DISTRICT 7 HIGH SCHOOL RODEO ASSOCIATION MEMBERSHIP APPLICATION NAME SCHOOL GRADE ADDRESS CITY ZIP PARENT S NAME(S) PHONE ADDRESS

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1 DISTRICT 7 HIGH SCHOOL RODEO ASSOCIATION MEMBERSHIP APPLICATION NAME SCHOOL GRADE ADDRESS CITY ZIP PARENT S NAME(S) PHONE ADDRESS Please submit this application together with the following: Please print clearly and use only black or blue ink. o 1. District 7 Membership Application. (Both Parents and member must sign and be notarized). o 2. District 7 Event form o 3. District 7 Medical Release (Both Parents must sign and be notarized). o 4. Idaho High School Rodeo Association Grade Policy o 5. Certification of eligibility signed by school official. o 6. Copy of LAST PUBLISHED OFFICIAL report card (must be signed & stamped by school official.) NO POWER SCHOOL GRADES WILL BE ACCEPTED. o 7. 1 st year HS member only - Copy of birth certificate or driver s license required for age verification. o 8. National High School Rodeo Association Membership Application. Must have mother, father and member signatures even if member is 18. If parents are divorced both are still required to sign application. If one parent has sole custody, divorced, sole custody must be written on application. NHSRA DUES, (includes Times Subscription, Western Horseman subscription, and Insurance $ STATE DUES $ DISTRICT DUES $ SCHOLARSHIP TRAILER RAFFLE TICKETS $ TOTAL DUES $ o 9. National High School Rodeo Association Minor s Release. (Mother, Father and member signatures must be notarized please make sure notary lists all 3 names in the personally appeared before line) Submit the total amount of $374 (checks made to District 7 High School Rodeo) with this application plus items 2 through 9 (complete do not leave any blanks) to your club advisor. Membership must be received by Jana Day at least 2 weeks before you wish to participate (NO EXCEPTIONS). PARENTS/GUARDIANS & CONTESTANTS PLEASE READ & SIGN: I UNDERSTAND THAT FAILURE OF A CONTESTANT OR PARENT/GUARDIAN TO FOLLOW THE CHAIN-OF-COMMAND OR THE VIOLATION OF ANY NHSRA OR GROUND RULE SHALL RESULT IN THE PROBATION OR IMMEDIATE DISQUALIFICATION OF THE CONTESTANT. X SIGNATURE OF CONTESTANT X X SIGNATURE OF BOTH PARENTS/GUARDIANS

2 DISTRICT 7 EVENT FORM NAME SCHOOL ADDRESS CITY ZIP PARENTS/GUARDIANS AGE GRADE YEARS IN HIGH SCHOOL RODEO MALE OR FEMALE Yes, I was a paying HS member in No, I was not a paying HS member in Please check the following events which you are interested in entering (this is not an official entry). GIRLS EVENTS ( ) Barrel Racing ( ) Pole Bending ( ) Goat Tying ( ) Breakaway Roping ( ) Team Roping ( ) Cow Cutting ( ) Queen Contest (grades 9 thru 11) BOYS EVENTS ( ) Tie Down Roping ( ) Team Roping ( ) Steer Wrestling ( ) Bull Riding ( ) Bareback Riding ( ) Saddle Bronc Riding ( ) Cow Cutting ( ) Reined Cowhorse (Boys & Girls) ( ) Light Rifle (Boys & Girls) ( ) Trap Shooting (Boys & Girls) Signature of Contestant X Signature of BOTH Parents/Guardians X X

3 Idaho High School Rodeo Association Grade Policy August 1, 2018/19 In order to become a member of the IHSRA, students must submit the last posted report card from their school. The report must be dated, signed by a school official and the report card must be stamped or affixed with the school seal. A student must have at least a 2.0 grade average to become a member. A = 4, B = 3, C = 2, D = 1, F = 0. The only acceptable report card is an end of semester or end of trimester report card. Midterms and/or quarter grades may not be used. Once a student becomes a member, a 2.0 GPA must be maintained. If a student has established membership and losses eligibility by dropping below a 2.0, that member will be placed on academic probation for the remainder of the season. If a member is placed on academic probation, they will be disqualified for one rodeo. The member will be required to provide a weekly grade report to the district secretary one hour prior to the rodeo performance. The grade report must be signed by a school official and reflect at least a 2.0 before being allowed to compete. If an unacceptable grade report (below a 2.0) is submitted, the member will be disqualified for the rest of the season. Home schools, online schools, private schools or religious schools that are accredited by the State of Idaho must turn in grades as if you were a public school. If the home school, online school, private school or religious school is not accredited by the State of Idaho, the student must take a grade equivalency test once a year and pass at your current grade level in order to become a member. In order to be eligible to participate in the IHSRA finals, the member must submit their final semester or trimester report card. The report card must be dated, signed by a school official and the report card must be stamped or affixed with the school seal. We, the undersigned, have read and understand the Idaho High School Association grade policy as outlined above. Member signature Mother or guardian signature Father or guardian signature Permission to Share Contact Info On occasion, IHSRA will receive a request from prospective college coaches asking for contact info for our senior members. With your permission, I will share name and address as it appears on your membership application with college rodeo coaches. Member Signature

4 DISTRICT 7 HIGH SCHOOL RODEO MEDICAL RELEASE We, the parents or guardians of give the nearest hospital (Madison Memorial Hospital, Eastern Idaho Regional Medical Center, Teton Valley Hospital, Madison County EMT's, Fremont County EMT's, St. Anthony EMT s, Rigby EMT's, Jefferson County EMT s, and the Physicians/Medical Staff of the above hospitals permission to administer NECESSARY EMERGENCY treatment for injuries he/she may incur while participating in the District 7 High School Rodeo Association. We understand that each contestant must be and is covered by medical insurance. We hereby, release the above hospitals and medical attendants and the Rodeo Sponsors from all Liability. Events entered: Signature of Both Parents/Guardians X X On this day of, 20, before me, personally appeared, known to me to be the persons who executed the foregoing Release and acknowledged that they signed same as their free act and deed. Notary Public: My Commission Expires:

5 CERTIFICATION OF ELIGIBILITY I, THE UNDERSIGNED, DO HEREBY CERTIFY THAT: (STUDENT NAME) IS ENROLLED IN HIGH SCHOOL, AND HAS A 2.0 GRADE POINT AVERAGE, AND IS ALSO IN GOOD STANDING WITH THE SCHOOL. D THIS DAY OF, 20. SIGNATURE OF SCHOOL OFFICIAL POSITION OR TITLE (STUDENTS MUST INCLUDE A COPY OF THEIR LAST OFFICIAL REPORT SENT HOME TO PARENTS/GUARDIANS FROM THEIR HIGH SCHOOL)