Poway Round-Up Rodeo Registration **REGISTRATION IS NOW CLOSED**                    For information about future events visit www.samsposse.org and follow us on Instagram and Facebook. Hope to see you soon!
Sam’s Posse Round-Up Rodeo is an opportunity for individuals living with intellectual and physical disabilities ages 5 and up, to experience the sport of Rodeo by interacting in specially adapted activities.
Date: September 24, 2022
Time: 10 am-11:30 (Check-in begins at 9:30)
Event Address: Poway Rodeo Grounds, 14336 Tierra Bonita Road, Poway CA
Registration MUST be received by September 15th
Contact us at: info@samsposse.org
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Email *
Phone *
Choose One *
Required
Name of Participant or Volunteer *
Parent/Legal Guardian *
Age of Participant 5 and up. Age of Volunteer if under 18 or N/A. *
Shirt Size (Participants)
Participant's Diagnosis *
Please note any medical concerns, conditions or other information we should be aware of.
CONSENT AND INDEMNIFICATION
As a participant or volunteer in the SAM’S POSSE Round-Up Rodeo, I recognize the risk and acknowledge that there are certain risks of physical injury including death, damages, property damage, or loss which I may sustain as a result of participating in any and all activities connected with the program,or the use of the facilities or equipment. I agree to waive and relinquish all claims that I may have for injuries or damages as a result of participating in the program or using the facilities or equipment against SAM’S POSSE, POWAY RODEO and its officers, agents, servants, employees, other volunteers,and affiliates. I do hereby release and discharge SAM’S POSSE, POWAY RODEO and its officers, agents, servants, employees, volunteers and affiliates from any and all claims for injuries, including death, damages, property damage, or loss which may have or may in future accrue to me in account of participating in the Round-Up Rodeo or volunteering for SAM’S POSSE. I further agree to indemnify and hold harmless and pay defense costs and defend SAM’S POSSE, POWAY RODEO and its agents, servants, employees, other volunteers, and affiliates, from any and all claims resulting from injuries including death, damages, property damage, or loss sustained by me and arising out of, connected with, or in any way associated with the activities of the program or the use of facilities or equipment.
I have read and accept the terms above. *
Required
CONSENT TO PHOTOGRAPH: Participant/Volunteer does hereby consent to and authorize SAM’S POSSE, POWAY RODEO to use any photographs and/or video which may be taken of participant or volunteer during the event for future purposes. Volunteers are NOT permitted to photograph participants. *
Required
A copy of your responses will be emailed to the address you provided.
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