Handicapable Rodeo

2019 HANDICAPABLE RODEO * ONE PER FAMILY

JASPER COUNTY COWBOY CHURCH –ARENA RELEASE FORM

School ISD:*
Campus Name*
Campus Type*
Other
Teacher:*
Teacher E-mail*
Guardian:*
Address:*
Phone:*
-
E-mail:*

Name(s) of all attending (guardian and /or child, teachers, bus drivers, etc.):

1 Full Name:*
Title of 1:
Age of 1:*
Shirt Size of 1:*
2 Full Name:
Title of 2:
Age of 2:
Shirt Size of 2:
3 Full Name:
Title of 3:
Age of 3:
Shirt Size of 3:
4 Full Name:
Title of 4:
Age of 4:
Shirt Size of 4:
5 Full Name:
Title of 5:
Age of 5:
Shirt Size of 5:
6 Full Name:
Title of 6:
Age of 6:
Shirt Size of 6:
7 Full Name:
Title of 7:
Age of 7:
Shirt Size of 7:
8 Full Name:
Title of 8:
Age of 8:
Shirt Size of 8:
9 Full Name:
Title of 9:
Age of 9:
Shirt Size of 9:
10 Full Name:
Title of 10:
Shirt Size of 10:
Age of 10:
11 Full Name:
Title of 11:
Age of 11:
Shirt Size of 11:
12 Full Name:
Title of 12:
Age of 12:
Shirt Size of 12:
13 Full Name:
Title of 13:
Age of 13:
Shirt Size of 13:
14 Full Name:
Title of 14:
Age of 14:
Shirt Size of 14:
15 Full Name:
Title of 15:
Age of 15:
Shirt Size of 15:
16 Full Name:
Title of 16:
Age of 16:
Shirt Size of 16:
17 Full Name:
Title of 17:
Age of 17:
Shirt Size of 17:
Signature of Responsible Party: (Type your Signature) This will serve as your digital signature.*
Date:*
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