Please Circle Events and Write in Totals
|
Saturday (Date __________) |
Sunday (Date __________) |
Sheep Riding $11.00
Poles $11.00
Barrels $11.00
Goat Tail Tying $11.00
Flag Race $11.00
Dummy Roping $7.00
|
|
Exhibitions: |
_______________ |
|
Office Charge |
+ $7.00 |
|
Daily Total: |
$
_________ |
|
|
Sheep Riding $11.00
Poles $11.00
Barrels $11.00
Goat Tail Tying $11.00
Flag Race $11.00
Dummy Roping $7.00 |
|
-- NO Exhibitions on
Sunday -- |
|
Office Charge: |
+ $7.00 |
|
Daily Total: |
$
_________ |
|
|
Saturday
& Sunday Totals $_________________ |
Parent
Consent Form
As considerations for being allowed to participate and/or compete in the
Flying DX events, I the undersigned agree to the following:
Acknowledgement of Risk:
The undersigned acknowledges that the Flying DX events are
dangerous activities and that the participation in said events, as
either a contestant, an employee or volunteer, exposes the participant
to a substantial and serious risk or property damage, personal injury or
death. The undersigned expressly acknowledges that his/her
participation will involve such a hazard.
Release of Sponsors:
The
undersigned being fully aware that participation in the Flying DX
events will expose him/her to a substantial and serious risk of property
damage and/or personal injury or death, hereby releases all sponsors
from liability for any and all property damage, personal injuries or
other claims arising from the undersigned’s participation in said events
including those that are known and unknown, foreseen and unforeseen,
future or contingent.
Covenant Not to Sue:
The
undersigned covenants that the undersigned shall not now or at any time
in the future, directly or indirectly, commence or prosecute any action,
suit or other proceeding against the sponsors (or their officers,
directors, employees, agents, or affiliates) concerning, arising out of,
or related to the actions, causes or action, claims and demands hereby
waived, released or discharged by the undersigned.
Assurances:
The undersigned has full power, authority, capacity and right without
limitation to execute, deliver and perform this release.
Rules:
The undersigned
agrees to all of the rules of the Flying DX.
Binding Effect:
This
release shall be binding upon the undersigned and the undersigned’s
spouse, legal representatives, heirs, successors and assigns.
Note:
Participants under 18
years of age must have the following signed by their parents or
guardian.
Consent to Treat:
I hereby
give the affiliated EMS the right to treat the above listed child, which
I am the parent or guardian should the need arise.
I have read the above release in full. I totally understand its
terms and conditions, and I hereby voluntarily execute and deliver this
consent to contestant’s participation in the Flying DX
events. I further agree to be fully bound by the release’s terms
and conditions in both by individual capacity and in my capacity as
parent or legal guardian for the undersigned.
Parents/Guardian Signature:
_______________________________________________________________________
*
There will be no tolerance of anyone confronting the judges at any time.
Refer to rulebook for consequences. * |