RELEASE AND HOLD HARMLESS

I agree to indemnify, defend and hold harmless Morgan County, its officers, agents, volunteers, employees and representatives, including those who may have donated to this activity from all liability.  Damage, cost or expense arising from claims for injury to persons, damages to property, or penalties occasioned by reason of my participating in the ATV Rodeo.  MorganCounty will not and does not assume any liability whatsoever for injury to person, damages to property, or penalties of any kind.

APPLICANT INFO

Name       Date

Mailing Address  

City   State   ZIP

Home Phone   Cell Phone

Date of Birth   Age

State Certified # (if under 18)

Type of ATV

EVENTS

Participants may register for any or all events.  A partner must be specified on the form for the Hide Race.

Barrels-$10            Poles-$10            Jump-$10

Side X Side Barrels             Hide Race-$20  Partner     

SIGNATURE____________________________________________DATE _______________

PARENT’S SIGNATURE­­­­­­­­­­­­­­ _______________________________ __DATE_______________

PAYMENT INFORMATION

Bring this form along with either a personal check or cash for the amount of the number of events in which you will participate the night of the event. 

Checks must be made out to:  Morgan Fair Board