Special Needs Day Registration
REGISTRATION DEADLINE JUNE 30.
Event Date & Time: July 26, 2018 from 2 pm to 5 pm
Event Address: 3807 Avenue N Kearney, NE 68847
Contact us at (308) 236-1201 or info@buffalocountyfairgrounds.com
Registration limited to 800 attendees.
Point of Contact Name *
Your answer
Organization
Your answer
Email *
Your answer
Phone Number *
Your answer
Name & Age of Special Guest(s) Attending *
Your answer
Name of Caregiver(s) Attending *
Your answer
Buddy For the Day Info
We plan to have buddies for the day - do you want one? These buddies will ride the rides, play games with our special guests, go on tours and be there to help you out for the day. Please let us know if you would like a buddy so we can have plenty of volunteers and get you signed up.
Does the Special Guest want a "Buddy" for the Day? *
Required
Additional Questions/Comments
Your answer
Signature of Guardian/Representative/Parent: *
Your answer
Waiver
The undersigned participant agrees to abide by the rules of the Buffalo County Agricultural Association. The BCAA shall not be liable for any injuries, accidents, or deaths occurring to participant, arising either directly or indirectly out of utilizing the Buffalo County Agricultural Association facilities, services, products, or programs. The participant, for themselves on behalf of his/her executors, administrators, heirs, and assigns, does hereby expressly release, discharge, waive and covenants not to sue the BCAA, it’s officers, agents, staff or representatives for all such claims, demands, injuries, damages or cause of action with respect to use of the Buffalo County Agricultural Association facilities, programs, products, and services.
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