Registration

Name

First Name

Last Name

Location

Address

City

State

Zip

Contact

Phone Number

Email

Parent(s) Name

Details

Date of Birth

Sex
 Male Female

Age
Age as of June 1st
 8 9 10 11 12 13 14 15 16 17 18


When registration deposit is received camper will be placed in his/her first event choice unless that event is full or cancelled due to lack of contestants or instructor availability. If camper’s first choice is full or cancelled the camper will be placed in his/her second or third choice.

Choose your first choice

 Breakaway Roping Team Roping Goat Tying Goat Tying Groundwork Steer Riding Bull Fighting Pole Bending Barrel Racing Trick Riding Beginner Horsemanship Trail Course Wrangler Events

Choose your second choice

 Breakaway Roping Team Roping Goat Tying Goat Tying Groundwork Steer Riding Bull Fighting Pole Bending Barrel Racing Trick Riding Beginner Horsemanship Trail Course Wrangler Events

Choose your third choice

 Breakaway Roping Team Roping Goat Tying Goat Tying Groundwork Steer Riding Bull Fighting Pole Bending Barrel Racing Trick Riding Beginner Horsemanship Trail Course Wrangler Events

Each Junior Boy Camper must provide his own horse for all events except trick riding, steer riding, goat tying groundwork, bull fighting, and wrangler events.
(If you have a great kids horse that you would be willing to let PVRBC borrow for camp, please notify Jody Wiltfang.)

Choose your first choice

 Barrel Racing Goat Tying Goat Tying Groundwork Pole Bending Trick Riding Beginner Horsemanship Trail Course Breakaway Roping Team Roping Wrangler Events

Choose your second choice

 Barrel Racing Goat Tying Goat Tying Groundwork Pole Bending Trick Riding Beginner Horsemanship Trail Course Breakaway Roping Team Roping Wrangler Events

Choose your third choice

 Barrel Racing Goat Tying Goat Tying Groundwork Pole Bending Trick Riding Beginner Horsemanship Trail Course Breakaway Roping Team Roping Wrangler Events

Each Junior Girl Camper must provide her own horse for all events except trick riding, goat tying groundwork, and Wrangler events.
(If you have a great kids horse that you would be willing to let PVRBC borrow for camp, please notify Jody Wiltfang.)

Choose your first choice

 Chute Doggin' Tie Down Calf Roping (groundwork) Breakaway Roping Team Roping Bull Riding Bull Fighting Trick Riding Trail Course Barrel Racing Pole Bending Beginner Horsemanship Wrangler Events

Choose your second choice

 Chute Doggin' Tie Down Calf Roping (groundwork) Breakaway Roping Team Roping Bull Riding Bull Fighting Trick Riding Trail Course Barrel Racing Pole Bending Beginning Horsemanship Wrangler Events

Choose your third choice

 Chute Doggin' Tie Down Calf Roping (groundwork) Breakaway Roping Team Roping Bull Riding Bull Fighting Trick Riding Trail Course Barrel Racing Pole Bending Beginning Horsemanship Wrangler Events

Each Senior Boy Camper must provide his own horse for all events except bull riding, bull fighting, trick riding, and wrangler events.
(If you have a great kids horse that you would be willing to let PVRBC borrow for camp, please notify Jody Wiltfang.)

Choose your first choice

 Barrel Racing Breakaway Roping Team Roping Trick Riding Goat Tying Goat Tying Groundwork Pole Bending Beginner Horsemanship Trail Course Wrangler Events

Choose your second choice

 Barrel Racing Breakaway Roping Team Roping Trick Riding Goat Tying Goat Tying Groundwork Pole Bending Beginner Horsemanship Trail Course Wrangler Events

Choose your third choice

 Barrel Racing Breakaway Roping Team Roping Trick Riding Goat Tying Goat Tying Groundwork Pole Bending Beginner Horsemanship Trail Course Wrangler Events

Each Senior Girl Camper must provide her horse for all events except trick riding, goat tying groundwork, and wrangler events.
(If you have a great kids horse that you would be willing to let PVRBC borrow for camp, please notify Jody Wiltfang.)


Please answer the following:

Will you be bringing a horse?
Campers registered in Beginner Horsemanship need to bring a gentle kids horse.
All campers must provide his/her own horse for all events except trick riding, goat tying ground work, steer riding, bull riding, bull fighting, and wrangler events.

 Yes No



Is this your first year as a camper at Platte Valley RBC?

 Yes No


If yes, who invited you?

T-Shirts included. Please mark size needed

Youth

 Youth Small Youth Medium Youth Large Youth Extra-Large

Adult

 Small Medium Large Extra-Large