| K-F ROUGH STOCK AND RODEO AND RUNNING BROOK FARM RBF Rodeo Assn. 370 Seymour Hill Rd Harpursville, NY 13787 20____ Membership Application & Release Form (Print CLEARLY please or applications will be returned to you.) *********************************************************************************************************************************************** referred by: ____________________ Last Name: ____________________ First Name: __________________ Date: _______ Address: ____________________ City: _______________ State: ____ Zip: _________ Phone #: (____) ____-_______ cell #: _____-________ email address: ______________ Membership type: ______ Single $30 (only the name listed above) ______ Family $40 Circle one… Bulls* JR Bulls* Bareback* Saddle Bronc* Barrel Racing* Team Sorting* Other:_________________ FAMILY MEMBERSHIP ONLY… LAST NAME FIRST NAME AGE DOB INITIAL ______________________ ___________________ _____ _______ __________ ______________________ ___________________ _____ _______ __________ ______________________ ___________________ _____ _______ __________ ______________________ ___________________ _____ _______ __________ ______________________ ___________________ _____ _______ __________ ********************************************************************************************************************************************** Notary Public Signature Contestant Signature DOB : DATE: _____________________ __________________________ ____________ __________ |
In consideration of being a contestant for the K-F Rough Stock and Rodeo and Running Brook
Farm Rodeo Association, I the undersigned being of the age of 18 years, do hereby assume the
full and complete responsibility for any loss, damage, death or injury, which I may suffer to
myself or property in connection with any activity in which I may participate in, in connection with
above stated business and associations…
I, the undersigned, do hereby release and forever discharge Ken Finch Jr, His heirs, Executors,
Administrators, Agents, and Assigns, and all other Persons, Firms or Corporations liable or who
might be claimed to be liable, from any injuries, both to myself or property, which I may suffer
while being a contestant and engaging in the activities there of, involves a certain amount of
danger, and that the terms of this release have been completely read, and understood by the
undersigned and acknowledged by the initials of all family members over the age 18 and
responsible adult signatures for members under age 18.
Farm Rodeo Association, I the undersigned being of the age of 18 years, do hereby assume the
full and complete responsibility for any loss, damage, death or injury, which I may suffer to
myself or property in connection with any activity in which I may participate in, in connection with
above stated business and associations…
I, the undersigned, do hereby release and forever discharge Ken Finch Jr, His heirs, Executors,
Administrators, Agents, and Assigns, and all other Persons, Firms or Corporations liable or who
might be claimed to be liable, from any injuries, both to myself or property, which I may suffer
while being a contestant and engaging in the activities there of, involves a certain amount of
danger, and that the terms of this release have been completely read, and understood by the
undersigned and acknowledged by the initials of all family members over the age 18 and
responsible adult signatures for members under age 18.
