***MINOR RELEASE FORM---MUST BE FILLED OUT COMPLETELY*** ENTRY FEE OF $20.00 (Checks payable to the Sandusky Co. Ag. Society) Applicant Name__________________________________________________________ Address___________________________________________________________________ City______________________________ State_______________ Zip______________ (Must reside in Sandusky County) Date of Birth_______________________ Age as of August 28, 2015________ ______15 to 16 Years ______17 – 18 Years _______ Over 19 Yrs Shirt Size_________________________ Email address:____________________________________________________________ Phone____________________________ Parents Name:____________________________________________________________ Address_____________________________City_______________________ Zip_____ Limited number of entries will be accepted. Any entry that is not accepted, will be given a refund. No refund unless entries are full. Minimum of 100 payback. I, ___________________________________PARENT OF _______________________________ DO HEREBY CONSENT AND AGREE THAT IT IS PERMISSIBLE FOR OUR SAID MINOR CHILD TO COMPETE IN THE_2015 Sandusky County Fair Calf Scramble, and I (we) joined by our said minor child, do hereby consent and agree to hold said Sandusky Co. Agricultural Society , referees, participants, sponsors, Scramble committee, and all persons individually or collectiviely, harmless from any liability, bodiy injury, and any other damage, or injury sustained or suffered while said minor child is a participant in the scramble on the scheduled night of the scramble. I (we) also agree that we have been given a copy of the official rules and regulations for the calf scramble. I (we) along with our child, agree to abide by all rules until the completion of the calf scramble program. SIGNATURE OF PARTICIPANT_____________________________________________________________ SIGNATURE OF PARENT (IF Participant under age of 18)_______________________________________ Questions about the calf scramble please call Sara Michael 419-680-1688 or Ryan Schiets 419-307-2141 The Sandusky County Agricultural Society is proud to announce the addition of a new and exciting event to the 2014 Sandusky County Fair on Friday, August 28, 2015 at 7:00 p.m. The Calf Scramble event involves participants competing for a chance to catch one of several calves (each weighing approximately 400 pounds) released into the arena. The calves must be caught and haltered to be declared a winner. Participants must be at least 15 years old to enter. Helmets must be worn. Each calf will be tagged with an anonymous dollar amount and the winner of each class will be awarded that designated dollar amount. We are asking for your support and/or contribution to help make this a fun and successful event for everyone. Please complete the form below with your intentions to donate. Please return this form with your sponsorship check made payable to: Sandusky Co. Ag. Society, 712 North Street, Ste 101, Fremont, OH 43420 ________Yes ________Yes We would like to be a contributor to the 2015 Calf Scramble. My donation Of _____________ is enclosed I/WE would like to volunteer to help during the event. Name (Contact)______________________________Company Name___________________________ Addresss________________________________City___________________State______Zip_________ Signature_____________________________________________________ **Sandusky Co. Ag. Society is a non-profit organization and all donations are tax deductible.