Please Circle Events and Write in Totals
|
Saturday (Date __________) |
Sunday (Date __________) |
|
Poles |
$14.00 |
|
Barrels |
$14.00 |
|
Goat Tying Legs |
$14.00 |
|
Breakaway Roping |
$16.00 |
|
Team Roping |
$20.00 |
|
Header___________ |
Heeler___________ |
|
Header___________ |
Heeler___________ |
|
Ribbon Roping |
$16.00 |
|
Roper ________ |
Runner ________ |
|
Steer Stopping |
$16.00 |
|
Exhibitions: |
_____________ |
|
Office Charge
|
$7.00 |
|
Daily Total: |
$
_________ |
|
|
Poles |
$14.00 |
|
Barrels |
$14.00 |
|
Goat Tying Legs |
$14.00 |
|
Breakaway Roping |
$16.00 |
|
Team Roping |
$20.00 |
|
Header ________ |
Heeler_________ |
|
Header_________ |
Heeler________ |
|
Ribbon Roping |
$16.00 |
|
Roper_______ |
Runner _____ |
|
Steer Stopping |
$16.00 |
|
-- NO Exhibitions on
Sunday -- |
|
Office Charge $7.00 |
|
|
Daily Total: |
$
_________ |
|
|
Saturday
& Sunday Totals $_______________ |
Please
mark yes or no so we know if you want to be put into the draw for Ribbon
Ropen and/or Team ropen. YES__ NO __ Paid for draw run yes or no.
Amount paid $ __________ Ribbon Roping Team Roping
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.
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