Showbox, October 2011

Page 67

TJLA BELT BUCKLE BONANZA ENTRY CARD Entry Deadline June 13 – After That Date Add $10.00 per Animal, per Show Entered Mail entries to:

TJLA Belt Buckle Bonanza P.O. Box 1088 - Crockett, Texas 75835

Fill Out Entry Card BONANZA For Each Animal Entered TJLAPlease BELT BUCKLE ENTRY

CARD

Entry Deadline June 13November – After That Date$10.00 Add $10.00 per Animal, per Show Entered Entry Deadline 7 - Add Per Animal, Per Show A&B_______ A Only_______ Mail entries to: Exhibitor’s Name ______________________________________________________ TJLA Belt Buckle Bonanza P.O. Box 1088 - Crockett, Texas 75835 Member TJLA? Y N If yes, Division_______ Please Fill Out Entry Card For Each Animal Entered A&B_______ A Only_______ Exhibitor’s Address_______________________________________Town_________ Zip_________

Exhibitor’s Name ______________________________________________________ Exhibitor’s E-Mail Address___________________________________________________________ Member TJLA? Y N If yes, Division_______ Phone Number (Area Code)_______Phone______________________________________________ Exhibitor’s Address_______________________________________Town_________ Zip_________ Steer Hog Lamb Goat Heifer Type of Animal (Circle One) Exhibitor’s E-Mail Address___________________________________________________________ Breed of Animal________________________If Heifer, List Birthdate_____________________________ Phone Number (Area Code)_______Phone______________________________________________

RELEASE AND INDEMNITY (Must Be Filled Out)

We, the youth exhibitor, parents or guardians, and CEA or AST, do agree that in consideration for the Texas Junior Livestock Association allowing the Typetoof Animalin(Circle One)shows at the Steer Hog Lamb Goat indemnify Heifer undersigned participate the livestock Belt Buckle Bonanza we, the undersigned, and hold the TJLA, its officers, directors, employees, the City of Waco and the Heart of Texas Fair Complex harmless from and against any and all claims, losses, demands, obligations, causes of actions and law suits and all damages (including punitive and exemplary damages), liabilities (including strict liability), fines, penalties, judgments, costs (including settlement costs), and expenses associated therewith (including the payment of reasonable attorney fees and disbursements)(hereafter collecBreed of Animal________________________If Heifer, List Birthdate_____________________________ tively “Damages”), to the extent Damages arise out of (1) the failure of the undersigned to comply with the terms and conditions of this Entry Form; (2) the failure of the undersigned to comply with any applicable federal, state or local laws; (3) the services performed or actions taken by the undersigned; (4) the negligent, grossly negligent or intentional acts or omissions of the undersigned; or (5) any acts caused by the undersigned’s animals. RELEASE AND INDEMNITY (Must Be Filled Out) We, the undersigned, have read and voluntarily sign this release and waiver of liability and indemnity agreement, and further agree that no oral We,the theyouth youthexhibitor, exhibitor, parents ororguardians, andand CEA or AST, do agree that inthat consideration for the Texas Junior Livestock Association allowing the We, parents guardians, or AST, do agree in consideration of the Texas representations, statements orCEA inducements apart from the above written agreement have beenJunior made. Livestock Association undersigned to participate in livestock in shows at the Belt Bonanza the undersigned, indemnify hold theTJLA, TJLA,its its officers, officers, directors, allowing the undersigned to the participate the TJLA FallBuckle Classic, we, thewe, undersigned, indemnify andand hold the directors, employees, the and thethe Heart of Texas Fair Complex harmless from and against and allany claims, losses, demands, obligations, of employees, the City CityofofWaco Waco and Heart 'O Texas Fair Complex harmless from andany against and all claims, losses, demands,causes obligations, ofsuits actions law suits and all damages (including and exemplary damages) (including strict liability,costs fines, actionscauses and law and and allExhibitor_____________________________________________Date_____________ damages (including punitive and exemplarypunitive damages), liabilities (including strict liabilities liability), fines, penalties, judgments, penalties, costsand (including costs) and expenses theand payment of reasonable attorneys (includingjudgements, settlement costs), expenses settlement associated therewith (including theassociated payment oftherewith reasonable(including attorney fees disbursements)(hereafter collecfeestively and “Damages”), disbursements) collectively referred “Damages”) to the extent damages out of failure ofofthe to the(herafter Damages arise out of (1) to theasfailure of the undersigned to comply witharise the terms and(1) conditions thisundersigned Entry Form; to Parent orextent Guardian_________________________________________________Date______________ comply theofterms and conditions of this Entry Form; (2)federal, the failure the undersigned to comply with any state or (2) thewith failure the undersigned to comply with any applicable state of or local laws; (3) the services performed or applicable actions takenfederal, by the underlocal laws;(4) (3)the thenegligent, servicesgrossly performed or actions taken by undersigned; the negligent, actsanimals. or omissigned; negligent or intentional actsthe or omissions of the(4) undersigned; or (5)grossly any actsnegligent caused byortheintentional undersigned’s sions of or (5)read anyand acts caused by the undersigned’s animals. We, the have read voluntarily this We,the theundersigned; undersigned, have voluntarily sign this release and waiver of liability andundersigned, indemnity agreement, andand further agree thatsign no oral release and waiver of liability and indemnity agreement, and further agree that no oral representations, statements, or inducements apart representations, statements or inducements apart from the above written agreement have been made.

Entry Form For Leadership Contests

from the above have been made.

LEADERSHIP CONTESTS

Exhibitor_____________________________________________Date_____________

Photography Entry Fee $20.00 per Photo Fitting Contest Parent or Guardian_________________________________________________Date______________ Entry Fee $30.00 per Team Total For Leadership Entries

Total

DONATION Entry Form For Leadership Contests

WE WOULD LIKE TO DONATE THE FOLLOWING TO THE FALL CLASSIC... WE WOULD LIKE TO DONATE THE FOLLOWING TO THE BONANZA... LEADERSHIP CONTESTS

Grand or Res. Champion Award Buckle Donation Breed Champ Res. Breed Award Bonanza Booster Total Grand or Res. Champion Buckle Donation Breed Champ Res. Breed Award per Photo Bonanza Booster Total Photography Entry Fee $20.00 Total $250.00______ $150.00________ Entry Fee $75.00$30.00 Breed_____ $50.00 Division_______ ________ Fitting Contest per Team Award

$250.00

$150.00 Breed?_____________

$75.00 Breed?__________

$50.00 Division? _________

Total For Leadership Entries Please List Donation in Name of _________________________________________________Town_______________________________

DONATION Name on Credit Card___________________________________________________________________________________

Address of CreditLIKE Card TO Bill______________________________________________________________________________ WE WOULD DONATE THE FOLLOWING TO THE BONANZA... Credit Card Number__________________________________________________ Grand or Res. Champion Buckle Donation Breed Champ Res. Breed Award Expiration Date______________________________________________________ Award

$250.00

$150.00 Breed?_____________

$75.00 Breed?__________

Bonanza Booster $50.00 Division? _________

Please List Donation in Name of _________________________________________________Town_______________________________

Total


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