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Email address *
First name *
Last name *
Address 1
City
State
ZIP Code
Cell Phone Number
Date of Birth:
High School:
Anticipated Enrollment Date at LCC:
Intended Major at LCC:
Events Participated In:
Bull Riding
Saddle Bronc Riding
Bareback Riding
Goat Tying
Breakaway
Team Roping
Calf Roping
Barrel Racing
Steer Wrestling
Accomplishments/Honors:
What organizations have you or do you rodeo with?
Link to Videos:
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