Youth Event Application and Liablity Form

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2015 Youth Event Application
Saddle Up & Hang on tight because the Rodeo of the Ozarks is riding into
Springdale and we want you to be a part of it! The popularity of our youth events
continues to grow each year. This year we will have events for all ages including
Mutton Bustin’, Goat Dressing and a Calf Scramble. Please complete the form
below. Contestant box #2 and #3 are only required for the goat dressing
event. Rules and regulations listed below.
BE SURE TO COMPLETE LIABILITY FORM.
Contestant Name:
Weight
Male/
Female
Age as of July 2015
Contestant #2 Name & Address:
Male/
Female
Age as of July 2015
Contestant #3 Name & Address:
Male/
Female
Age as of July 2015
(mutton bustin’ only)
Goat Dressing Team Name: (if applicable)
Please Circle Preferred Date:
Wednesday
July 1st
Thursday
July 2nd
Friday
July 3rd
Saturday
July 4th
Any Day
Please Circle an Event:
Mutton Bustin’
Ages 4-6
Goat Dressing
Ages 7-9
Calf Scramble
Ages 10-12
Parent Name:
Contact Phone:
Email Address:
Address:
State:
City:
Zip:
All parents and participants must have a ticket to gain entrance to the event.
Entry & liability forms must be completed and mailed to Rodeo of the Ozarks, PO
Box 909 Springdale AR 72764, emailed to rodeo@rodeofotheozarks.org or fax to
479-756-6582
All contestants must wear long sleeve shirts, jeans and closed toed shoes.
Rules & Information
Mutton Bustin’ 101
Only one (1) parent will be allowed in the arena with the contestant
Contestants must be between the ages of 4 and 6 and weigh 55 pounds or less
(age at time of event, July 1-4, 2015)
Youngsters will ride sheep out of a bucking chute into the rodeo arena
Each competitor will be timed and judged on their riding skills
Required to sit up straight – no choke holds
Top 4 riders each night will ride again during the rodeo performance to determine
who advances to the finals on July 4th.
Contestants will be outfitted in protective helmets
Contestants must meet at 6:00pm at the Southeast end of the rodeo arena.
Events begin at 6:30. July 1st, contestants must meet at 5:30pm!
Goat Dressing 101
7-9 year olds – 3 Person Teams (age at time of event, July 1-4, 2015)
Each team will start at the bucking chutes where they will receive the lead rope on
their goat. They will take the goat to the “dressing area” where they will “dress”
their goat with boxer shorts. The team will then lead the dressed goat back to the
starting line. The first team to get their dressed goat back to the starting line will
receive cash prizes.
Bring gloves!
Limit eight (8) teams per night with three (3) contestants on each team.
Contestants must meet at the Southeast end of the arena at 6:15pm, events
start at 6:45pm.
Calf Scramble 101
Contestants must be ages 10-12 (age at time of event, July 1-4, 2015)
Participants will be released into the area with calves that have a ribbon tied to their
tail! The first 3 children who return with a ribbon will receive a cash prize.
Contestants must meet at the Southeast end of the arena at 6:45; events start at
7:00
We look forward to seeing you at the 71st Annual Rode of the Ozarks! If we can answer
any further questions please call us at 479-756-0464.
SPRINGDALE BENEVOLENT AMUSEMENT ASSOCIATION
RELEASE OF LIABILITY AND INDEMNITY AGREEMENT
Please fill out Contact Information & Sign
Name: _____________________________________________
Company ____________________________________________
E-Mail Address _______________________________________
Mailing Address: ____________________________
City: _____________________ State: _________________ Zip: ________________
Daytime Phone (
) ___________________________________
In consideration for being allowed entry into and participation in activities (the “Activities”)
associated with the Rodeo of the Ozarks, the Springdale Benevolent Amusement Association and
the Springdale Benevolent Foundation (collectively, SBAA), the receipt and sufficiency of which is
hereby acknowledged, the undersigned, on behalf of the “Participant” named below, hereby
enters into this RELEASE OF LIABILITY AND INDEMNITY AGREEMENT (this “Agreement”) as
of the date set forth below.
1. ACKNOWLEDGMENT OF RISKS: The undersigned, on behalf of Participant, recognizes and
understands that there are risks associated with participation in the Activities including, but not
limited to, bodily injury or death to persons and damage to property. The undersigned further
acknowledges and understands that Participant will be held liable and responsible for any and all
damage to persons, livestock, vehicles, property and/or improvements to property that is caused
by Participant and/or any persons (including, but not limited to, minors) under Participant’s care
and control, and that arise out of, or are related to, the Participant’s entry into and participation in
the Activities.
