Waiver Form

RELEASE AND WAIVER OF LIABILITY AGREEMENT35-A District Agricultural AssociationMariposa District FairHorse ShowsI, ______________________________, (“Participant”) acknowledge that I have voluntarily applied to participate in theHorse Show at the Mariposa District Fair (“The Fair”).I am aware that the Horse Show events are hazardous activities and I am voluntarily participating in these activities withknowledge of the danger involved, and agree to assume any and all risks of bodily injury, death or property damage. I verifythis statement by placing my initials here: _________Parent or guardian’s initials (if under 18 years of age):______________________________As consideration for being permitted by the Fair and the State of California to participate in these activities and use theirfacilities, I hereby agree that I, my assignees, heirs, distributees, guardians, next of kin, spouse and legal representatives willnot make a claim against, sue or attach the property of the Fair or the State of California or any of their affiliatedorganizations for injury or damage resulting from the negligence or other acts, however caused, by any director, employee,agent, or contractor of the Fair or the State of California or any of their affiliated organizations as a result of my participationin the activities described above. I forever release the Fair and the State of California and any of their affiliatedorganizationsfrom any and all action, claims, or demands that I, my assignees, heirs, distributees, guardians, next of kin, spouse and legalrepresentatives now have or may hereafter have for injury or damage resulting from my participation in the activitiesdescribed above.I understand that the wearing of an approved horseback riding safety helmet is optional unless otherwise stated. If I choosenot to wear a helmet I do so of my (and my parent or guardian if I am a minor) own free will and at my own risk.I understand and agree that I am responsible for the conduct of my horse(s) while on the fairgrounds and that I amresponsible for any property damage or personal injury to myself or others my animal may cause.I have carefully read this agreement and fully understand its contents. I am aware that this is a release of liability and acontract between myself and the Fair and the State of California and/or their affiliated organizations and sign it of my ownfree will.Executed at __________________________, California on ___________________________, 2013IF YOU ARE UNDER 18 YEARS OF AGE, YOU AND YOUR PARENT OR GUARDIAN MUST SIGN ANDINITIAL THIS FORM WHERE INDICATED.PARTICIPANT/RELEASOR_____________________________________SignaturePARENT OR GUARDIAN________________________________________SignaturePlease accept the entries described subject to the rules and regulations as published in theExhibitor’sHandbook for the 2013 Mariposa Fair. I have read, agreed to and signed the Release andWaiver of Liability Agreement.PRINTED NAME OF EXHIBITOR (LEGAL OWNER): ______________________________________________________________________SIGNATURE OF OWNER OR AGENT: _________________________________________________________________________________MAILING ADDRESS: _______________________________________TELEPHONE: _________________________________________CITY/STATE/ZIP: ____________________________________________________________________AGE AS OF 01/01/2013___________EMAIL ADDRESS:__________________________________________________________________________________________________SIGNATURE OF PARENT/GUARDIAN FOREXHIBITORS UNDER 18 YEARS OF AGE: ______________________________________________________________________________If you are a member of a team please list the following:Name of Event: (Circle one) Team Roping Calf Branding Team Penning Ranch SortingPrint the names of all team members / partners: ____________________________________________________________

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