Waiver – Duchesne County Fair & Rodeo

PRIVACY NOTICE: The personal data collected on this form, is classified as a public record and may be made available to the public as provided by Utah Code § 63G-2-201

Email(Required)

Phone(Required)

Date of Birth(Required)
MM slash DD slash YYYY

Parent/Guardian Phone(Required)

Emergency Contact Phone(Required)

RELEASE OF LIABILITY, WAIVER OF CLAIMS, AND INDEMNITY AGREEMENT

By signing this document, I acknowledge that participation in Duchesne County Fair & Rodeo events and activities involves inherent risks, including but not limited to physical injury, property damage, or death. I voluntarily assume all risks associated with my participation.

I hereby release, waive, and discharge the Duchesne County Fair & Rodeo, its officers, directors, employees, volunteers, agents, and sponsors from any and all liability, claims, demands, or causes of action arising out of or related to any loss, damage, or injury that may be sustained during my participation.

I agree to indemnify and hold harmless the Duchesne County Fair & Rodeo from any loss, liability, damage, or cost they may incur due to my participation.

I confirm that I am physically fit and have no medical conditions that would prevent my safe participation. I consent to receive medical treatment in the event of an emergency.

This waiver applies to all events and activities at the Duchesne County Fair & Rodeo for the current year.

PRIVACY NOTICE: The personal data collected on this form, is classified as a public record and may be made available to the public as provided by Utah Code § 63G-2-201.

Signature (Type Full Name)(Required)
By typing your full name, you are providing your digital signature.

Date(Required)
MM slash DD slash YYYY