2024 CANFIELD FAIR HORSE SHOW SEASON WAIVER OF LIABILITY

Please check one of the following:*

Mahoning County Youth ParticipantMahoning County Adult ParticipantOther County/Open Class Participant

We/I the parent(s) of Youth Participant, or Adult/Open Class Participant (Fill in name), First Name* Last Name* , do hereby release and hold harmless the Mahoning County Agricultural Society, its officers, employees, directors, their heirs, and assignees, and the advisors of the Equine Clubs, Committee or Junior Fair organizations, from any damages or claims of damages as a result of an accident or injury to my/our child or myself, named above, his/her or my animal(s) and/or personal belongings while participating in activities conducted at the Canfield Fairgrounds. I /We understand that a copy of this liability form will be kept on file in the Canfield Fair Office and with the Mahoning Saddle Horse Committee during the year of 2024 and the beginning of 2025.

Parent's/Legal Guardian's Name or Adult/Open Class Participant's Name*

Phone Number*

A valid phone number is required.

Parent's/Legal Guardian's Name

Today's Date*

Email*

example@example.com

By checking yes below, I/We have read, understand and agree with the above Canfield Fair policy and affirm this as my/our signature on this form. I/We further understand that this form must be completed and submitted for our child to participate with their animal(s) on the Canfield Fairgrounds.*

Yes, I/We understandNo, I do not agree with the above and understand I/We will not be able to participate with livestock/horses in activities/programs held on the Canfield Fairgrounds.

I/We, the parents'/guardians' of Equine Youth member, or adult/open class participant (Fill in name),     First Name   Last Name   ,   have a current health insurance policy covering my child or myself with the following insurance company.

Name of Insurance Company
Street Address  Address Line 2
   City   State   Zip
(______) Phone Number