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Name____________________________________________
Years Riding/Fighting ________
Address______________________________________________________________________
City,
St___________________________________________________ Zip _______________
Please mail completed
form along with a deposit check to:
Echo Sharke
660 N. Oak St
Ainsworth, NE 69210
** Note:
Make checks payable to Echo Sharkey.
The deposit for bull riders is $200.
The deposit for bull fighters is $150.
You must bring cash to pay your remaining balance on the first day
of the school. **
How did you hear about
the school?
___Word of Mouth
___ Internet
___ Flyer
___ Other
_____________________________________________________________________
In
consideration of acceptance of this entry, intending to be legally bound
hereby for myself and my heirs, release Gary Leffew, Steve Wangler, Jay
Brewer, Echo Sharkey, the Brown County Ag Society, Double SS Bulls, and
any of their employees from any and all claims to damages for injuries
suffered in the said schools/clinics. I also understand that any insurance
and /or medical coverage must be provided by the participant.
_____________________________________
Participant’s
Signature
_____________________________________
Parent’s
Signature (if participant under 18)
**Must
be Notarized***
Host Hotel:
Rodeway
Inn
E. Hwy 20
Ainsworth, NE
1-888-757-1050
**
Make your reservations by calling the number above and telling them you
are going to be attending the Gary Leffew Bull Riding School to receive a
special rate of $55+tax, double occupancy (offer not available online).
Please make your reservations by May 5th to ensure
availability. **
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