Southern
Roughstock Cowboy Association Liability Release Form
SRCA
Season of 2010
I,
_____________________, hereby release the Southern Roughstock Cowboy
Association, known thus forward as SRCA, its agents, stock contractors,
personnel, SRCA members, owners of the property, their heirs or assigns, and
all persons directly or indirectly involved with the SRCA, from all claims
arising from any activity which may take place during the course of my
participation in the SRCA scheduled events. This is to include any act,
negligence or otherwise, for which I may claim SRCA and above stated agents to
be responsible.
I,
____________________, hereby, for myself, my heirs, administrators, and any
other associates, release, remise, and discharge SRCA, its agents, stock
contractors, personnel, and said property owner(s) from all claims, demands,
actions, and causes of any sort, for injury sustained to my person and/or
property during my presence on the premises and my participation in the stated
activities due to negligence or any other fault of human, animal, nature, or an
act of God.
I also understand
that it is my sole responsibility and/or the responsibility of the parent/legal
guardian, or emancipated persons, to obtain and secure liability, health,
and/or accidental death insurance. I fully understand that the SRCA and all of
the stated associates DO NOT carry
health, liability, and/or accidental death insurance, I assume full
responsibility for any and all medical claims, job loss, and/or permanent
physical impairment that may occur as a result of an accident/injury that may
result from my participation in any or all SRCA events.
I have the right to
inspect the premises and stock and I, and/or my legal guardian willingly accept
that serious physical injury and/or even death may occur as a result of my
participation in a SRCA competition. I, and/or my legal guardians(s) assume
full responsibility for my participation in any or all of the SRCA events.
Therefore, in our acceptance, we release SRCA and all of the stated affiliated
stated parties associated with SRCA, free from any future or present claims of
liability to myself, my heirs, or assigns.
____________________ ____________________ ______________________
Signature of
Contestant Date Age of
Contestant
____________________ ____________________
Signature of Parent/Guardian Date
___________________ ____________________
Signature of SRCA Date
___________________ ____________________ _______________________
Notary Seal or Stamp