Holt County Fair 2014 ATV Rodeo Entry Form HELMETS REQUIRED
|
|
- Felicity Price
- 5 years ago
- Views:
Transcription
1 Holt County Fair 2014 ATV Rodeo Entry Form HELMETS REQUIRED Name: Age: Address: Zip: Telephone: Emergency Contacts: ATV Make: Model: (Natural Aspiration Only No Nitros Oxide No Nitro methane) Quads can be inspected anytime at the discretion of Holt County fair board members and judges.) REGISTRATION FEE: $5.00 per rider/per ATV Make checks payable to the Holt County Fair. Pre-register by mailing fee, registration form and liability waiver to : Holt County Fair, Della Grass Treasurer, rd Road, Page, NE Registration Saturday, August 9 th, 2014 Rodeo Grounds Entrance 5:30pm 6:30 pm No registrations accepted after 6:00pm Possible Events: Barrel Race, Pole Race, Grocery Race, Hide (Tire) Race, Flag Race, Relay Race, Obstacle Course, Hotshot Competition, ATV Bowling Fair board reserves the right to add, change or remove events based on number of riders and other reasons of safety or execution of running the event. Events will be posted prior to race on race day. Pole Bending Barrel Racing Flag Race Grocery Race **Hide Race Obstacle Course Hotshot ATV Bowling Junior Class 150 CC & Under Only Intermediate Class 250 CC & Under Only Adult Class Quad Sports Bike Utility Bike Side By Side ** Hide (Tire) Race requires a hide (Tire) rider. You must provide rider the day of event. Rider must wear approved gear.
2 ***Quad Relay requires 3 riders. You must provide riders names at time of registration (at fairgrounds). ATV Rodeo Prizes and Trophies The Four Wheeler Rodeo is a competition to show how well the participant can control the Four Wheeler ATV. More than one participant may use an ATV. It is a competition between participants not ATVs. There will be 3 Age Groups: 1 class for Juniors 1 class for Intermediate 3 classes for Adult Utility 4 wheel drive ATV Sport 2 wheel drive ATV Side By Side Trophies Trophies will be given to the top three in each age group from a combined score from all events entered, to be determined by judges. Prize Money Prize money will be given to 1 st Place $100 2 nd Place $50 3 rd Place $25 in each age group. Utility Bikes and Side By Sides will not be eligible for trophy s or prize money this year. We reserve the right to combine classes or change age placement classification as we feel is best for fair competition. Amount of contestants may be limited by the Fair Board.
3 RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT IN CONSIDERATION of being permitted to participate in any way in the sport and activities of Holt County Agricultural Society, I acknowledge, appreciate, and agree that: 1. The risk of injury from the activity and equipment involved in ATV activities is significant including the potential for permanent disability and death, and while particular protective equipment and personal discipline will minimize this risk, the risk of serious injury does exist. I knowingly and freely assume all such risks, both known and unknown even if arising from the negligence of those persons released from liability below, and assume all responsibility for my participation, I hereby assume all of the risks of participating in this event and certify that I am physically fit to do so, have sufficiently trained for participation in this event, and that I have not been advised otherwise by a qualified medical person; and, 2. I understand that the activities of motorized off road activities are physically and mentally intense. I understand the rules of play and will comply with all the rules and regulations. If I observe any unusual or unnecessary hazards during my participation, I will bring such to the attention of the nearest official as soon as practical and leave the area; 3. I, for myself and on the behalf of my heirs, assigns, personal representatives and next of kin, forever release and hold harmless Holt County Ag Society their officers, directors, agents, and the sponsors ( Releases ) of the off road event, and the owners of the premises used to conduct the motorized off road activities, with respect to any and all injury, disability, death or loss of damages to person or property, whether caused by the negligence of the releases or otherwise. 4. I understand and agree that the release of liability agreement covers each and every motorized off road activity and /or event in which I participate or attend hereafter. 5. I understand that the promoters of the Holt County Ag Society do not provide health insurance. The undersigned further agrees to assume all responsibility for doctor, ambulance, hospital and medical expenses and any loss or injury to me/the minor and or personal property due to participation in any Holt County Ag Society event. If under 18-Parent/Guardian Waiver for Minors The undersigned parent and natural guardian or legal guardian does hereby represent that he/she is, in fact, acting in such capacity and agrees to save and hold harmless and indemnify each and all of the parties referred to above from all of the parties referred to above from all liability, loss, cost, claim or damage whatsoever may be imposed upon said parties because of any defect in or lack of such capacity to so act and release said parties on behalf of both the minor and the parents or legal guardian. Authorization of Emergency Medical Treatment This release will authorize medical persons or transport services to provide emergency medical assistance and/or transportation to me in the event of an accident or illness requiring
4 transportation or treatment while I am participating in this activity. I understand that any such services will be provided to me on a fee basis which I will be responsible to pay. I hereby consent to receive medical treatment which may be deemed advisable in the event of injury, accident and/or illness during this event. Photo/Audio/Video Release As the participant or parent/guardian or the above listed minor, I understand that the participant may be photographed, audio and/or video recorded. I give consent to the below minor being photographed, audio and/or video recorded during their participation. I agree to allow my photo, video or film likeness to be used for any legitimate purpose by the event holders, producers, sponsors, organizers and/or assigns. This AWRL shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law. The undersigned has read and voluntarily signed the release and waiver of liability and indemnity agreement, and further agrees that no oral representations, statements or inducements apart from the forgoing written agreement have been made. I HAVE CAREFULLY READ THE ABOVE RELEASE AND ACKNOWLEDGE THIS AGREEMENT WITH MY SIGNATURE Date Signed: / / Print name clearly Applicant s signature Parent/Guardian signature (If under 18 years of age this must be signed by the parent or guardian)
