OTTAWA, OHIO 45875
523-4628
Tuesday, June 19th @ 1:30pm in the Junior Fair Building
NO ENTRY FEE * OPEN TO KIDS AGE 12 AND UNDER
Five weight categories up to 110lbs.
Ribbons given to all participants!
Rules and Regulations
CLASS 1………………….25 to 33 POUNDS
CLASS 2………………….34 to 45 POUNDS
CLASS 3………………….46 to 61 POUNDS
CLASS 4………………….62 to 82 POUNDS
CLASS 5………………….83 to 110 POUNDS
ADDRESS_____________________________________________________
CITY_________________________________________________________
Contestant Number ______________________________________
IN CONSIDERATION of being allowed to participate in the activity indicated above and/or being permitted to enter for any purpose any restricted area (herein defined as any area wherein admittance to the general public is prohibited), the parent(s) and/or legal guardian(s) of the minor participant named below agree:
1. The parent(s) and/or legal guardian(s) will instruct the minor participant that prior to participating in the above activity or event, he or she should inspect the facilities and equipment to be used, and if he or she believes anything is unsafe, the participant should immediately advise the Officials of such condition and refuse to participate.
2. I/we fully understand and acknowledge that:
a) There are risks and dangers associated with participation in the above activity or event which could result in bodily
injury, partial and/or total disability, paralysis and death.
b) The social and economic losses and/or damages, which could result from those risks and dangers described above, could be
severe.
c) These risks and dangers may be caused by the action, inaction or negligence of the participant or the action, inaction or
negligence of others, including, but not limited to, the “Releasees” named below.
d) There may be other risks not known to us or are not reasonably foreseeable at this time.
3. I/we accept and assume such risks and responsibility for the losses and/or damages following such injury, disability, paralysis or death, however caused and whether caused in whole or in part by the negligence of the “Releasees” name below.
4. I/WE HEREBY RELEASE, WAIVE, DISCHARGE AND COVENANT NOT TO SUE the promoter, participants, sanctioning organization or any subdivision thereof, track operator, track owner, officials, any persons in any restricted area, promoters, sponsors, advertisers, owners, lessees of premises used to conduct the event or activity and each of them, their officers, agents and employees, all for the purposes herein referred to as “Releasees,” from all liability to the undersigned, my/our personal representatives, assigns, executors, heirs and next of kin for any and all claims, demands, losses or damages on account of any injury, including but not limited to the death of the participant or damage to property, caused or alleged to be caused in whole or in part by the negligence of the “Releasees” or otherwise.
5. On behalf of the participant and individually, the undersigned parent(s) and/or legal guardian(s) for the minor participant executes this Waiver and Release. If, despite this release, the participant makes a claim against any of the “Releasees,” the parent(s) and/or legal guardian(s) will reimburse the “Releasees” and their insuring company for any money which they have paid to the participant, or on his behalf, and hold them harmless.
I/WE HAVE READ THE ABOVE WAIVER AND RELEASE, UNDERSTAND THAT I/WE GIVE UP SUBSTANTIAL RIGHTS BY SIGNING IT AND SIGN IT VOLUNTARILY WITHOUT INDUCEMENT.
1. __________________________________________________________________
Parent or Guardian (Signature/Relationship)
2. ______________________________________________________________________________
Printed Name of Parent or Guardian
TROPHY SPONSORS
Archbold Equipment – Ottawa Northwest Tractor Co. – Ottawa
Siefker Real Estate & Auction Co. – Ottawa Homier & Sons Inc. – Continental
H.G. Violet Equipment - Delphos