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There are errors with your form submission. Please review and submit again.
Email address *
First name *
Last name *
Address 1
City
State
ZIP Code
Cell Phone Number
Date of Birth:
Date of High School Graduation:
High School:
Intended Major at LCC:
High School GPA:
College GPA:
Are you presently a member of a rodeo association:
Yes
No
If yes, what is the name of the association?
What events do you participate in?
Bull Riding
Saddle Bronc Riding
Bareback Riding
Goat Tying
Breakaway
Team Roping
Calf Roping
Barrel Racing
Steer Wrestling
List awards won in High School Competition:
List awards won in other rodeo associations:
List other extracurricular activities that you have participated in during high school or college:
Please list two names with contact information of individuals who are acquainted with your rodeo abilities:
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