5 Description of ATV Rodeo Events Possible Events at the ATV Rodeo may be picked from the following. The Fair Board and Judges reserve the right to add, change or remove any events. Obstacle Course The obstacle course will be demonstrated prior to competition the night of the event. You will have to go through, over and around various obstacles. The objective is to complete the course in the fastest time. Participants veering off course will receive a 5 second penalty. If abuse of obstacle course is demonstrated, the participant will be disqualified. Flag Race The contestant must start at a given point in a stopped position. The flag man will signal contestant to begin and the contestant will move towards the far flag and retrieve it on the right side of the 4-wheeler. The contestant will proceed to the opposite side of the arena, park the 4-wheeler, contestant will get off the 4- wheeler, and place the flag in the designated spot. Time will end when the flag is placed in the bucket of sand. A ten second time penalty will occur if the flag is retrieved from the left side of the 4-wheeler and a ten second time penalty will occur if the bucket of sand is tipped over while retrieving the flag. Barrel Race The contestant must start at a given point. The flag man will signal contestant to begin and the contestant will move through the barrels in a uniform pattern. If the contestant breaks the pattern, they will be disqualified. A ten second penalty will occur for every barrel that is tipped over. Time will end when the contestant has completed the pattern and returned to the designated spot. Pole Race The contestant must start at a given point. The flag man will signal contestant to begin. The contestant will move through the poles in a uniform pattern. If the contestant breaks the pattern, they will be disqualified. A ten second penalty will occur for every pole that is tipped over. Time will end when the contestant has completed the pattern and returned to the designated spot. Grocery Race This competition consists of one quad and a team of two riders. You must race over an obstacle course from one end of the arena to the far end. You must fully stop and both riders must get off the quad. You must pick up an egg, watermelon and a large water balloon (or other items) and race back over the obstacle course back to the finish line. A 5 second penalty will be added to your finishing time for each item that you break. Hide (Tire) Race ATV must have a ball hitch or bumper handle. Biker will race to far end of arena and pulling partner on cowhide/tire and make a wide turn around a barrel placed at the end of the arena. Rider must stay on hide/tire and make it to the finish line. If your tire/hide rider falls off the tire/hide you are disqualified. Tire/Hide rider must wear eye protection, a helmet and clothing covering all limbs. ATV Bowling Set up with 6 bowling pins, each rider will ride their quad towards the bowling lane. They will have to use a bowling ball to try and knock down all 6 pins. Each pin is worth 5 points. If you get a strike you will receive an extra 10 points. If you get a spare you will receive an extra 5 points. In the case of a tie breaker each biker will get one throw and the most points will win. Accuracy is the name of the game here. Hotshot Competition Each rider is given a large water gun and must navigate through a cone course shooting a ping pong ball off the top of each cone. Side By Sides can compete in this competition but you must have two riders to compete. One that is the driver and the other is the shooter. For every ping pong ball you shoot off its pedestal you will have 5 seconds deducted from your time. Most hits in shortest time will be winner. Quad Relay Race This is a team race. You will need three people all with their own quad to compete in this race. One biker will race to the end of the arena and tag his teammate. The next racer will then race to the other end of the arena and tag the final teammate who will then race to the finish line. Speed is the game here.
6 Holt County Fair ATV Rodeo Rules ENTRIES: You may enter as many machines in as many classes as you want (as time limits and total number of rider limits determined by the fair board allow). RESTRICTIONS: 1. D.O.T. approved helmet and eye protection required. 2. Over the ankle leather boots suggested, shirt (no tank tops), and full length pants are required. 3. Speed limit is 5 mph when not participating in an individual event. 4. No alcohol or drugs of any kind are allowed in the pit area. 5. Helmets must be worn at all times when riding ATV. 6. No one under the age of 8 will be allowed to compete. 7. Any person who appears to be chemically impaired will not be allowed to compete. 8. Non-conformance to the principals of this event will result in immediate disqualification; subsequent expulsion and all fees will be forfeited. 9. Riding is allowed ONLY between pits and event. 10. Speed in any return lane or during non-event operation of your machine must be kept low. NO stunt riding (i.e. wheelies) will be allowed. Riders can and WILL be disqualified for inappropriate riding. 11. THERE WILL BE ABSOLUTELY NO PIT RIDING. IF CAUGHT YOU WILL BE DISQUALIFIED WITHOUT WARNING AND ASKED TO LEAVE THE EVENT. JUDGING: 1. A panel of judges will review all scenarios not covered by the listed rules. 2. All decisions made by the panel of judges are final. RIDERS CONDUCT: 1. All riders shall conduct themselves in a respectful manner. 2. All riders will be in control of their machine(s) during operation. If a participant is deemed reckless or lacking control, they will be disqualified. COURSE RULES: 1. We reserve the right to rework the course at any time during the event. 2. Stock and modified machines allowed.
7 3. Any tire size will be allowed, chains or spikes will not. 4. Helmet & goggles must be strapped on before pulling up to the line. 5. Operator must stay on machine during the run, dismounting from the machine terminates the run. Unless otherwise instructed in event description. 6. Any machine with a 2wd/4wd switch must stay in one position during the entire run. This applies to certain events such as sled pull and events that are separated into 2WD and 4WD classes. 7. Once forward progress stops, rider has 5 seconds to resume moving or run is over. 8. No burnouts will be allowed in the staging areas or between the staging area and the starting line. 9. Speeds in the return lane will be kept low. NO stunt riding (i.e. wheelies) will be allowed in the return lane. Riders can and WILL be disqualified for inappropriate riding in the return lane. 10. After completing a race, riders will immediately head to the pit area. 11. All riders wishing to compete MUST attend the Rider's meeting before the races can begin. 12. Once a rider enters the staging lanes, there will be no exiting. 13. Class jumping will be allowed as long as you are undersized for the class. 14. Flagman controls the run. 15. Flagman at the start of the event will raise his hand to start your turn, and time. 16. Flagman at the Finish will drop his hand to end your turn, and time. 17. Timer starts and stops with the flags. 18. Rider must obey the timing official. 19. In case of a breakdown, each rider is responsible for hooking the towrope to his/her own machine; any and all damages incurred when being pulled are the sole responsibility of the rider. 20. Knocking over a barrel or cone, or any course infraction, will result in a time penalty for each violation, as determined by the judges. 21. Exceeding the course limits, including the braking or stop line, will result in a 1 minute penalty for each violation. 22. When registering for events, the individual must select their class and age group. The judges reserve the right and may place participants in a class they feel is best for fair competition. 23. We reserve the right to combine competition classes, in the event of a lack of entries per class to keep winning fair. The number of participants in each class is at the discretion of the judges. 24. Unsportsmanlike conduct will not be tolerated. Any display of unacceptable behaviour, decided by the judges, will result in disqualification. If the conduct continues, the participant or spectator may be escorted off the premises. 25. Participants and all ATV riders are required to wear a proper fitting, DOT certified helmet any time the ATV is in motion. Penalties will be enforced, and to be decided by the judges. Participants are required to wear eye protection. 26. A time penalty will be applied for each occurrence where it applies to the event: Tipping a barrel or pole, breaking the chalk line barrier, and other rules as defined by the judges.
