2010 Outlaw Bronc Rodeo

December 31st
Medical Release and Waiver of Liability

Each participant must read and sign this liability and medical release form
to compete in the rodeo. Duplicate this form for each participant.

Medical Release:
I hereby consent to any medical services that may be required while
participating in the Outlaw Bronc Rodeo and hereby appoint the Rodeo
coordinator to act on my behalf in securing necessary medical services
from any duly licensed physician or emergency responder.

Liability Waiver and Release:

By this waiver, I assume any risk, and take full responsibility and waive
any claims of personal injury or death and damage or loss to personal
property. As a participant in this Outlaw Bronc Rodeo I agree not to hold
Outlaw Broncs, Rodeo Administrators and/or Spring Creek Association
liable for any of these events which may occur while attending or
competing at the Outlaw Bronc Rodeo on December 31, 2010.

Insurance: All participants are expected to have an accidental insurance

plan. Everyone participates at their own risk.

I hereby acknowledge that I have read and understand this medical

release and liability waiver form and agree to adhere to the regulations to
the best of my ability while participating in this Outlaw Bronc Rodeo.

Signed:
___________________________________________________________________________
_Date:__________________________
Participant Signature

Signed:
___________________________________________________________________________
_Date:__________________________
Guardian Signature

Name
(Print):_________________________________________________________________
__________________________________
Address:
_______________________________________________________________________
__________________________________

City: __________________________ State: _________________ Zip:

______________

Phone #: ____________________________________ (Needed for call backs)