EASTERN DAKOTA 4-H REGIONAL RODEOS

WATERTOWN, SD

AMBASSADOR CONTEST ENTRY FORM

All Ambassador Contestants must be in attendance for the Saturday and Sunday rodeos.
Crowning of Ambassadors will be held at Grand Entry on Saturday morning.

______ JUNIOR CONTESTANT ________ SENIOR CONTESTANT

NAME________________________________________________________________________________
(FIRST) (MIDDLE INITIAL) (LAST)

STREET ADDRESS_____________________________________________________________________

CITY _______________________________________________ STATE________ ZIP______________

EMAIL ADDRESS______________________________________________________________________

PARENT EMAIL ADDRESS_____________________________________________________________

PARENT’S NAME(S) ___________________________________________________________________

PHONE NUMBER________________________AGE__________GRADE IN SCHOOL______________

PAST/RECENT AMBASSADOR TITLES___________________________________________________

________________________________________________________________________

PAST RODEO/4-H EXPERIENCE_________________________________________________________

_______________________________________________________________________
EVENTS ENTERED IN THIS RODEO______________________________________________________
________________________________________________________________________
OTHER HOBBIES/INTERESTS___________________________________________________________

APPLICATION MUST BE POSTMARKED BY JUNE 25, 2019.

MAIL FORM TO: Must include a recent photo

Incomplete entries will
Misty Brenden be rejected!
501 20th Ave NW
WATERTOWN, SD 57201

For questions:
605.886.5901 or 605.881.6169
mistybrenden@yahoo.com