2019 Herefords Australia National Youth Expo Parkes NSW

PARTICIPANT DETAILS

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Jacket Size *
I have read, understood and agree to abide by the Conditions of Entry. I acknowledge that if I am not already a member of Herefords Australia Youth, a membership will now be created for me and I agree to abide by the constitution and regulations of Herefords Australia. (Must be signed by parent or guardian if participant in under 18 years of age). *
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24 Hour Emergency Contact

Parent or Guardian Information & Consent (required if Participant is under 18 years of age)

Parent or Guardian Signature
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Camp Guardian Details - All competitors aged 12 and under must be accompanied by a parent or guardian or identified camp guardian for the duration of the Expo. Please complete the following section if your child is under 12 years of age and a parent or guardian will not be in attendance

MEDICAL INFORMATION

Is the participant subject to any of the following health conditions?
Do you have an injury or condition which is likely to be aggravated by the event? *
Does the participant have any known allergies *
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WAIVER, RELEASE, & ACKNOWLEDGEMENT

In this Waiver, Release and Acknowledgement Form “the Society” means and includes all affiliated entities, servants or agents of the Society, all employees of the Society, all members of the Society and all volunteers of the Society and/or all affiliated entities. By participating in the Expo: 1. I acknowledge that it is a condition of participating in the Expo that I do so at my own risk. I accept all risk and release the Society from all claims, demands and proceedings arising out of or connected with my participation in the Expo and indemnify them against all liability for any injury, loss or damage arising out of or connected with my participation in the Expo. 2. I acknowledge that it is a condition of participating in the Expo that the Society and any person or body directly or indirectly associated with the Expo are absolved from all liability arising for injury or damage to myself or my property howsoever caused arising out of my participation in the Expo whatsoever whether due to negligent act, breach of duty, default and/or omission on the part of the Society and any person or body directly or indirectly associated with the Expo or otherwise. 3. I acknowledge that the Society relies on the information provided by me and state that all such information is accurate and complete. 4. I warrant that I am physically fit to participate in the Expo and that I have not been advised otherwise by a qualified medical practitioner. I acknowledge that I must disclose any pre-existing medical or other condition that may affect the risk that either myself, or any other person will suffer injury, loss or damage. 5. I consent to receiving any medical treatment including ambulance transportation that the Society and any person or body directly associated with the Expo think necessary as required during the Expo. 6. I acknowledge that it is a condition of participating in the Expo that I follow the instructions of the Society and any person or body directly or indirectly associated with the Expo at all times. I indemnify and keep indemnified the Society and any person or body directly or indirectly associated with the Expo from all claims, demands and proceedings arising out of or connected with a failure by me to comply with rules and/or directions given to me by the Society and any person or body directly or indirectly associated with the Expo. *
Signature of Participant (parent/guardian if participant is under 18) *
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MEDIA WAIVER AND RELEASE

I give Herefords Youth consent to reproduce his / her (as named above) photography in newsletters and / or newspaper publications The material may appear in printed or electronic form and may be available to a global audience on the World Wide Web. I authorise the use or reproduction of the photography by Herefords Youth for promotion purposes without acknowledgement and without being entitled to payment. The copyright ownership of the photography will be retained by Herefords Youth and the photographer. I understand that if I wish to withdraw this authorisation, it will be my responsibility to inform Herefords Youth. *
Signature of Participant (parent/guardian if participant is under 18) *
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ANIMAL INFORMATION

Do you require a loan animal *
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Bred and Owned (Note: Animal must have been in the Participant's name at the time of breeding and current ownership)

Payment Information

Additional Animal *