Every year in Santa Cruz there are a number of festivals which include bull riding ceremonies. These ceremonies, though traditional at heart, lack most of the features seen in Spanish bullfighting traditions. Usually the ring in which the bull is let loose is open to anyone, tourists as well as locals – man, woman or child. The bull riding usually starts with a man being placed on the bull with nothing but a string to hold on to. This man is inevitably, after some time, thrown off. Even though there are always medical personnel in place to supervise the bull riding, severe injuries or even death among the bullriders are not uncommon.