Camp Registration
Form
Buckaroo Rodeo Bible Camp
Always in June  -  Pendleton, Oregon

BRBC 2019 Camp Registration Instructions:
1) Choose an area of instruction from the Event Information Page.  
      a. Campers must register for only one event category area of instruction. 

2) Registration deadline is 12:00am (midnight) on Friday, June 7, 2019.

3) Early registration discount applies to all registrations submitted AND PAID by 12:00am (midnight) on May 11, 2019.
    (Please Note:  All registrations are electronically time stamped when submitted)

4)  Once we receive your registration, a welcome packet will be sent to you with important
     information regarding camp.  Please watch for this packet and complete all enclosed forms and
     agreements prior to arriving at camp.  Please remember to bring the completed forms to check-in.

5) Be advised that the following instruction areas require the camper to bring their own horse:  
          Barrel Racing, Pole Bending, Calf/Tie Down Roping, Team Roping, and Breakaway Roping
    For more information please visit the Event Information Page

6) Please make sure all information entered is accurate and as complete as possible.  Please type "n/a" or "none" if a question blank is not applicable. 

7)  All registrations are subject to Camp Director Approval.

If you experience problems during the registration process, please utilize the "Contact Us" Link on our menu bar.
By checking this box, you agree that you are at least 18 years of age, or have legal guardianship of the camper being registered.
Begin Entering Registration Information Below - When finished, please click "Submit" at the bottom of the page and follow the directions.
Camper's first name
Camper's last name
Date of Birth
mm/dd/yyyy
Mailing Address
City
State
Zip Code
Select T-Shirt Size
First BRBC?
Year of Last Tetnus Shot
Health & Medical Information
Has camper ever had a concussion or lost consciousness?
If Yes, Please specify
Does camper have allergies?
If Yes, Please specify
Please list any current medical conditions
Does the camp staff have permission to administer acetaminophen, ibuprofen, or benedryl if requested?
Please list any medications that will be brought to camp, and the reason for it.
Insurance Company Name
Insurance Company Phone #
Policy or Group Number
Name of Policy Holder
Emergency Contact Information
Emergency Contact Name
Relationship
Emergency Contact Phone #
Other Contact Information
Father / Guardian Name

Home Phone #
Cell Phone #
Work Phone #
Mother / Guardian Name
Home Phone #
Cell Phone #
Work Phone #
Camper Phone #
Parent's Contact email address
Event Clinic Registration
1) Pick your main event category area of instruction
By clicking submit, you agree that you have read and understand your event of choice, the requirements for it, and that your registration is subject to Camp Director approval.
Thank You For Registering For BRBC 2019
 Watch your mailbox for a welcome packet to arrive, within 20 days, with important information and required forms for this years camp.
Are You Bringing A Horse?
Note to parents/guardians: Every precaution will be taken to ensure that your camper's stay with us is a fun and safe experience. However, rodeo is a dangerous sport and occasionally people do get hurt. We do require that you have individual health insurance to protect your camper! Please complete the section below, and complete the "Medical Treatment Authorization and Consent Form" in order for the BRBC staff to obtain any necessary medical treatment for your camper.
Camper's email address
Gender
Insurance Information
Horse's Name?
* This event requires camper to bring
   their own horse.
BRBC Info and Contact Form
I Agree
MaleFemale
YesNo
SmallMediumLargeX-Large2 XL
YesNo
Yes
No
Yes
No
Yes
No
Saddle Bronc
Bare Back
Steer/Bull Riding
Barrel Racing/Pole Bending*
Chute Dogging
Horsemanship
Bull Fighting
Goat Tying
Breakaway Roping*
Calf/Tie Down Roping*
Team/Roping*