Ana səhifə

Lil' Rowdy Rodeo Bulls


Yüklə 32.5 Kb.
tarix24.06.2016
ölçüsü32.5 Kb.
Lil' Rowdy Rodeo Bulls

Participant Name____________________________Soc.Sec#_____________________

Address_______________________City________________State_________Zip______

Telephone#____________________ Age:(Month/Day/Year)______________________


Rodeo application for;(Rodeo/Date)____________________________________

Minor's Release, Assumption of Risk and Indemnity Agreement

We, the undersigned, hereby request that the below named minor (minor) be granted permission (1) to enter the restricted area, (2) to participate as a contestant, assist official or otherwise in rodeo events, (3) to compete for money, prizes, or reward, (4) to be covered by participants hospitalization insurance, if applicable, as limited by the master policy (all collectively hereinafter called "permissive entry")

In consideration of "permissive entry" to minor into the restricted area, which is the area from which admission to the general public is restricted, which includes, but is not limited to the rodeo arena, competition area, chutes, pens, adjacent walkways, concessions, and other appurtenances, we the undersigned, on behalf of the minor and for ourselves, and our personal representatives, heirs, next of kin, spouses and assigns do hereby:



1. RELEASE, DISCHARGE, AND COVENANT NOT TO SUE the rodeo committee, stock contractor, rodeo association, sponsors, arena operators, or owners, and each of the, their officers, agents, and employees from any and all claims and liability arising out of strict liability or ordinary negligence of releases or any other participant which causes the undersigned injury, death, damages or property damages. We the undersigned, jointly, severally, and in common covenant to hold releases harmless and to indemnify release from any claim, judgment or expresses releases may incur out of any of the minor's activities or presence in the restricted area.

2. UNDERSTAND that minor's entry into the restricted area and/or participation in rodeo events contains DANGER AND RISK OF INJURY OR DEATH TO MINOR, that conditions of the rodeo area change from time to time and may become more hazardous, that rodeo animals are dangerous and unpredictable, and that there is INHERENT DANGER in rodeo which we each appreciate and voluntarily assume because the minor and we choose to do so. Each of the undersigned has observed events the type that there minor seeks to participate in. We further understand that the arena surface, access ways or lack thereof, and weather conditions all change and pose a danger to the minor. We further understand that other contestants and participants pose a danger to the minor, but nevertheless, We EACH VOLUNTARILY ELECT TO ACCEPT ALL RISKS connected with the minor's entry into the restricted area and/or participate in any rodeo events.

3. AGREE that this agreement shall apply to any incident, injury, accident, or death occurring on the above date and FOR A PERIOD OF (1) YEAR THEREAFTER or until the minor's association membership expires, which ever shall last occur. All subsequent agreements and release documents signed by any of the undersigned shall amplify, but shall in no way limit the provisions of this document. The provisions of this document maybe canceled by any of the undersigned by delivering to the above rodeo association written cancellation of this agreement which shall be effective 24 hours after the date said cancellation is actually received by the rodeo association.

4.Releaser or parents or guardian of the undersigned minor AGREE TO INDEMNIFY the Releases each of them from and loss, liability, damage or cost they may incur due to the presence or participation of the minor in the described activities whether caused by the negligence of that Releases or otherwise.
WE HAVE READ THIS DOCUMENT; WE UNDERSTAND IT IS A RELEASE OF ALL CLAIMS.

WE AGREE THAT SAID PARTICIPANT WILL WEAR PROTECTIVE EQUIPMENT INCLUDING A VEST AND HELMET.

WE APPRECIATE AND ASSUME ALL RISK INHEREIT IN RODEO.
____________________________________________AND__________________________________

Signature of Natural Father Signature of Natural Mother



____________________________________________Signature of Guardian
____________________________________________Signature of Member (Participant)
On this______________day of_____________________20__, before me, personally appeared
__________________________, to me known to be the persons who executed the fore going Release and acknowledged that they signed same as the free act and deed.
My Commission Expires: ______________________________ _____________________________________ Notary public
*Both parents and member or legal guardian must sign this form in the appropriate places above. If only one parent is signing, please note reason signature line. For example, DECEASED, DIVORCED, AND FULL CUSTODY, ETC. All signatures must be witnessed by notary and listed as personally appearing in the apropriate place on the form. Be sure that notary signs, dates and places his/hers seal on the form. Please return the original Minor's Release form to agent of the above listed rodeo committee.


Verilənlər bazası müəlliflik hüququ ilə müdafiə olunur ©atelim.com 2016
rəhbərliyinə müraciət