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2. CONTACT INFORMATION
4. First Name*
5. Last Name*
7. Address1*
9. Address2
11. City
12. State
13. Zip*
15. Email*
16. Phone Number*
18. GROUP INFORMATION
20. Group Name
22. Type of Group*
    -- Select One --Cub/Boy ScoutGirl ScoutChurchCommunitySchoolOther
23. Age Range of Participants*
25. Number of Youth*
26. Number of Adults*
28. Event Date Requesting. Rodeos will ONLY be offered 3 times in 2016. Please select the preferred date.*

    1. June 8, 2016, West Valley Library, 5:00-7:00 pm

    1. July 18, Hunter Library, 5:00-7:00 pm

    1. Aug 14 (NNO), Family Fitness Center, 4:30-6:30 pm
30. WAIVERS FOR EACH CHILD WILL BE REQUIRED BEFORE PARTICIPATION IN THE RODEO.
31. DOWNLOAD A COPY HERE.
    WAIVER FORM
Leave This Blank:


33. 1. Receive an email copy of this form.
34. Email address

    This field is not part of the form submission.

35. Submit

* indicates a required field