Sedalia Lion's Club

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Blues Cruise and BBQ Official Entry Form (Mail-In Payment)

Team Name*	Invalid Input
(Chief Cook)*	Invalid InputInvalid Input
Day Phone*	()Invalid Input-Invalid InputInvalid Input
Evening*	()Invalid InputInvalid Input-Invalid Input
Address*	Invalid Input
City*	Invalid Input,Invalid Input Invalid Input
Email*	Invalid Input
Children (ages 5-10)	Kids Q Contest CancelledInvalid Input (ages 11-15)Kids Q Contest CancelledInvalid Input
Base Entry, four basic meats, one space*	Invalid Input
Kids Entered	Invalid Input
Late Fee (After June 15th)	Invalid Input
Extra Space	Invalid Input
Extra Night (Saturday)	Invalid Input
Dessert Entry	Invalid Input
WAIVER OF LIABILITY: I understand there are inherent risks in physical activity of serious physical injury and/ or death. I state I am in good health and medically fit to participate in the rigors of the physical activity. I also hereby waive and release any and all claims for myself, heirs, agents, assigns and personal representatives and executors for damages I may have against the Sedalia Lions Club and the club's members, the K.C.B.S., any contest sponsors, or the MO. State Fair and their agents, successors, and assigns for any injury I suffer during this competition. I also understand weather conditions may change and I am responsible for myself in making decisions to seek shelter from sudden changes in the weather. Also, I understand heat and humidity can cause dangerous risk of illness and injury to persons engaged in physical activity. I understand I am responsible for making decisions to continue with the physical activity during such periods of heat and humidity and hereby waive and release for myself, heirs, agents, assigns and personal representatives and executors the Sedalia Lions Club and the club's members, the K.C.B.S., any contest sponsors, or the MO. State Fair and their agents, successors, and assigns for any injuries I suffer during competition. I the undersigned hereby agree that The Sedalia Lions Club and the club's members, the K.C.B.S., any contest sponsors, or the MO. State Fair and their agents, successors, and assigns shall not be liable to the undersigned, his family, agents, guests, invitees, servants, or others for injury to or death of any person or pet, nor for loss or damage to property (including the property of the undersigned) occurring in or about the Premises of the Event from any cause whatsoever, even if the cause or damages or injuries are alleged to be the fault or caused by the negligence or carelessness of The Sedalia Lions Club or the club's members, the K.C.B.S., any contest sponsors, or the MO. State Fair and their agents, successors, and assigns. I understand that eating raw or undercooked food, especially meat, fish, eggs and poultry can lead to suffering food borne illnesses including but to limited to salmonella, e. coli and parasites. Such illnesses can lead to serious injury or even death. I hereby waive and release any claims for myself, heirs, agents, assigns and personal representatives and executors for injuries or damages I may have against the Sedalia Lions Club and the club's members, the K.C.B.S., any contest sponsors, or the MO. State Fair and their agents, successors, and assigns arising out of my consumption of any food during this event. I grant full permission to the Sedalia Lions Club and the club's members, the K.C.B.S., any contest sponsors, or the MO. State Fair and their agents, successors, and assigns or agents authorized by them to use photographs, videotapes, motion pictures, digital video, recordings and any other record of this event for any legitimate purpose. You must Accept the Waiver of Liability. Please read and check the box.