** RUBBER CHECK RACE WAIVER FORM** (Reference only)
**Participation in the Cheyenne County Fair & Rodeo Rubber Check Race**
**Form will be filled out by each team member the night of the event.**
I, ___________________________________________, hereby acknowledge that I am participating in the [Rubber Check Race] (the "Event")on behalf of myself and/or my team. I understand that the Event is a competitive activity that involves physical exertion and may pose risks to my health and safety.
**RELEASE AND HOLD HARMLESS**
I, for myself and on behalf of my heirs, assigns, and personal representatives, hereby release and hold harmless the Cheyenne County Fair & Rodeo, and its affiliates, officers, directors, employees, agents, and volunteers (collectively, "Releasees") from any and all claims, demands, causes of action, damages, costs, and expenses arising out of or related to my participation in the Event, including but not limited to:
* Any personal injury or illness sustained during or as a result of the Event;
* Any damage to property or equipment caused by me or others;
* Any claims or disputes arising from the interpretation or application of these rules or any other rules or regulations related to the Event.
**ASSUMPTION OF RISK**
I understand that there are inherent risks involved in participating in the Event, including but not limited to:
* Physical exertion and injury;
* Weather conditions;
* Equipment failure or malfunction;
* Collision with other participants;
* Other unforeseen circumstances.
I acknowledge that I am aware of these risks and assume them in exchange for the opportunity to participate in the Event. I understand that Releasees are not responsible for any injuries or damages that may arise from my participation in the Event.
**INDEMNIFICATION**
I agree to indemnify and hold harmless Releasees from any and all claims, demands, causes of action, damages, costs, and expenses arising out of or related to my participation in the Event.
**ACKNOWLEDGMENT**
I acknowledge that I have read, understand, and agree to the terms of this waiver form.
Initial____________
**AUTHORIZATION**
I authorize Releasees to provide medical treatment if necessary during the Event. I also authorize Releasees to use my name, likeness, picture, and voice in connection with the Event without compensation or liability.
**EFFECTIVENESS**
This waiver form shall be effective as of the date I sign it below and shall remain effective until all claims related to my participation in the Event have been fully resolved.
**SIGNATURE**
By signing below, I acknowledge that I have read, understood, and agree to the terms of this waiver form.
**Signature:** _____________________________________
**Date:** _______________________________________
**Printed Name:** ______________________________________
**Team Name:** ______________________________________