EmailMe Form - Pavilion Entry Form

Exhibitor Name *

Address *

Street Address City State / Province / Region Postal / Zip Code

Phone *

Email *

ENTRY 1

Section
Class
Exhibit

ENTRY 2

Section
Class
Exhibit

ENTRY 3

Section
Class
Exhibit

ENTRY 4

Section
Class
Exhibit

ENTRY 5

Section
Class
Exhibit

ENTRY 6

Section
Class
Exhibit

ENTRY 7

Section
Class
Exhibit

ENTRY 8

Section
Class
Exhibit

Terms & Conditions *

I hereby authorize the entry herein described & agree to be bound by the Rules & Regulations of the Pioneer Valley Show Society

In this Waver, Release and Acknowledgement form “The Pioneer Valley Agricultural Show Society Inc” means and includes all affiliated entities; servants or agents of the Society, all employees of the Society, all members of the Society and all volunteers of the Society and/or all affiliated entities.

Waiver, Release and Acknowledgement *

I acknowledge that I have read this waiver fully and understand it's terms and that I have give up substantial rights signing it.

I have agreed to these freely and voluntarily without any inducement made to me and intent this to be a complete and unconditional release of all liability to the greatest extent allowed by law.

By exhibiting in the Show:

1. I acknowledge that it is a condition of exhibiting in the Show that I do so at my own risk. I accept all risks and release the Society from all claims, demands and proceedings arising out of or connected with my exhibiting in the Shaw and indemnify the Society together with any other organisation or person involved in the conduct of the Show against all liability for any injury, loss or damage arising out of or connected with my exhibiting in the Show. This release continues forever and binds all of my heirs, successors, executors, personal representatives and assigns.

2. I acknowledge that it is a condition of exhibiting in the Show that the Society and any person or body directly or indirectly associated with the Show are absolved from all liability arising for injury or damage to myself or my property howsoever caused arising out of my exhibiting in the Show.

3. I acknowledge that the Society relies on the information provided by me and state that all such information is accurate and complete.

4. I acknowledge that I must produce evidence to the Society that I have a current policy of public liability insurance.

Declaration of Minors - Under 18 Years of Age

If you are under the age of 18 years on the Event Day your parent/guardian must approve this declaration.

Minor's Full Name

Minor's Date of Birth

DD / MM / YYYY

Parent/Guardian Full Name

I certify that I am the parent/guardian of this minor and that he/she has trained for and has my consent to participate in the Event.

I agree to the above for myself and on behalf of my child I indemnify and keep indemnified all people and corporations associated with the conduct of the events on the terms referred to.

Online nominations will not be accepted until entry fees have been received.

Pioneer Valley Agricultural Show
BSB: 064707
A/C Number: 00919932
Ref: Surname and section e.g. Smith, Craft