Arena Release Form

Name:


First	Last

Address:

Street AddressStreet Address Line 2CityState / Province / RegionPostal / Zip CodeCountry

Phone:

-
Area Code	Phone Number

E-mail:

Social Security # :

US ID#:

Classification:

Head:

Heel:

If you enter on both ends and computer draws your name as header and heeler, you forfeit that run.

Amount:

$		.
	Dollars		Cents

Payment:

Check

Cash

Release Form
The Texas Legislature has added a chapter to the Civil Practice and Remedies Code to limit liabilities for equine activities, effective September 1, 1995

Chapter 87 of the code says there is no liability for property damage or damages arising from personal injury or death of a participant in an equine activity, if the damage or injury results from a risk inherent in equine activities. Inherent risks include collisions with other animals, certain surface conditions, the unpredictability of an animal's reaction to certain stimuli and potential of a participant to act in a negligent manner contributing to an injury.

I hereby understand that Jasper County Cowboy Church, it;s members, and all other persons and organizations connected with this Church or Arena are not to be held responsible for any injuries which I or my horse may incur while participating in this Arena event, or as a result thereof. I hereby waive any claims for damages to my person or property.

Signature of participant:

If a minor, signature of legal guardian:

Print name of legal guardian:

Date:

	/		/
day		month		year

Coggins Required: