Washington Fair

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Friday, April 12th and Saturday, April 13th

4:00 PM in the Covered Arena

All contestants shall wear western hats, boots, pants and button shirt (long or short sleeve).

***Please review all the Rules and Event Information***

Rodeo Rules and Event Information

Contestant To Compete

First Name:	Last Name:
Address:
Address:
City:	State/Province:	ZIP/Postal Code:
Phone:
Email:

Birth Date

Age (As of Jan 1, 2023)

T-Shirt Size

Announcer Information:

Parents

Grandparents

School

Hobbies

0 - 4 Years Old

Boys Goat Tail Pull:

$15.00

Select:

Item Subtotal:

$0.00

Boys Barrell Racing:

$10.00

Select:

Item Subtotal:

$0.00

Boys Flag Race:

$10.00

Select:

Item Subtotal:

$0.00

Girls Goat Tail Pull:

$15.00

Select:

Item Subtotal:

$0.00

Girls Barrel Racing:

$10.00

Select:

Item Subtotal:

$0.00

Girls Flag Race:

$10.00

Select:

Item Subtotal:

$0.00

5 - 8 Years Old

Boys Goat Tail Pull:

$15.00

Select:

Item Subtotal:

$0.00

Boys Barrel Racing:

$10.00

Select:

Item Subtotal:

$0.00

Boys Flag Race:

$10.00

Select:

Item Subtotal:

$0.00

Girls Goat Tail Pull:

$15.00

Select:

Item Subtotal:

$0.00

Girls Barrel Race:

$10.00

Select:

Item Subtotal:

$0.00

Girls Flag Race:

$10.00

Select:

Item Subtotal:

$0.00

9 - 13 Years Old

Boys Goat Tying:

$15.00

Select:

Item Subtotal:

$0.00

Boys Flag Race:

$10.00

Select:

Item Subtotal:

$0.00

Boys Mixed Team Roping:

$15.00

Select:

Item Subtotal:

$0.00

Girls Goat Tying:

$15.00

Select:

Item Subtotal:

$0.00

Girls Barrel Racing:

$10.00

Select:

Item Subtotal:

$0.00

Girls Mixed Team Roping:

$15.00

Select:

Item Subtotal:

$0.00

14 - 17 Years Old

Boys Flag Race:

$10.00

Select:

Item Subtotal:

$0.00

Boys Tie Down Roping:

$15.00

Select:

Item Subtotal:

$0.00

Boys Mixed Team Roping:

$15.00

Select:

Item Subtotal:

$0.00

Girls Breakaway:

$15.00

Select:

Item Subtotal:

$0.00

Girls Barrel Racing:

$10.00

Select:

Item Subtotal:

$0.00

Girls Mixed Team Roping:

$15.00

Select:

Item Subtotal:

$0.00

Hide Race Anyone - 14 Years of Age and Older

Hide Race:

$30.00

Select:

Item Subtotal:

$0.00

Horse Rider Name:
Hide Rider Name

Total:

$0.00

Authorization and Waiver by the Participant

(and by the Parent/Guardian for a Minor Participant)
(Printable Waiver Form)

Activity Description: Participant should wear proper clothing for these activities; i.e., closed toed shoes, long pants, and protective gloves. These activities will take place during the daytime hours outside, and the weather could range from vrey cold to very hot depending on the time of year. Dehydration, sunburn, heat stroke and other risks are possible during very hot weather. Caution should be used to protect against these dangers.

I, the undersigned, do hereby request to be allowed to participate in all the aforementioned activities, and I, the undersigned, as the parent or guardian of the minor child named above (if applicable), do hereby request for my child to be allowed to participate in all the aforementioned activities.

In consideration for, and as a condition of, me, and/or my child, being allowed to participate in these activities, I hereby agree as follows:

1. I am aware and recognize that the activities listed above are inherently dangerous and that I, or my minor child, may be subjected to the risk of physical or mental stress and exertions, personal injury or death, or damage to my property by participating. I state that to the best of my knowledge I, or my minor child, am free from any known health problems that could prevent me or my minor child from participating in the activities listed above, and that I, or my minor child, am sufficiently physically and mentally fit to participate in these activities. I freely, voluntarily, and with such knowledge assume the risk of death, personal injury, property damage and expenses, arising from or in any way connected with these activities.

2. That myself, my heirs, executors, administrators and assigns release and will defend, indemnify and hold harmless Washington County, Utah and its officials, officers, representatives, agents, employees and volunteers from and against any and all loss, damage and expense incurred by reason of any claim or liability based upon personal injury (including death) or property damage arising out of or as a result of my participation, or my minor childs participation, in the activities which are the subject of this Agreement.

3. That myself, or my minor child, are volunteering for Washington County. This waiver and release gives Participant permission to enter County property for that purpose. I understand that Washington County, its officials, employees, volunteers, and assigns, shall not be responsible or liable for any injury, damage, loss, or expense, either to me, my child, or my property, incurred while participating in these activities, resulting from any act or omission of the County.

4. That Washington County and its assignee's may reproduce or use images taken during this program on video, photographic or any other media, without cost or reimbursement to me, for the promotion of the County's programs, trainings and facilities.

I acknowledge that I have been given the opportunity to ask questions regarding any aspect of this waiver and release form, and, by signing in the space provided, do acknowledge that I have read completely and fully understand all aspect of this waiver and release form, and agree to its terms in their entirety, and sign the same of my own free will.

I Acknowledge

to the above waiver.

Parent/Guardian Signature

Date

Emergency Contact Information

In case of an emergency, notify

Emergency Contact's Phone Number

Covid-19 Liability Waiver

I understand that the risk of becoming exposed to and/or infected by the Coronavirus/COVID-19 may result from the actions, omissions, or negligence of myself and others, including, but not limited to, fair staff, volunteers, participants, and other fair patrons.

I am voluntarily attending the fair and acknowledge that I am increasing my risk to exposure to the Coronavirus/COVID-19. I acknowledge that I must comply with all set procedures to reduce the spread while attending the fair.

I hereby release and agree to hold Washington County harmless from, and waive on behalf of myself, my heirs, and any personal representatives any and all causes of action, claims, demands, damages, costs, expenses and compensation for damage or loss to myself and/or property that may be caused by any act, or failure to act of the County, or that may otherwise arise in any way in connection with any services received from Washington County. I understand that this release discharges Washington County from any liability or claim that I, my heirs, or any personal representatives may have against the county or fair with respect to any bodily injury, illness, death, medical treatment, or property damage that may arise from, or in connection to, any services received from Washington County. This liability waiver and release extends to the County together with all owners, partners, and employees.

I Agree

I have read the Covid-19 Liability Waiver and agree to the terms.

I Agree

I have read the Rules and Event Information

Payment Information:

Processing Fee Rates:
Cards:	2.5% ($1.50 min) (1.5% surcharge for foreign cards)
eCheck:	$0.50

Method of Payment:	Credit/Debit Card eCheck
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Routing Number:
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Institution:

Name on Card:
Account Number:
Expiration Date:
Billing Street Address:
Billing ZIP/Postal Code:

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For more information contact:
Virginia Bundy

rodeo@washcofair.net

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