Employer:
First Name of Rodeo Coordinator at company (if any):
Last Name of Rodeo Coordinator at company (if any):
Phone:
Fax:
Email:
All Rodeo information will be sent to the coordinator unless otherwise requested.
Division: (Please mark the appropriate division for your company or forms will not be processed)
Our companies competitors will compete with Fall Restraint devices on?
Apprentice Registration Form (pdf)
Apprentice registration fee: $125(registration fee includes ticket to banquet, hat, t-shirt and registration materials)
First Name:
Last Name:
Title:
Select Long Sleeve T-Shirt Size: MLXLXXL3XL4XL
Journeyman Registration Form (pdf)
Journeyman Team registration fee: $400/team(registration fee includes ticket to banquet, hat, t-shirt and registration materials for all 3 team members)
Journeyman #1
If this is a Senior Team, check this box please (minimum age: 50 years or older).
Journeyman #2
Circle Long Sleeve T-Shirt Size: MLXLXXL3XL4XL
Groundman
Name:
Leave the box blank if you do not have a coupon code.
Participants are responsible for their own transportation, hotel, and meal expenses en route and during the Rodeo. Participants will be required to sign a liability release before participating in the Rodeo, releasing the ILRA, any sponsors and their employer from any liability should an injury occur during the Rodeo. If you have any questions, please call (913) 967-1865, or fax (913) 514-6865. Cancellation policy: Refunds received in writing on or before Sept.22, 2017 will be given a 100% refund. No entry fee refunds will be given after that date.