W.C.S.C. Youth Show Entry Form

Contestant's Name____________________________________________Age (as of Jan. 1st)_____

Address________________________________________City/State/Zip____________________

Email__________________________________________Phone #_______________________
*Make checks payable to: WCSC
*Mail to: Daniel or Jessica Stephenson
                   64 County Rd. 150 North, Belle Rive, IL 62810
                   618-237-2022 or 618-231-2832

*All entry forms must be postmarked 10 days prior to
each show or call in 10 days prior to each show between 5pm-10pm @
618/237-2022.
*Must be a current WCSC member to
compete.

Ages 15-19	Entry Fee	Late Entry Fee
Calf Tying	$15	$20
Chute Dogging	$15	$20
Breakaway Calf Roping	$15	$20
Goat Flank & Tie	$15	$20
Team Roping Partner:__________________________________	$15	$20
Calf Riding	$15	$20
Pole Bending	$10	$15
Barrel Racing	$10	$15
		Total:

___I hereby grant WCSC permission to take photos & video my child for the use of media coverage or publicity materials.
___I do not grant WCSC permission and consent to take photos & video my child for the use of media coverage or publicity materials.

________________________________________________________              ________________
Parent or Legal Guardian Signature                                                                                                   Date