(Print out and complete the following 2 forms for rodeo entry)
| SATURDAY and SUNDAY - Feb. 16th - 17th - 1:00 pm | ||||
| EVENT | ENTRY FEE | AMT. ENC. | CIRCLE | |
| Open Team Roping | $ 50.00 | $_____________ | Sat / Sun | |
| Bull Riding (18 & Older) | $ 50.00 | $_____________ | Sat / Sun | |
| Saddle Bronc Riding ($1000.00 Purse) | $ 50.00 | $_____________ | Sat / Sun | |
| Hide Race | $ 25.00 | $_____________ | Sat / Sun | |
| Steer Riding (7-15 Yrs) | $ 25.00 | $_____________ | Sat / Sun | |
| Sheep Riding (5-7 Yrs) | $ 35.00 | $_____________ | Sat / Sun | |
| Open Barrel Race(13 Yrs and above) | $ 50.00 | $_____________ | Sat / Sun | |
| Jr. Girls Barrel Race(12 Yrs and below) | $ 25.00 | $_____________ | Sat / Sun | |
| Calf Scramble (All kids under 8 Yrs) | (No Fee) | $_____________ | Sat / Sun | |
| Late Fee: (If applicable) | $ 10.00 | $_____________ | ||
| TOTAL ENTRY FEES: | $_____________ | $_____________ | ||
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YOU MUST BE PAID IN FULL TO BE ENTERED - NO EXCEPTIONS! Fill in both forms completely and submit with entry fees as follows: Make entry fee payable to: COTTON ROSSER Cashier Check or Money Orders ONLY Mail to: Kernville Chamber of Commerce RCC P.O. Box 1458, Kernville, CA 93238-1458 |
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| Contestants must check in with rodeo office before 12
noon to participate in the rodeo. Performance time is 1:00 pm both days. |
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| CONTESTANT RELEASE FORM | DATE: _____________ |
| Location of Event or Rodeo: _____________________________________________ | |
| Name of Participant (please print): __________________________________________ | |
| Phone #: ( ______)____________________________________ | |
| AGREEMENT: As consideration for being allowed to participate and/or compete in the named event or rodeo, the above named person agrees to the following: | |
| ACKNOWLEDGMENT OF RISK: The Undersigned acknowledges that rodeos are dangerous activities and that the participation in a rodeo, as either a contestant, an employee or volunteer, exposes the participant to a substantial and serious risk of property damage, personal injury and/or death. The Undersigned expressly acknowledges that his/her participation in this event will involve such a hazard. | |
| RELEASE OF SPONSORS: The Undersigned, being fully aware that participation in this event or rodeo will expose him/her to a substantial and serious risk of property damage and/or personal injury and/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 the event or rodeo, including those that are known, 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 of actions, 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. | |
| BINDING EFFECT: This Release shall be binding upon the Undersigned and the Undersigned's spouse, legal representative, heirs, successors and assigns. This Release has been carefully and fully read by the Undersigned and the Undersigned fully understands it's terms and conditions and has voluntarily executed and delivered this Release as of this __________ day of __________, 20___. | |
| Signature of Participant: ___________________________________________________ | |
| Address (please print): ____________________________________________________ | |
| Social Security Number: ____________________ Phone Number: __________________ | |
| ALL INFORMATION MUST BE GIVEN ON THIS RELEASE - NO EXCEPTIONS | |
| CONSENT OF PARENT OR LEGAL GUARDIAN: PARTICIPANTS UNDER THE AGE OF 18 MUST HAVE THE FOLLOWING SIGNED BY THEIR PARENT OR GUARDIAN: | |
| I, __________________________________, have read the above Release in full, I fully understand it's terms and conditions and I hereby voluntarily execute and deliver this consent to ______________________________'s participation in the event or rodeo. I further agree to be fully bound by the Release's terms and conditions in both my individual capacity and in my capacity as parent or legal guardian. | |
| Signature of Parent or Legal Guardian: _____________________________ Date: _______________ | |