8 27. All participants agree to compete in a fair manner and follow all rules.
Floyd Hall Arena. Youth Spring League 2019 Team Registration Form. Cost per Player: Balance Due:
Floyd Hall Arena Youth Spring League 2019 Team Registration Form Date: Session: Taken By: Team Name: Division: Manager s Name: Address: Jersey Color: Email: City: State: Zip Code: Home Phone: Other Phone:
More informationIndian River County Recreation Dept. 1st Annual Coed Clash Softball Tournament September 6 th, 2008
Indian River County Recreation Dept. 1st Annual Coed Clash Softball Tournament September 6 th, 2008 TO : All Managers FROM : Scott Seeley Rec. Coordinators, Joan Gentgen Tournament Director, Kenny Campbell
More informationAmateur $40.00 with $30.00 crossover fee to other classes. PRO $ After that Amateur $60.00 with a crossover fee of $ PRO $150.
USBF Sanctioned Show MAY 14th, 2017 WHERE: Susquenita Middle School 200 Susquenita Drive, Duncannon, PA 17020 TIME: 9:00 AM - Check-In 11:00 PM - Pre-Judging 3:00 PM - Night Show ENTRY FEE: Early Bird
More informationBodybuilding, Figure, Bikini and Physique Championships - Featuring Men s Pro Level 2 and Figure Pro Classic Physique & Classic Bikini
ANBF Sanctioned 2017 POCONO CLASSIC APRIL 22, 2017 Lakeland Junior Senior High School 1355 Lakeland Drive, Jermyn PA 18433 Bodybuilding, Figure, Bikini and Physique Championships - Featuring Men s Pro
More informationKARINYA EQUESTRIAN PARK
KARINYA EQUESTRIAN PARK UNOFFICAL GYMKHANA SUNDAY 3RD JUNE 2018 GRANT STREET ORANGE GROVE Access to the grounds will be from 6:00am Pre-entries Close 28 th May PROGRAM Unofficial Hacking 9:00 Start Walk/Trot/Canter
More information2016 WPCA Qualification Run-Off Package. Contents to Apply for entry into the 2016 Run-Off
2016 WPCA Qualification Run-Off Package RUN OFF: Location TBD August 25th - 28th, 2016 Contents to Apply for entry into the 2016 Run-Off 1. Entry fee for run-off: $1500.00 (Certified Cheque, Cash and Credit
More informationRocky Mountain Cup AAA Hockey Tournament
Rocky Mountain Cup AAA Hockey Tournament JASPER ALBERTA 2013 Manager s Package AAA OIL KINGS ROCKY MOUNTAIN CUP SPRING HOCKEY TOURNAMENT The AAA OIL KINGS is pleased to invite your team to participate
More informationTrail to a Cure Ride/Walk/Run Saturday Event Participant Packet Participant Instructions:
Trail to a Cure Ride/Walk/Run Saturday, May 6, 2017 (times vary by event) Katy Trail State Park, Rocheport, MO Event Participant Packet Rev. 1/17/2017 Participant Instructions: Registration funds, along
More informationRegistration Packet All forms must be read, completed, and understood.
Registration Packet All forms must be read, completed, and understood. Information/paperwork, requirements you will need - 1. You must have a final roster of no less then 16 fully registered players. 2.
More informationFUNDRAISING AND PARTICIPATION AGREEMENT
FUNDRAISING AND PARTICIPATION AGREEMENT FUNDRAISING In consideration of the acceptance of my registration to participate as a Rider in Pelotonia, I agree to satisfy the total amount of the minimum fundraising
More informationBelow are a number of questions and answers involved with someone who would like to volunteer as a boat captain for the THSBA
Texas High School Bass Association, Boat Captain Criterion and Boat Regulations 2014 Welcome, Below are a number of questions and answers involved with someone who would like to volunteer as a boat captain
More informationEvent Information. Minnesota 2013 Air Pistol State Championship Match. Robbinsdale, Minnesota, USA.
