 |
|
| Name(s):______________________________ | Phone(s):__________________________ |
| ______________________________________ | __________________________________ |
| ______________________________________ | __________________________________ |
| ______________________________________ | __________________________________ |
| Address:_______________________________ | Date of Birth (Youth Only):____/____/____ |
| ______________________________________ | E-Mail Address:_______________________ |
| ______________________________________ | Have you Been a Member Previously ____ Yes ____ No |
| In case of emergency, please notify: | Phone(s):___________________________ |
| Name:_________________________________ | ___________________________ |
| By signing this form, I
and/or my heirs and/or assignees hereby release Barrel Racing Association
of Texas (BRAT),
its directors, representatives, employees, sponsors, show promoters, agents
of same and anyone else from any claim
or right for damages which may occur to me, my child, my horse, or any
other property while attending any Barrel
Racing Association of Texas approved show. I realize there are certain
risks in any sport I take full responsibility
for myself, my child, and my property including my horse, should an
incident occur. I also understand that under Texas Law (Chapter
87, Civil Practice and Remedies Code), an equine professional
is not liable for an injury to or the death of a participant in equine
activities resulting from the inherent risks of equine
activities. ________________________________________________________ Date ______________ Participant's Signature(s) (if minor, parent or legal guardian must sign) ________________________________________________________ Participant's Printed Name(s) |
|
Thank You for your participation with BRAT! |
FOR MORE INFORMATION CONTACT:
Becky Southard (817) 564-4172 • • Brynn Denney
(682) 225-9866
Charlcie Walker (817) 929-9048 • Tammi Fillingim (817) 692-2323
