Liability Release

I, the undersigned, hereby agree for myself and my heirs to fully and forever release and discharge Tillamook Co. Rodeo Association and it’s board members thereof from any claims, demands, damages, rights of action of or causes of action for damages or loss on account of any injuries or damages, or otherwise of every kind and character to me or to other persons or property resulting from or which may result either directly or indirectly from the participation and use of the facilities or equipment of Tillamook County Rodeo and and/or Tillamook County Fair or its owners, operators directors or employees.

I hereby agree that I am using these facilities at my own risk and I assume full responsibility for such use and for any result thereof. In addition I/We agree to assume all responsibility and risk from participation in these equine activities. I fully understand that horseback riding is a risk sport and engage in the sport at my own risk. I shall abide by all the rules of Tillamook county Rodeo and Tillamook County Fair now in effect or later adopted. And I further agree to hold TCRA and it’s directors and Tillamook County Fair and it’s directors, manager and employees free and harmless from all damages, or liability for and injury to person, horse or property, arising as a result from this participation including attorney and court costs

Signature ____________________________________________ Date _________________________

Emergency Contact ______________________________________ Phone ______________________

Insurance Company ____________________________________ Policy # ______________________

Doctor and Phone #__________________________________________________________________

Allergies ___________________________________________________________________________

Medication currently being taken________________________________________________________