Minnesota Presented 2013 Air by Pistol Great State Prairie Championship Foods Match Presented Saturday, by Great March Prairie 23, 2013 Foods Robbinsdale, Saturday, March Minnesota, 23, 2013 USA Robbinsdale,
More informationMATHEWS MOTORSPORTS 2018 TUFF TRUCK & MUD BOGS
MATHEWS MOTORSPORTS PRESENTS 2018 TUFF TRUCK & MUD BOGS Tuff Truck Class MOD: Saturday August 25, 2018 @ 6:30 Butte County Fairgrounds, Gridley, CA Total Purse $2,900.00 Modified Stock Mud Bog Class: 1
More information(*WINTER 18*) NUGGET SURF LESSONS / PRACTICE CLUB MEMBERSHIP Participant Agreement and Waiver of Liability
(*WINTER 18*) NUGGET SURF LESSONS / PRACTICE CLUB MEMBERSHIP Participant Agreement and Waiver of Liability First Name: Last Name: Birthdate / / Gender: Age: Grade: Name of School: Address: City: State:
More informationTORN Racing, LLC MOTORCYCLE RULES. 1. Rules and Regulations:
TORN Racing, LLC MOTORCYCLE RULES 1. Rules and Regulations: Texas Off Road National (referred to as TORN Racing, LLC hereinafter) rules and regulations are as follows. TORN Racing, LLC officials have the
More informationAfter School Bike Club Flying Wheels INFORMATIONAL PACKET. Wednesdays at 3:45pm 5:30pm. * no riding Nov-Feb. All skill levels welcome!
After School Bike Club Flying Wheels 2015-2016 INFORMATIONAL PACKET Sept.-June* Wednesdays at 3:45pm 5:30pm * no riding Nov-Feb All skill levels welcome! Advanced riders group -speed, distance & endurance
More information1. The mission of SoCo Soccer League is to provide a competitive environment for high school aged players to improve their game.
7v7 High School Boys Indoor Soccer League Shooters Field House I15 Benjamin Exit Updated 11/27/18 SoCo League Manager Jerry Johnson (olomina@gmail.com) The purpose of our league to provide a competitive
More informationRACE TEAM REGISTRATION INSTRUCTIONS
RACE TEAM REGISTRATION INSTRUCTIONS Each team should consist of twenty (20) paddlers and one (1) drummer. Up to two (2) additional alternates are allowed. NO EXPERIENCE REQUIRED. Team members must be at
More information3R RANCH OUTFITTERS, LLC 2016 HUNTING AGREEMENT
3R RANCH OUTFITTERS, LLC 2016 HUNTING AGREEMENT WHEREAS, Client (individually referred to herein as Client ) desires to engage 3R Ranch Outfitters LLC to provide hunting, guiding, camping and related outdoor
More information2017 NPC SOUTHERN STATES MEN'S CLASSIC PHYSIQUE ENTRY FORM Fill out the form below to register.
Please ensure all values are in a proper format. 2017 NPC SOUTHERN STATES MEN'S CLASSIC PHYSIQUE ENTRY FORM Fill out the form below to register. SPECIAL NOTICE: This contest is an OFFICIAL NATIONAL QUALIFIER
More informationNPC Regulations and Music ALL COMPETITORS ARE REQUIRED TO BRING BANDS FOR PUMP-UP. NO WEIGHTS WILL BE ALLOWED IN PUMP-UP ROOM.
2016 NPC Music City Muscle Bodybuilding, Fitness, Figure, Bikini, Physique, and Classic Physique Mandatory Check-Ins and Weigh-Ins Saturday October 22, 2016 between 4:00pm-8:00pm At The Inn at Opryland,
More informationSouth Dakota 4-H Finals Inc. Rodeo Entry Process
South Dakota 4-H Finals Inc. Rodeo Entry Process Please read and follow instructions carefully to ensure contestant s eligibility to compete. Overall Registration Instructions To be eligible to participate
More information3 rd Annual Munster Masters Summer Splash Sunday, June 14, 2015 Hosted by Munster Swim Club Recognized by GRIN for USMS, Inc. #
3 rd Annual Munster Masters Summer Splash Sunday, June 14, 2015 Hosted by Munster Swim Club Recognized by GRIN for USMS, Inc. # Location: Facility: Munster HS Aquatic Center 8808 Columbia Ave. Munster,
More information2018 C.Y. Taekwondo Championships Sports Iowa nd Lane, Ames, IA
2018 C.Y. Taekwondo Championships Sports Iowa 2176 232nd Lane, Ames, IA 50014 hamannma@hotmail.com July 26, 2018 Dear Taekwondo Family, Greetings from Ames, Iowa and C.Y. Martial Arts! We would like to
More informationLost Lake Nature Park Kayak Rental Policy (08/15/2016) Keep for your records.
Kayak Rental Information Charter Township of Oakland Parks & Recreation Commission 4393 Collins Road Rochester, MI 48306 Phone 248-651-7810 Fax 248-601-0106 www.oaklandtownship.org Lost Lake Nature Park
More informationChampions Freestyle Skater Registration Form
Champions Freestyle Skater Registration Form Skater Name Date of Birth Address City State Zip Home Phone Skater USFS or Basic Skills Level Skater Cell Phone Parent/Guardian Information Primary Contact
More informationRIVER KINGS DANCE TEAM TRYOUT APPLICATION December 7 th & 9 th, 2018
2018-19 RIVER KINGS DANCE TEAM TRYOUT APPLICATION December 7 th & 9 th, 2018 Completely fill out, sign and return the following Application and Waiver to the Cedar Rapids River Kings on the day of tryouts
More informationAugust 10, Shady Oak Beach, Hopkins/Minnetonka MN EVENTS & SCHEDULE
August 10, 2015 Shady Oak Beach, Hopkins/Minnetonka MN EVENTS & SCHEDULE 6:30AM-7:15AM 7:00AM-7:15AM 7:15AM-7:20AM Check in Warm up Safety mtg 7:30AM 10&U 1K Championship (Individual only) 7:45AM 12&U
More informationMIAMI REDFIN MASTERS ANNOUNCE THEIR. Miami University Aquatic Center Oxford, Ohio
MIAMI REDFIN MASTERS ANNOUNCE THEIR 2017 Miami Redfins Long Course Masters Swim Meet Miami University Aquatic Center Oxford, Ohio SATURDAY, June 17, 2017 WARM UPS BEGIN AT 12PM SEE ATTACHED INFORMATION
More informationCaptain spackage 30 TH. Pittsburgh DragonBoat Festival. September 8:30Am-5:00pm NorthParkLake 10301PearceMilRoad AlisonPark,PA 匹茲堡龍舟節
匹茲堡龍舟節 Pittsburgh DragonBoat Festival September 8:30Am-5:00pm NorthParkLake 10301PearceMilRoad AlisonPark,PA 15101 30 TH Captain spackage AtmhkandislicensedundertheCreativeCommons A tribution-sharealike3.0unportedlicense.
