Print this form, fill out, and take with you to registration


Kiddie Tractor Pull


Name of Child ____________________________________

Age of Child ___________________________________

Parent's Name __________________________________


Waiver:  In consideration of my entry, I do hereby for myself, my heirs and personal
representative release and discharge the Old Settler’s Committee and the City of Redfield
from all claims of damages, demands, or actions whatsoever arising out of my participation
in the above event.  I further release and discharge all officers, employees and agents of the
above-named organization from liability in this event.  I further declare and certify that I
am physically fit to participate in the bed races for which I am entered.