2012 Registration Packet - Liability Release

Camper's Name ________________________________________________________________________    __    I have discussed the event I wish to participate in with my parent(s) or legal guardian, and they have explained to me the possibility of my being slightly and/or severely injured.  My parent(s) or legal guardian and I are willing to assume the responsibility of possible injury that could result from the event in which I will be participating.                                                                                                                                                                           I further agree that should I feel endangered at any point, either by my own actions, the actions of others, or by any surrounding circumstances, that I am free to with draw from the event and will do so of my own free will.  Once I have made the decision to enter an event, I understand I cannot change my event once my parents leave the premises.  I only have the option of dropping out of the event which they have signed off for me to enter.  I voluntarily assume the risk inherent to this event and I do so of my own free will.

Name of Minor Participating_________________________________________________________

Signature_________________________________________________ Date___________________

I undersigned parent(s) or legal guardian, have read and voluntarily sign the assumption of risk form and further agree that no oral representation, statements, or inducements apart from the forgoing written agreement have been made.

Parent(s) or Legal Guardian_________________________________________________________

Signature________________________________________________ Date____________________

Release of Liability 

As the parent(s) or legal guardian of the aforesaid child, we do hereby give permission for said child to participate in the rodeo events and activities of Wagon Wheel Ministries Rodeo Bible Camp.  We release their agents, officers, directors, volunteers or any other person acting on their behalf from claims and judgment which the above named ever had, or now has, or may have in the future for all personal injuries or property damage that may be suffered by participation.  We have done so fully understanding that rodeo is a hazardous sport, which could lead to serious injury and in some cases death.  In giving my permission for my child to participate in the camp activities, we give permission for any medical treatment that may be necessary and release and understand its significance.

Signature________________________________________________________________________

                                                        Parent(s) or Legal guardian