More information2017 NPC SOUTHERN STATES MEN'S PHYSIQUE Fill out the form below to register.
Please ensure all values are in a proper format. 2017 NPC SOUTHERN STATES MEN'S PHYSIQUE Fill out the form below to register. SPECIAL NOTICE: This contest is an OFFICIAL NATIONAL QUALIFIER for all NPC
More informationLAKE POMME DE TERRE IN MISSOURI MARCH 18-19, 2016
Can t wait to get out on the water? Need to Test your new tackle? Join us for some exciting muskie fishing on beautiful Lake Pomme de Terre in Southern Missouri. 7,800 acres of ice free water!! We provide
More informationRocky Mountain Cup AAA Spring Hockey Tournament
Rocky Mountain Cup AAA Spring Hockey Tournament JASPER ALBERTA 2015 Manager s Package AAA OIL KINGS ROCKY MOUNTAIN CUP SPRING HOCKEY TOURNAMENT The AAA OIL KINGS is pleased to invite your team to participate
More informationDance Company Try-Out Packet For All Age Groups Amplified Performing Arts Dance Company Dance Season
Dance Company Try-Out Packet For All Age Groups Amplified Performing Arts Dance Company 2015-2016 Dance Season Thank you for your interest in the Amplified Performing Arts Center Dance Company. Before
More informationLOWER LOUDOUN BOYS FOOTBALL P.O. BOX 163 STERLING, VA 20167
LOWER LOUDOUN BOYS FOOTBALL P.O. BOX 163 STERLING, VA 20167 Dear Parents: Welcome to the 2017 season of Lower Loudoun Boys Football. In order for our program to be successful we require the support of
More informationWaiver of Liability, Release Assumption of Risk & Indemnity Agreement
Waiver of Liability, Release Assumption of Risk & Indemnity Agreement It is the purpose of this agreement to exempt, waive and relieve releasees from liability for personal injury, property damage, and
More informationTRIBE Rugby Waiver East County Rugby Football Club (TRIBE Rugby)
TRIBE Rugby Waiver East County Rugby Football Club (TRIBE Rugby) PERMISSION / ASSUMPTION - MINOR I, the undersigned parent(s) or legal guardian(s) of, hereby grant(s) permission for him/her to participate
More informationDENVILLE PAL GIRLS TRAVEL SOFTBALL Denville Blue Devils Player Registration for Season
DENVILLE PAL GIRLS TRAVEL SOFTBALL Denville Blue Devils Player Registration for 2016-2017 Season No participation will be granted without a completed Registration, Release & Waiver, Code of Conduct, Player
More informationUNLV SPIRIT SQUAD TRYOUT PACKET
UNLV SPIRIT SQUAD TRYOUT PACKET 2014-2015 CHEER TRYOUT SCHEDULE FRIDAY, APRIL 25,2014 4:30PM-7:00PM SATURDAY, APRIL 26, 2014 8:00AM-4:00PM 4:00PM-4:30PM Friday, April 25, 2014 Check-in and Registration
More informationBENALLA PONY CLUB HORSE TRIALS
BENALLA PONY CLUB HORSE TRIALS 10th & 11 March 2018 Qualifier for State Horse Trials Grades 1 and 2 and Inter-Zone Horse Trials Grades 3 and 4. Dressage for Grades 1,2,3 and 4 to be held on Saturday 10th
More informationAmerican Youth Basketball TOURTM Rules & Regulations
American Youth Basketball TOURTM Rules & Regulations 2018 GAME FORMAT (H.S.A.A. rules will apply except for the differences listed below.) 1. Game Timing: Two 20 minute halves with a running clock. The
More information27-29 June NRA Whittington Center Raton, NM
2017 27-29 June NRA Whittington Center Raton, NM GENERAL RULES: Shooting order will be by random number generator. However no gun will be permitted to be used more than once per day. The shooting order
More informationImproving the lives of our youth.
2017-2018 PROGRAM WAIVER NATIONAL WINTER ACTIVITIES CENTER. (HEREINAFTER THE CENTER ) PROGRAM FULL AND COMPLETE RELEASE OF LIABILITY AND INDEMNITY AGREEMENT THE CENTER requires wearing helmets for skiing
More informationPLEASE READ CAREFULLY!!
WAIVER, RELEASE, ASSUMPTION AND INDEMNITY AGREEMENT (hereinafter referred to as the Waiver ) BY SIGNING THIS DOCUMENT YOU WILL WAIVE OR GIVE UP CERTAIN LEGAL RIGHTS AND REMEDIES, INCLUDING THE RIGHT TO
More informationSummer Sizzle Shoot June 2, 2018 Chillicothe Sportsmen s Club General Information
Summer Sizzle Shoot June 2, 2018 Chillicothe Sportsmen s Club General Information The Chillicothe Sportsmen Club (CSC) and the 4-H Shooting Sports Clubs of Marshall-Putnam counties are co-sponsoring a
More informationMu Sool Won of South Austin
New Student Summer Camp 2019 Registration Form Student Information Student Name: Today s Date: Guardian: Address: City, State, Zip: Phone Number: Email Address: Student DOB: Current Elementary/Middle/High
More informationD-N-D Flyers Tryout Packet
D-N-D Flyers Tryout Packet 2018-2019 Agreement Forms and Required Paperwork 1903 Capital Drive Tyler, TX 75701 (903) 509-9090 d-n-dflyers.com Candidate Parent Meeting: Tryout Date & Times: Saturday, May
More informationMISSISSIPPI DELTA DRAGON BOAT FESTIVAL Schelben Park, Greenville, Mississippi July 28 30, 2016
MISSISSIPPI DELTA DRAGON BOAT FESTIVAL Schelben Park, Greenville, Mississippi July 28 30, 2016 WAIVER OF LIABILITY, DISCHARGE, RELEASE INDEMNIFICATION AND HOLD HARMLESS AGREEMENT I, the Undersigned, for
More informationExtreme Cowboy Race National Championships
Hosted By: Extreme Cowboy Race National Championships WHEN: June 2 nd and 3 rd, 2018 TIME: Registration Opens at 7:30 a.m. Young Guns Walk Thru at 8:30 a.m. Competition Starts at 9:00 a.m. WHERE: Morgan
More informationSATURDAY - ROOKIE RIDERS
Rookie Rider & Funky Funday Saturday 24 th & Sunday 25 th May 2014 Entry Form SATURDAY - ROOKIE RIDERS Rider s Name Rider s Age Pony Name Handler s Name (if applicable),. SUNDAY - FUNKY FUNDAY Rider s
More information2017 NPC SOUTHERN STATES BODYBUILDING ENTRY FORM Fill out the form below to register.
