Roundman Rodeo Company
3601 Odell School Rd
Concord, NC 28027
RELEASE AND APPLICATION FORM
Assumption of risk agreement and release of all claims for anywhere in the continental USA
The undersigned herby specifically and expressly assumes any and all responsibility for any and all risk of damage or personal injury that my occur to the undersigned and/or any property owned by the undersigned as a contestant or participant in any events sanctioned by Roundman Rodeo Company/Stegall’s Arena which shall take place on the grounds and/or property leased, or owned or rented by Roundman Rodeo Company/Stegall’s Arena of Concord, NC or any person, company, individual, or corporation that is sanctioning a Roundman Rodeo Company/Stegall’s Arena event on any dates from January 1, 2013 thru December 31, 2013.
In consideration of being accepted and approved as a contestant or participant in said rodeo the undersigned hereby specifically and expressly releases and discharges Roundman Rodeo Company/Stegall’s Arena (including any and all of its owners, whether individuals, partnerships, or corporations) and/or employees of Roundman Rodeo Company/Stegall’s Arena from any and all claims, demands, rights of causes of action, past present and future, whether known or unknown, anticipated or unanticipated, and resulting from or arising out of, or incident to, the undersigned’s participation or intended participation in the rodeo’s on the dates set forth above, or resulting from or arising out of, or incident to the undersigned use or intended use of the individuals, corporation of entities hereby released.
I have read this and do fully understand and execute this Assumption of Risk Agreement and Release.
Signed this ____ day of ___________________________________2013
Email address ____________________________________________________________________________
Signature of Participant ____________________________________________________________________________________
Parent Signature __________________________________________________________________________________________
Notary Signature __________________________________________________________________________________________
This release is signed before me______________. My commission Expires: ______________
Printed Name: __________________________________________________________(BIRTHDAY)_______________________
City, State, Zip: ___________________________________________________________________________________________
OPEN __ AMATEUR __ STEERS __ CALVES __ SHEEP __