Membership Form
Please provide good contact information for us to provide you with race updates throughout the year!
Email address *
Rider Name *
Your answer
Rider's Gender *
Rider DOB *
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Age Division *
Age as of January 1st, 2018 11:59 PM
School Grade *
WAIVER AND ASSUMPTION OF RISK I, the Parent/Guardian of the Contestant/Member, hereby fully waive and release KK Productions, LLC of Bellville, TX and its employees, officers, directors, shareholders, affiliates, agents, representatives, independent producers, sponsors, successors and assigns (collectively Releasees), from any and all claims, demands, damages, costs, expenses, causes of action (collectively Claims) in respect of death, personal injury, property damage, or death arising from my participation in the following physical activities: Barrel Racing, An Equine Sport/Activity. I hereby indemnify and save harmless the Releasees from and against any and all liability incurred by any or all of them arising as a result of or in any way connected to my participation in the Activity. I hereby voluntarily, at my own risk, sign this Release in sole consideration of being permitted to use the facilities or property for the purpose of competing in barrel racing, an equine sport/activity. I hereby voluntarily, at my own risk, sign this Waiver and Assumption of Risk in sole consideration of being permitted to use the facilities, participate in competition and utilize the host property. I hereby acknowledge and understand that there are dangers and risks associated with the activities described above, which have been fully explained to me. I certify that the information supplied in this application is true and correct to the best of my knowledge and belief and that the student applying for membership meets the qualifications and criteria for membership with KK Productions, LLC. By applying for and receiving membership with KK Productions, LLC, I agree to follow all rules and guidelines set forth by KK Productions LLC, employees, officers, directors, shareholders, affiliates, agents, representatives, independent producers, sponsors, successors and assigns (collectively Releasees), and to abide by all decisions and rulings of the director and staff. I also will ensure that my family members, guests and minor competitors will abide by the rules and guidelines set forth. If any of the above information is found to be false, your membership will be automatically terminated and your dues and qualifications forfeited. By signing this Waiver and Assumption of Risk, I fully assume the dangers and risks, and agree to use my best judgment while engaging in those activities. I further agree to indemnify and hold harmless the Releasees from and against any and all liability incurred as a result of or in any manner related to my participation in the activities. I hereby certify that I am of legal age and competent to execute this Waiver and Assumption of Risk, that in doing so of my own free will and accord, voluntarily and without duress, and that I do so intending to bind myself, my executor, my heirs, and administrators or assigns to the fullest extent. I have read and understood the foregoing, and acknowledge my consent to the terms of this Waiver & Assumption of Risk by signing this Waiver.Pursuant to Texas Civil Practice And Remedies Code, Title 4, Chapter 87: Sec. 87.003. And Nevada NRS 41.480: LIMITATION ON LIABILITY. Any person, including a farm animal activity sponsor, farm animal professional, livestock producer, livestock show participant, or livestock show sponsor, is not liable for property damage or damages arising from the personal injury or death of a participant in a farm animal activity or livestock show if the property damage, injury, or death results from the dangers or conditions that are an inherent risk of a farm animal activity or the showing of an animal on a competitive basis in a livestock show, including:(1) the propensity of a farm animal or livestock animal to behave in ways that may result in personal injury or death to a person on or around it;(2) the unpredictability of a farm animal's or livestock animal's reaction to sound, a sudden movement, or an unfamiliar object, person, or other animal;(3) with respect to farm animal activities involving equine animals, certain land conditions and hazards, including surface and subsurface conditions;(4) a collision with another animal or an object; or (5) the potential of a participant to act in a negligent manner that may contribute to injury to the participant or another, including failing to maintain control over a farm animal or livestock animal or not acting within the participant's ability. *
I have read the liability waiver and agree to hold KK Productions, LLC of Bellville, TX and its employees, officers, directors, shareholders, affiliates, agents, representatives, independent producers, sponsors, successors and assigns/designees harmless from fault due to the inherent risk of equine activities. Additionally, I have read the 2018 Rules and agree to abide by them.
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Guardian/Contact 1 Name *
This should be the person completing the form and signing the waiver
Your answer
Guardian/Contact 1 Phone Number *
Your answer
Guardian/Contact 1 Email *
Your answer
Guardian/Contact 2 Name
Your answer
Guardian/Contact 2 Phone Number
Your answer
Guardian/Contact 2 Email
Your answer
Mailing Address *
Your answer
Comments/Additional Information
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