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Liability Release I ________________________________ have read the Miss TCRA rules in their entirety and understand that violation of any rule may result in suspension or dismissal from the pageant or the title. I do hereby agree to abide by these rules of the Tillamook County Rodeo Association for the entire duration of my reign should I be chosen as 2009 Miss TCRA. I, the undersigned, hereby agree for myself, family and my heirs to fully and forever release and discharge Tillamook County Rodeo Association and it's Board Members thereof from any claims, demands, damages, rights of action of or causes of damage 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 Association 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 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 Association and Howell Rodeo Company now in effect or later adopted. And I further agree to hold Tillamook County Rodeo Association and its directors and Tillamook County Fair, Howell Rodeo Company owners, directors, managers and employees free and harmless from all damages or liability for and injury to person, horse or property rising as a result from this participation including attorney and court costs. Signature ____________________________________________ Date _________________________ Parents Signature ____________________________________________ Date __________________ Emergency Contact ______________________________________ Phone ______________________ Insurance Company ____________________________________ Policy # ______________________ Doctor and Phone #__________________________________________________________________ Allergies ___________________________________________________________________________ Medication currently being taken________________________________________________________ |