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Lindon Days Rodeo Events Waiver

Please read this form carefully and be aware that by initialing and signing this document you will be waiving and releasing all claims for injuries that you, or your dependents, may sustain while participating in activities offered or sponsored by Lindon City’s Division of Parks and Recreation

As a registered participant, or legal guardian of a registered participant, in any activity offered or sponsored by Lindon City’s Division of Parks and Recreation, I recognize and acknowledge that there exist certain inherent risks of physical injury and I agree to assume the full risk of any injuries, including death, damages or loss which I, or the listed dependents, may sustain as a result of, or in any way connected with participating in any and all registered activities.

I do hereby fully release and discharge Lindon City, its employees and agents from any and all claims from injury, including death, damages or loss which I, or the listed dependents, may have or incur as a registered participant in any activity offered or sponsored by Lindon City’s Division of Parks and Recreation.

I further agree to indemnify and hold harmless Lindon City, its employees and agents from and against any, and all, liability which may be suffered by myself or my listed dependent as a result of, or in any way connected with participation as a registrant in any and all activities offered or sponsored by Lindon City’s Division of Parks and Recreation.

I understand that participants in Lindon City Parks and Recreation programs may be photographed for promotional purposes.

I understand that any participant or athlete whom exhibits signs, symptoms or behaviors consistent with a concussion such as loss of consciousness, headache, dizziness, confusion, or balance problems, shall be immediately removed from the contest or activity an shall not return to participation until cleared by an appropriate health-care professional.

The Undersigned understands and agrees that the Lindon City Parks and Recreation Department may subsequently use for publicity and/or promotional purposes my child’s name or pictures of my child participating in this event without liability or obligation.

I (parents/guardian), have read the above release in full. I fully understand its terms and conditions and hereby voluntarily execute and deliver this consent to (child/self) participation in the rodeo. I further agree to the be bound by the relapse’s terms and conditions in both my individual capacity an din my capacity as a parent or legal guardian for the Undersigned.

I Agree

 

 


First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Parent or Guardian's Email Address

Email*

Confirm Email*
Parent(s) or Court-Appointed Legal Guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.

By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Relationship*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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