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.

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 501 20th Ave NW be rejected!
WATERTOWN, SD 57201

For questions:
605.886.5901 or 605.881.6169