2. APPLICABILITY AND SCOPE OF RELEASES AND INDEMNITIES: For purposes of this
Agreement, A Claims@ shall mean any past, present and future claims, losses, costs, expenses,
liabilities, demands, or causes of action, and costs of defense or settlement (including, without
limitation, attorneys= fees and court costs). For purposes of this Agreement, the term A Released
Parties@ shall mean the SBAA and their respective present and former officers, directors,
members, council members, commissioners, subsidiaries, affiliates, employees, staff, volunteers,
agents and any other person, firm, corporation or entity bound to defend or pay judgments
against them, including but not limited to any insurance carrier.
3. RELEASE FROM LIABILITY: The undersigned, on behalf of Participant, hereby RELEASES,
ACQUITS AND FOREVER DISCHARGES, and WAIVES any and all Claims against any of the
Released Parties arising from the negligent, grossly negligent, and/or intentional acts or
omissions of the Participant in connection with the Participant’s entry into and participation in the
Activities and agrees not to sue any of the Released Parties for such Claims.
4. AGREEMENT TO INDEMNIFY AND HOLD HARMLESS: THE UNDERSIGNED, ON BEHALF
OF PARTICIPANT, AGREES TO INDEMNIFY AND HOLD HARMLESS THE RELEASED
PARTIES AGAINST ANY AND ALL CLAIMS ARISING FROM OR RELATED TO ANY
ACCIDENT, OCCURRENCE, OR EVENT CAUSED IN WHOLE OR IN PART BY OR ARISING
OUT OF ANY NEGLIGENT, GROSSLY NEGLIGENT, AND/OR INTENTIONAL ACTS OR
OMISSIONS OF THE PARTICIPANT IN CONNECTION WITH THE PARTICIPANT’S ENTRY
INTO AND PARTICIPATION IN THE ACTIVITIES.
5. PHOTOGRAPH/INTERVIEW RELEASE AND INDEMNITY AGREEMENT: The undersigned,
on behalf of Participant, GRANTS PERMISSION to be PHOTOGRAPHED, VIDEOED or
INTERVIEWED in connection with the Activities. The undersigned understands that any such
photograph, video or interview may be used by the Released Parties or television, film, video,
visual, graphic or printed media. The undersigned, on behalf of Participant, agrees to RELEASE
and INDEMNIFY the Released Parties with respect to any Claims related to the usage of such
photographs or interviews by the Released Parties or any media - including, but not limited to, the
types of Claims enumerated in Paragraph 2.
6. REPRESENTATIONS and ACKNOWLEDGMENTS:
(i) As further inducement to the SBAA to permit the Participant’s entry into and participation in the
Activities, the undersigned certifies that Participant has never been convicted or received
deferred adjudication as a sex offender or any crime related to abuse, assault or violence toward
a child. Participant further authorizes the SBAA to review any sex offender registries under
Participant’s name. Participant agrees that if Participant is charged with such a crime, that
Participant will immediately advise and notify the SBAA.
(ii) As further inducement to permit the Participant’s entry into and participation in the Activities,
the undersigned, on behalf of Participant, represents that Participant thoroughly and completely
understands that this is a complete and final release and indemnity agreement, that Participant is
freely and voluntarily entering into this Agreement, and that no representations, promises or
statements made by any of the Released Parties, or any agent, attorney or other representative
of any of the Released Parties has influenced the undersigned in causing the undersigned to sign
this Agreement.
(iii) The undersigned further acknowledges on behalf of Participant that Participant is voluntarily
participating in the Activities and that Participant is participating with full knowledge of the
inherent risk, hazards and dangers involved. As such, the undersigned, on behalf of the
Participant, hereby assumes and accepts any and all risks of injury or death associated with
entering in and participating in the Activities.
7. MISCELLANEOUS PROVISIONS:
The undersigned understands that this Agreement shall be binding on Participant’s heirs,
executors, successors and assigns that the Agreement will be governed by the laws of the State
of Arkansas, and that jurisdiction and venue for resolution of any dispute regarding this
Agreement shall lie in State District Courts in Washington County Arkansas. If any part of this
Agreement is determined to be invalid or unenforceable, it does not affect the validity of the
remainder of this Agreement. The undersigned agrees to the terms and conditions above and
acknowledges receipt of this Agreement.
8. PROVISIONS APPLICABLE IF VOLUNTEER/MEMBER IS A MINOR:
If Participant is a minor, such minor’s undersigned Parent/Guardian hereby represents and
warrants that he/she is the PARENT/LEGAL GUARDIAN of the Participant, and that he/she has
the full power, authority, capacity and right, without limitation, to enter into, execute, deliver and
perform this Release of Liability/Indemnity Agreement
________________________________
Date: ____________________________
Printed Name of Volunteer/Member
________________________________
Signature of Volunteer/Member
Is Volunteer/Member a minor?
No
If Yes, signature of Parent/Guardian is required.
Yes
____________________________________ ____________________________________
Printed Name of Parent/Guardian
Signature of Parent/Guardian
Please list all immediate family members covered by this release (anyone over the age of 18
must sign their own release):
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
________________________
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