Queen Contest Information

Please Read Rules & GuidelinesDSC 3667

"Print" & "Complete" Application & Waiver 

Mail With $30.00 Entry Fee by July 1st, 2017

**  Forms Can Be Printed by scrolling to the bottom of the page and click on the "Print" Icon **

Corn Palace Stampede Queen Contest

Waiver of Liability

In consideration of my application being accepted (and me or my helpers being permitted to engage in the above event shall be deemed to be an acceptance thereof), I hereby for myself, my executors, administrators & assigns & my helpers agree to abide by all rules & regulations pertaining to the event.  I and they assume all liability and responsibility for any loss, accident or injury whether as management, in any performance or parade or while in, on or about the premises.  I further agree to indemnify your committee and management from and against any loss or damage sustained by you by reason of any claims made by any of my helpers or their executors, administrator or assigns.  Also, I hereby release the right, title, and claim of any photographs that may be given to or taken by the management for their further use.  I certify that I know rodeo is a risky sport and I can be injured while taking part and that I know the rules of the Corn Palace Stampede Queen Contest and agree to abide by them.

The undersigned have read the foregoing waiver of liability and carefully and fully understand the meaning and effect t of it.

Dated this _________________________________________ Day of __________________ 2017

Signature of Contestant ___________________________________________________________

Address _______________________________________________________________________

Telephone Number: _____________________________ Birthdate: _________________________

Signature of Parent: ______________________________________________________________

On this _________ Day of __________________ 2017, before me personally appeared __________

________________________ to me known to be the person who executed this foregoing release and acknowledged that they signed same as their free act and deed.

My Commission Expires:

____________________                                                    _________________________________________

                                                                                                                                                                (notary public)

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