Corn Palace Stampede Queen Contest
Waiver of Liability
In consideration of my application being accepted (and me or my helpers being permitted to engage in the above event shall be deemed to be an acceptance thereof), I hereby for myself, my executors, administrators & assigns & my helpers agree to abide by all rules & regulations pertaining to the event. I and they assume all liability and responsibility for any loss, accident or injury whether as management, in any performance or parade or while in, on or about the premises. I further agree to indemnify your committee and management from and against any loss or damage sustained by you by reason of any claims made by any of my helpers or their executors, administrator or assigns. Also, I hereby release the right, title, and claim of any photographs that may be given to or taken by the management for their further use. I certify that I know rodeo is a risky sport and I can be injured while taking part and that I know the rules of the Corn Palace Stampede Queen Contest and agree to abide by them.
The undersigned have read the foregoing waiver of liability and carefully and fully understand the meaning and effect of it.
Dated this ____________________________________________ Day of ______________________ 2019
Signature of Contestant __________________________________________________________________
Address _________________________________________________________________________________
Telephone Number: __________________________________ Birthdate: _________________________
Signature of Parent: ______________________________________________________________________
On this _________ Day of __________________ 2019, before me personally appeared
___________________________ to me known to be the person who executed this foregoing
release and acknowledged that they signed same as their free act and deed.
My Commission Expires:
_______________________ ______________________________________________
(notary public)
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