCLAIMER IDENTIFICATION AND RELEASE OF PERSONAL INJURY/By checking this box and by making entry as a participant, I hereby understand that injury/death to myself, my horse, or my child is a possibility no matter how careful the sponsors, officers, directors or participants may be. And furthermore, I as a participant (or parent/guardian), agree to hold harmless Kohr Quarter Horses/Futurity and/or CAM-PLEX Multi-Events Facility and its officers, agents, management, contractors and employees from any expense, cause of action, damage or claim of damage (including legal fees) of any kind whatsoever which I might assert as a result of my (or my child’s) injury, death or claim. I hereby Release the above from any claim/liability or loss to myself, employees, horses and/or equipment. Participant agrees to abide by rules of the "show management" and affirms that all horses brought onto premises have current negative coggins. I agree to all terms above. Subtotal $0.00 Transaction Fee* Price: $0.00 Double Check Entry* Please double check your entry information, because once you hit "submit," you will be responsible for any information inputed and charged accordingly. If you do not receive email confirmation for your entry, it did not submit. Please try again or please contact us Total $0.00 Credit Card Cardholder Name Card Details NameThis field is for validation purposes and should be left unchanged.