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
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/money must be postmarked 10 days prior to each show
or contestant will be required to pay late entry fee.
*Must be a current WCSC member to compete.
or contestant will be required to pay late entry fee.
*Must be a current WCSC member to compete.
| Age 9 & under | Entry Fee | Late Entry Fee | |
|---|---|---|---|
| Breakaway Calf Roping | $15 | $20 | |
| Goat Flank & Tie | $15 | $20 | |
| Team Roping (adult assist) | $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
___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
