Family Gymkhana

MONTEZUMA COUNTY FAIR GYMKHANA

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Sunday July 25th 9:00 am at the Montezuma County Fairgrounds Outdoor arena

*Must reside in Montezuma or Dolores Country*

Entries due Friday July 24th by 5:00 pm to Erin Gordanier 20090 RD B, Cortez Co 81321

NO call ins after 5:00pm on the 24th 970-529-3291. Check in 8:00 am on the 25th in the crow’s nest.

NO ENTRIES WILL BE TAKEN AT CHECKIN ONCE RODEO STARTS!

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Contestant Name: ________________________________________________________ Birth date: ____________ Gender: ________

Address: ______________________________________________________________________Phone #: _______________________

Age as of January 1st, 2021: _________. Check one age group: 5 & under: ___6-10____11-14 ____ 15-19 ____

  • Boys and Girls will run together, placing and points will be separated

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5 & Under: $5 per event- May be led                                                                                               6-10 Age Group: $5 per event

____ Goat Tagging                                                                                                              _____ Goat Flanking

____ Keyhole Race                                                                                                              _____ Keyhole Race

____ Barrel Race                                                                                                                  _____ Barrel Race

____ Flag Race                                                                                                                     _____ Flag Race

____ Pole Bending                                                                                                               _____ Pole Bending

11-14 Age Group: $5 per event                                                                                         15-19 Age Group: $5 per event

_____ Goat Tying                                                                                                                _____ Goat Tying

_____ Keyhole Race                                                                                                            _____ Keyhole Race

_____ Barrel Race                                                                                                                _____ Barrel Race

_____ Flag Race                                                                                                                   _____ Flag Race

_____ Pole Bending                                                                                                            _____ Pole Bending

Family Fun Events: $5 per event (List partner)

Parent/child Rawhide Race: __________Parent/child Ribbon Roping: _____________Parent/child Rescue Race Partner: __________

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TOTAL EVENT FEES $____________

AMIN FEE $ ____$5_____

TOTAL AMOUNT DUE $_______________

I understand that NO DOGS are allowed on the fairgrounds…….… initials________

 

 

COLORADO WARNING

Under Colorado Law, an equine professional is not liable for an injury to or death of a participant in equine activities resulting from the inherent risks of equine activities, pursuant to section 13-21-119, Colorado Revised Statues.

READ THIS DOCUMENT COMPLETELY BEFORE SIGNING. ITS EFFECT IS TO RELEASE MONTEZUMA COUNTY FAIR AND ITS GOVERNING BOARD, THE COUNTY AND STATE OF COLORADO FROM ANY, AND THE MONTEZUMA COUNTY FAIRGROUNDS LIABILITY RESULTING FROM YOUR PARTICIPATION IN THE ACTIVITIES DESCRIBED BELOW, AND TO WAIVE ALL CLAIMS FOR DAMAGES OR LOSSES AGAINST THE COUNTY WHICH MAY ARISE FROM SUCH ACTIVITIES.

PARTICIPANT’S FULL NAME: ________________________________________________________________________

DATE OF BIRTH (MO/DAY/YR): ______________________________________________________________________

ADDRESS: _______________________________________________________________________________________

LOCATION OF ACTIVIY: MONTEZUMA COUNTY FAIRGROUNDS OUTDOOR ARENA

DATE OF ACTIVITY: JULY 25TH, 2021

I, the undersigned participant exercising my own free choice to participate voluntarily in the named above activity, and promising to take due care during such participation, hereby release and discharge, indemnify and hold harmless Montezuma County, Board of Commissioners, Montezuma County Fair board, and their members, officers, agents and employees, Montezuma County Fairgrounds and any other persons or entities acting on their behalf, and the successors and assigns for any and all claims, demands, and causes of action whatsoever, whether presently known or unknown, either in law or in equity, relating to injury, disability, death or other harm, to person or property or both, arising from my participation in and/or presence at the above listed activities.

I acknowledge that I have been informed of the nature of the activities and that I am aware of the hazard and risks which may be associated with my participation in the above-named activities, including the risk of bodily injury, death or damage to property which may occur from known or unknown causes. I understand, accept, and assume all such hazards and risks, and waive all claims against Montezuma County, and any person as set forth above. I understand that I am solely responsible for any cost arising out of any bodily injury or property damage sustained through my participation in normal or unusual acts associated with the above-named activities.

I have had sufficient time to review and seek explanation of the provisions contained above, have carefully read them, understand them fully, and agree to be bound by them. After careful deliberation, I voluntarily give my consent and agree to this Release from Responsibility, Assumption of Risk, and Waiver.

READ, UNDERSTOOD AND AGREED TO THIS__________ DAY OF ___________20 _____

Signature of Participation whose printed name appears below:

_________________________________________________________________________________________________

If participant is under 18, his or her parent or legal guardian must also sign below:

I, (printed name) ___________________________________________ am the parent or legal guardian of the participant who has signed above. I have read and I understand the provisions of this document, I consent to the participant taking part in the activities described above, and I fully enter into and agree to the above Release of Responsibility, Assumption of Risk, and Waiver.

__________________________________________________________________________________________________ Parent or Guardian must sign

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