I, 1)____________________ as a representative for the 2)_______________________ (organization) understand that I am (we are) choosing to participate in the 2016 Liberty Hill Fair and Rodeo at my (our) own risk and neither the City of Liberty Hill nor the Liberty Hill Chamber accepts liability or responsibility regarding animals, vehicles, equipment or personal injury during this event. I also understand that by violating safety provisions or anything that is deemed dangerous, we acknowledge that we can be removed from the parade. 3)_____________________ Date: 4)_____________________ *