Please ensure all values are in a proper format. 2017 NPC SOUTHERN STATES BODYBUILDING ENTRY FORM Fill out the form below to register. SPECIAL NOTICE: This contest is an OFFICIAL NATIONAL QUALIFIER for
More informationMUTTON BUSTIN APPLICATION
MUTTON BUSTIN APPLICATION 97 th Annual Red Bluff Round-Up 2018 1. A Mutton Bustin event will be held in connection with rodeo performances at the Red Bluff Round-Up on April 20 th & 22 nd, 2018 pre-rodeo.
More informationSEPTEMBER 6-7, 2018 RED DEER THE WESTERNER. 21st A N N U A L
SEPTEMBER 6-7, 2018 RED DEER THE WESTERNER 21st A N N U A L Welcome The Alberta Public Works Association would like to extend a welcome to all sponsors, volunteers and participants to the 21st Annual Equipment
More informationMission Statement: Each teams goals will be to:
Mission Statement: The mission of Team NC softball will be to provide our student athletes with the opportunity to grow and develop as softball players so that they may achieve the goal of continuing their
More informationRace Guide. Arizona. Packet Pick-Up. Be Happy. Be Healthy. Be You. Welcome to The Color Run! Road Runner Sports 43 S McClintock Dr Tempe, AZ 85281
Be Happy. Be Healthy. Be You. Race Guide Arizona Welcome to The Color Run! Thanks to you and all of your newest friends for making The Color Run one of the America s biggest 5k events! We have made this
More informationTEXAS HOTSHOTS BASKETBALL CLUB
TEXAS HOTSHOTS BASKETBALL CLUB www.texashotshots.us PLAYER REGISTRATION PACKET REGISTRATION FORM Player Name: (First, Middle, Last) Home #: Address: City: Zip: Date of Birth: Grade: Uniform Size: Mother
More information2016 POLARIS ATV and ACE NEW RACER REIMBURSEMENT PROGRAM
2016 POLARIS ATV and ACE NEW RACER REIMBURSEMENT PROGRAM Thank you for your interest in racing Polaris ATVs and ACE. This program was created to provide first-time racers the ability to collect a Reimbursement
More informationTotal Baseball Academy (TBA)
Total Baseball Academy (TBA) Summer Camp This week long camp is for the baseball enthusiast who wants to learn more about the game while working hard and having fun, this is not a day care camp. Space
More informationContact 2: Name(s): Phones: (home) (mobile) (office) Contact 3: Name(s): Phones: (home) (mobile) (office)
EMERGENCY CONTACT INFORMATION June 5, 2017 to June 1, 2018 Fencer s Name: Fencer s Student Number: Fencer s Email Fencer s Phone #s: (home) (mobile) Fencer s of Birth: / / Grade: 9th 10th 11th 12 th Fencer
More informationAwards: 5 & under-, (White, Yellow, Orange, Green Belts) (Blue, Purple, Red, Brown, Black Belt).
Awards: 1 st, 2 nd, 3 rd place awards will be given in all divisions. All competitors age 9 and under will receive an award. Divisions: Age Divisions: 5 & under-, (White, Yellow, Orange, Green Belts) (Blue,
More informationCAROUSEL PARK & EQUESTRIAN CENTER
CAROUSEL PARK & EQUESTRIAN CENTER RIDING LESSON PARTICIPANT REGISTRATION PACKET CONTACT: Carousel Park Equestrian Center 3700 Limestone Road Wilmington, DE 19808 Phone:302-995-7670 Fax: 302-995-5785 Email:
More informationAPPLICATION DEADLINE IS AUGUST 9 th, Corn Roast Parade August 25, 2018 PARADE APPLICATION GENERAL PARADE INFORMATION
APPLICATION DEADLINE IS AUGUST 9 th, 2018 2018 Corn Roast Parade August 25, 2018 PARADE APPLICATION GENERAL PARADE INFORMATION The Loveland Chamber of Commerce invites you to participate in this year s
More information2015 OCY Unofficial Masters Team Championships
Ocean County YMCA Tiger Sharks Swim Team Presents: 2015 OCY Unofficial Masters Team Championships Sunday, February 15, 2015 Ocean County YMCA, 1088 W Whitty Rd, Toms River, NJ Approval: Facility: Purpose:
More informationLARRY H. MILLER UTAH SUMMER GAMES SWIMMING
DATES: June 21-23, Thursday-Saturday SPORT COORDINATOR: Adam Caldwell Phone: (801)699-3735 Email: adam@binghamsnow.com REGISTRATION FEE: $25.00 This is an annual participation fee per athlete. An additional
More information2013 December Performance Junior Saintsation Packet
2013 December Performance Junior Saintsation Packet 2013 Junior Saintsations PERFORM AT A SUPERBOWL CHAMPION NEW ORLEANS SAINTS FOOTBALL GAME! Make sure your future cheerleader or dancer is part of the
More informationFreedive Toronto Membership Form
Freedive Toronto Membership Form Contact Information Name (First, Last) Street Address City Home Phone Work Phone Cell Phone E-Mail Address Prov. Postal Code Please answer Yes or No Are you in good medical
More information**** CAMPING FEES NEEDS TO BE PAID WITH ENTRY ****
START: 8AM OFFICE OPENS: 7AM SPECTATORS WELCOME PRE-ENTRIES CLOSE MONDAY 16th JULY, 2018 YOUNG GUNS ENTRY FEE $ 25.00 YOUTH ENTRY FEE $ 35.00 NOVICE GREEN HORSE INTERMEDIATE NON-PRO RIDE SMART 55+ PRO
More informationFinancial Agreement Jaguar FC Teams. LEAGUE/TOURNAMENT/UNIFORM fees will be invoiced separately August 1 & March 1
Financial Agreement Jaguar FC Teams Player Name Date of Birth - - ANNUAL ONE-TIME NON-REFUNDABLE CLUB Fee: $50 due at registration LEAGUE/TOURNAMENT/UNIFORM fees will be invoiced separately August 1 &
More informationAutumn Antics Open Play Day Horse Show
