Youth & Family Participation Rules & Entry/Waiver Form

Youth & Family Participation Rules & Entry/Waiver Form

Pig Scrambles
ALL PARTICIPANTS MUST BE AT THE GRANDSTAND BY 5:50PM IN ORDER TO PARTICIPATE

One Form Per Participant

Pig Scrambles Rules:
- Participants scramble to catch a piglet
- Pre-registration and waiver forms are required for this event, deadline is June 28.
- 10 kids per age class. We will keep a list of alternates.
- Participants must be 8, 9, 10 years old (as of July 24, 2025)
- Limited spaces available, we will keep a list of alternates participants. Sign up early!
- Prizes will be awarded.
General Rules:
- Participants do NOT need to be a 4-H or FFA member.
- Participants will be competing for prizes only. No live animals will be given away in these events.
- Waiver of liability forms must be signed by participant and parent/guardian in order to compete in Pig Scrambles.
Parent/Guardian

First NameLast Name
Participant Name

First NameLast Name
Participant Date of Birth

MonthDayYear
Date
Email
example@example.com
Phone Number
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
I wish to participate in Pig Scrambles
The participant, First Name Last Name , wishes to compete in the Stephenson County Fair - Youth & Family Night contests. As
the parent or legal guardian of participant, I understand there are risks inherent with physical activity of this nature, and I accept full responsibility and agree to indemnify
and hold harmless for any and all claims or accidents whatsoever arising out of participating in the Pig Scramble. I agree that participation is fully voluntary and I will not
hold Stephenson County Fair Association, Stephenson County Farm Bureau, or any of their employees or volunteers responsible for any harm that may result from partici-
pating in this event. I further agree that if participating in the Pig Scrambles event.
Signature

Clear
Date

MonthDayYear
Date
FORM MUST BE COMPLETED AND RETURNED TO THE FAIR OFFICE, IF NOT FILLED OUT ELECTRONICALLY, BY JUNE 27, 2025

For questions, please call Abby Mielke 815-541-2089
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