Yes, I want to become a SAILA Junior Member!
Name ___________________________________
Birth Date_______________
Mailing Address: __________________________________________________
City: ___________________State_________Zip______
E-mail_______________________________________
Club, Chapter, or Junior Breed Association______________________________
If under 18 years of age, the parents must sign; if over 18, sign as a Jr member
EVERY CHILD IN A FAMILY NEEDS A SEPERATE REALEASE
RELEASE
I, (print name) ______________________________, as
the parent or guardian of (Print junior member’s name)
___________________________________
do approve of his/her participation in the SAILA Junior Field Day Circuit. I do release the Southern Arizona International Livestock Association (aka: SAILA) and any of its members, officers, directors and or staff and volunteers from any liability or responsibility in the event of injury or mishap to the child or animals involved.
Exhibitor and parent/guardian acknowledge and give permission for
photographs of the exhibitor and/or the entry to be used for promotion
of SAILA as it might determine necessary.
We, the junior exhibitor and parent/guardian*, *certify that we have
read, acknowledge and will abide by all the rules of Southern Arizona
International Livestock Association, Inc. (SAILA). We further certify
that we have not administered to this animal entry, nor has it received, nor will we administer, any substance not species specifically approved by the United States Food and Drug Administration (FDA) and/or the U.S. Department of Agriculture (USDA) for animals intended for human consumption. This includes, but is not limited to, diuretics, steroids and tranquilizers.
We will indemnify and hold harmless SAILA and all of its sponsors and assisting organizations, their employees and agents, against all claims for injury to any person or property caused by any animal.
Any exhibitor with a falsified or incomplete form will be dropped from
the SAILA files.
___________________________________
Signature of parent or guardian Date
_____________________
Signature of junior member
Please enclose a check payable to SAILA for your dues.
($25.00 individual or $85.00 for a family membership)
Make copies of application for additional junior members and sign releases
Mail to:
SAILA -
_______________________________________________________