Silver Knolls Spurs 4-H Club Presents The Twentieth Annual Autumn Antics Open Play Day Horse Show Saturday, October 1, 2016 Start Time: 9:00 A.M. Lemmon Valley Horsemen s Arena On the corner of Alaska
More information2016 Santa Claus Parade Information and Entry Forms RULES AND REGULATIONS
2016 Santa Claus Parade Information and Entry Forms The Santa Claus Parade, hosted by the City of Yellowknife, is scheduled for Saturday, November 26 at 6:00 p.m. This year s theme is Christmas Around
More informationBikini Master s Over 30 Over 40 Over 50
2017 NPC BEACH BODIES CLASSIC SATURDAY, JULY 1, 2017 BODYBUILDING, FIGURE, BIKINI, PHYSIQUE &CLASSIC PHYSIQUE Name Phone Address: City/State/Zip Email Team/Trainer Gender: Male or Female Age Height Weight
More informationQUAD CITIES PICKLEBALL CLUB TOURNAMENT
QUAD CITIES PICKLEBALL CLUB TOURNAMENT Indoors at Rock Island Fitness and Activities Center, 4303 24 th Street, Rock Island, Il 61201 Three courts available. See club website http://qcpickleball.wordpress.com/
More informationARTICLE 1.0 NAME The name of this organization shall be Ottawa County 4-H Horse Club, also known as OCHC.
Ottawa County 4-H Horse Club Constitution ARTICLE 1.0 NAME The name of this organization shall be Ottawa County 4-H Horse Club, also known as OCHC. ARTICLE 2.0 OBJECTIVES The objectives of the OCHC shall
More informationPlease return all necessary documents, along with your money order or guaranteed bank check by November 1 st, 2016.
Please return all necessary documents, along with your money order or guaranteed bank check by November 1 st, 2016. Please ensure all necessary documents are notarized where indicated. This package contains
More informationEastern Region U14 NWAC GS & SL Project National Winter Activity Center, Vernon, NY February 19&20, 2018
Eastern Region U14 NWAC GS & SL Project National Winter Activity Center, Vernon, NY February 19&20, 2018 Project Goals To bring selected U14 athletes from NYSSRA, TSASRA, PARA, NJARA, & SARA, for a GS
More informationUNLV POM TRYOUTS SUNDAY. April 30th, AM-1PM Mandatory Team & Parent Meeting After
2017-2018 UNLV POM TRYOUTS SUNDAY April 30th, 2017 9AM-1PM Mandatory Team & Parent Meeting After Location: McDermott Physical Education Complex North Gym DANCE PROGRAM - OVERVIEW PURPOSE DANCE PROGRAM
More information2018 SHRIMP FESTIVAL PIRATE PARADE APPLICATION
Sponsored By: 2018 SHRIMP FESTIVAL PIRATE PARADE APPLICATION Entry Name: Contact Person: Day Phone #: Evening Phone #: Cell # Address: Email: Entry Category (Check ONLY one): Float Only Walking Unit Float
More information2018 BROGAN OPEN WATER CLASSIC. 29 th Annual Lake Erie Open Water Races July 14, 2018 RACE DAY TIMELINE:
2018 BROGAN OPEN WATER CLASSIC 29 th Annual Lake Erie Open Water Races July 14, 2018 SPONSORED BY: O*H*I*O Masters Swim Club SANCTIONED BY: Lake Erie LMSC for USMS Inc. SANCTION #188-W001 RACE DAY TIMELINE:
More information2018 SOUTHERN MASTERS LONG COURSE CHAMPIONSHIPS August 11 & 12, 2018
2018 SOUTHERN MASTERS LONG COURSE CHAMPIONSHIPS August 11 & 12, 2018 Sponsor: Sanction: Location: Southern Masters Swimming, LMSC Sanctioned by Southern Masters Swimming for USMS, Inc. LSU Natatorium,
More information2005 POLARIS ATV CONTINGENCY PROGRAM
2005 POLARIS ATV CONTINGENCY PROGRAM Welcome to the Polaris ATV Contingency Program. For 2005 Polaris is offering an industry leading contingency program for all adult and youth GNCC classes. This program
More informationPacific Racing Organization Rules and Regulations
CHAPTER 1- RIDER ELIGIBILITY AND REGISTRATION Pacific Racing Organization Rules and Regulations Revised 01/02/2015 1) General 2) Classification a. A rider is not required to obtain and hold a P.R.O. Membership,
More information2013 Boy Scout Night May 7:15 P.M. Lookouts vs. Mobile BayBears
2013 Boy Scout Night May 11th @ 7:15 P.M. Lookouts vs. Mobile BayBears Scout Package ($20) Scout Leader/Parent/Sibling Admission ticket to the game Package ($10) Pre-game Scout parade (must wear uniform)
More informationFairground Showdown Youth Speed Challenge Powered by Little Tractor and Equipment
Fairground Showdown Youth Speed Challenge Powered by Little Tractor and Equipment March 1-3, 2019 Illinois State Fairgrounds, Springfield, Il Entry Forms and Rules will be available online at: illinoishorsefair.com
More information2015 BALTIMORE RAVENS CHEERLEADER APPLICATION
PRELIMINARY # OFFICE USE ONLY LAST FIRST 2015 BALTIMORE RAVENS CHEERLEADER APPLICATION IN ORDER TO PROCESS YOUR APPLICATION WE NEED THIS INFORMATION FROM YOU: 1. A $40.00 check or money order made payable
More information2016 Iowa Governor s Cup Taekwondo Championships All American Sports Complex, Ames IA February 2016
2016 Iowa Governor s Cup Taekwondo Championships All American Sports Complex, Ames IA hamannma@hotmail.com February 2016 Dear Taekwondo Family, Greetings from Ames, Iowa and Iowa State University! We would
More informationI, Date of Birth../../ Home address... City/State/Country Contact address is Australia. Emergency contact name.. Emergency contact phone no...
