Flying DX Youth Rodeo Association
Membership Form
 Summer Series 2008

Child 1: ______________________________________        Child 2:                                                                      
Coat Size _____________ Shirt Size ______________         Coat Size                       Shirt Size                               
Grade in School as of Aug______ Date of Birth______          Grade in School as of Aug             Date of Birth             
Is contestant Male ______ Female ______                           Is Contestant  Male          Female                    

Child 3: ______________________________________         Child 4:                                                                     
Coat Size _____________ Shirt Size ______________          Coat Size                        Shirt Size                             
Grade in School as of Aug______ Date of Birth_____             Grade in School as of Aug              Date of Birth           
Is contestant Male ______ Female ______                            Is Contestant  Male            Female                   

Address: ___________________________________________
City: ______________________ State: _____ Zip: ________   
Phone: ____________________________________________ 

Email address:                                                                      

Signature Parent/ Guardian: ________________________________________________________

 Date Membership Paid: _____________________________
1 membership $20, 2 members $30, 3 members $40, 4 members $50. Non-Refundable.
Amount Paid __________________________ Date: __________________________
** Copy of Birth Certificate and Grade Card must be on file by Finals. No exceptions. **

Parent Consent Form

As consideration 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, persona 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 event including those that are know 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 of 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:____________________________________________________________________________Date                               
 

* There will be no tolerance of anyone confronting the judges at any time. Refer to rulebook for consequences. *