NAME ________________________________________________________________________
     Last               First                 MI                 SS#

ADDRESS ________________________________________________________(___)________
        Street/Box #             City              State/Zip      Phone

Birthdate ____________     Male __   Female __   Graduation Date ____________

Height _______     Weight _______

Name/Address of High School _________________________________________________

                            _________________________________________________


Name of Parent or Guardian __________________________________________________


Please list three references that are familiar with your Rodeo abilities:
Name                             Address                       Phone
_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________


College Major _____________________      College Minor ______________________

Please list activities in which you participated during high school. Include
educational awards:

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

Please check the event/events that you wil be working:
____ Bareback Riding           ____ Steer Wrestling        ____ Goat Tying
____ Saddle Bronc Riding       ____ Calf Roping            ____ Barrel Racing
____ Bull Riding               ____ Team Roping            ____ Breakaway

Please include a list of your winning or placing to assist in evaluation.

SIGNATURE _____________________________________________   DATE ______________