XTREME KITES & PADDLE PTY LTD PHONE: 0402 842 944 RELEASE AND WAIVER OF LIABILTY ASSUMPTION OF RISK AND IMDEMNITY AGREEMENT This is an important document which sets out your legal rights and obligations
More informationCongratulations Contestants,
Congratulations Contestants, We would like to first start off and say THANK YOU for joining the Leal s Junior Bull Riding Championship and we are so happy to be joining you all in Las Vegas come finals.
More informationMAHOGANY S 3rd ANNUAL 3 ON 3 HOCKEY TOURNAMENT
MAHOGANY S 3rd ANNUAL 3 ON 3 HOCKEY TOURNAMENT 2019 REGISTRATION PACKAGE REGISTRATION DEADLINE: **Early Bird: January 9, 2019 Regular: January 23, 2019 The tournament will be made up of two divisions.
More informationJust Hoop Basketball
Just Hoop Basketball (Girls Basketball Club Program) (Ages 9 17 Years Old) HANDBOOK ACCEPTANCE FORM I acknowledge that I have received, read and discussed with my daughter the information in the Player
More informationSPPHASA SPRING SHOW Talunga Park, Mt Pleasant SEPTEMBER 30th AM Start JUDGE: Amber Chamberlain
SPPHASA SPRING SHOW Talunga Park, Mt Pleasant SEPTEMBER 30th 2018 8.30AM Start JUDGE: Amber Chamberlain * This is a pre-loved ribbon show * $3 a class SPPHASA Members / $4 a class non SPPHASA members Tickets
More informationSpecial Angels are a Gift from Heaven
Orange County Special Angels Rodeo Mailing Address: 702 W Division Ave, Orange, Texas 77630 www.specialangelsrodeo.org volunteers@specialangelsrodeo.org Howdy Friends, Plans are currently underway for
More informationHouston Livestock Show and Rodeo. Rules & Information 2019
Please read all rules and make sure you are available all applicable dates before entering the contest. Entry Fees: There are no entry fees. Deadline: Must submit audition by January 11, 2019 (see below
More informationHouston Livestock Show and Rodeo 2014 Rodeo Rockstar, presented by Statoil Rules & Information
Divisions: Competitors will select a division based on age criteria below. Junior, ages 6 to 15 (Must be at least 6 years old and not older than 15 by Dec. 8, 2013.) Youth, ages 16 to 21 (Must be at least
More informationRace Guide. Indianapolis. Check-In Party. Be Happy. Be Healthy. Be You. Welcome to The Color Run! Location: Time: What s in the Packet?
Be Happy. Be Healthy. Be You. Race Guide Indianapolis Welcome to The Color Run! Thanks to you and all of your newest friends for making The Color Run one of America s biggest 5k events! We have made this
More informationOwasso Swim Club General Information-Summer Season 2016
Owasso Swim Club General Information-Summer Season 2016 For the 2016 year this club will operate only as a summer club. The Owasso Swim Club (OWSC) anticipates joining as a USA Swimming Team in January
More informationSouthern Masters Swimming Championship Short Course Yards March 4 & 5, 2017
Southern Masters Swimming Championship Short Course Yards March 4 & 5, 207 Sanctioned By: Southern Masters Swimming for USMS, Inc. Sanction # 247-S00? Hosted By: Date & Times: Southern Masters Swimming
More informationWelcome to the Kansas City Fencing Center!
Welcome to the Kansas City Fencing Center! We re very excited that you have chosen to give fencing a try. In this bundle you will find both a Liability Release and a US Fencing Membership application.
More informationDC Western Pro Barrel Racing Association
DC Western Pro Barrel Racing Association RUN...FOR THE FUN OF IT!!! 2010 General Guidelines and Rules The objective of the Pro BRA of DC Western is to provide barrel racers of all levels the opportunity
More informationArizona Off-Road Promotion (AZOP) 2019 ATV Rules
Arizona Off-Road Promotion (AZOP) 2019 ATV Rules TABLE OF CONTENTS Introduction Page 2 General Rules Page 2 Courses Page 2-3 Penalties Page 3 Participants Page 3 Pit Area Page 4 Race Vehicles Page 4 PPE-Personal
More information2018 Pixie 6 & 8 Under District Tournament Hosted By Galveston Lassie Softball League District 31
2018 Pixie 6 & 8 Under District Tournament Hosted By Galveston Lassie Softball League District 31 DATE: May 11-13, 2018 LOCATION: ENTRY FEE: Galveston Lassie Softball Complex 2820 83 rd St. Galveston,
More information